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Vital Statistics Information

Edmonton Crematorium and Funeral Home Ltd. 

All information collected is confidential, Edmonton Crematorium and Funeral Home Ltd. does NOT participate in sharing or selling any personal information collected.  
Vital Statistics Information

Deceased's Personal Information

Deceased's Full Legal Name (at time of birth)

Deceased's Full Legal Name (at time of death)

Deceased's Usual Permanent Residence:

Sometimes we need identification to confirm an identity with other parties such as the medical examiner or a physican. Uploading an identifying document allows us to streamline our process.

Spouse or Common Law Spouse Full Name:

Parent 1 Full Name:

Parent 1 Place of Birth:

Parent 2 Full Name:

Parent 2 Place of Birth:

Informant Information

The person supplying the information above.

Informant's Full Name:

Informants Usual Residence:

Next of Kin or Executor Information

If the informant and next of kin/executor are the same person you only need to fill out the information once.

Next of Kin or Executor's Full Name (who is named in the will):

Next of Kin or Executor's Usual Residence

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