Now – My loved one passed away – Staging Tranquility Cremation

Information of Deceased:

Full Name of Deceased

Last Name of Deceased at Time of Birth:

Social Insurance Number:

Home Address of Deceased:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Where and When did the Death Occur:

Place of Death:

City:

Date of Death

Information of Deceased:

Sex

Date of Birth:

City of Birth:

Province of Birth:

Country of Birth:

Relationship Status:

Name of Spouse or Partner:

First Middle Last

Spouses SIN number:

Spouses Date of Birth:

Spouses Place of Birth:

If Deceased was Married, Please attach a copy of Marriage Certificate*

Attached Copy of Marriage Certificate

Max. file size: 100 MB.

Occupation During Most of Working Life:

Parent 1

Name (at Birth):

Place of Birth:

Parent 2

Name (at Birth):

Place of Birth:

Would you like us to return any personal items that are with your loved ones?

Jewelry and clothing are the most common items that are returned to the executor or next of kin.

Who is authorized to pick up cremated remains?

Person in charge of cremation arrangements: (Must be executor, if no executor, legal next of kin)

Full Name:

Relationship to Deceased:

Telephone(Home):

Telephone(Mobile):

Arranger Email:

Address of Person in Charge:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Information of Deceased:

Home Address of Deceased:

Where and When did the Death Occur:

Information of Deceased:

If Deceased was Married, Please attach a copy of Marriage Certificate*

Parent 1

Parent 2

Cremation Information:

Would you like us to return any personal items that are with your loved ones?

Person in charge of cremation arrangements: (Must be executor, if no executor, legal next of kin)

Need Assistance

Chris Silverthorne – Owner

OBITUARIES

Where Do I Start?