Immediate Need

Online At Need Funeral Planning

You can get a head start on the process by completing as much of this online form as possible. We recognize you may not know everything right at this moment, but what you do know will be invaluable to your Funeral Director. Submitting this form will surely expedite the funeral arrangement process.

Vital Statistics & Funeral Planning Details

Full Name of the deceased:

Social Insurance Number:

Date of Death:

Physical address (street or LLD) prior to death (can not be a PO Box):

Date of Birth:

City/Town (or LLD) and Province of Birth:

Spouse's Name:

Spouse's Maiden Surname (if female):

Father's Name:

Father's City/Town of Birth:

Mother's Name:

Mother's City/Town of Birth:

Mother's Maiden Name:

Survivors' Names and Cities of Residence:

Relatives Who Have Preceded Your Loved One In Death:

Occupation:

Business Type:

Company Name:

Church Membership:

Veteran:

Person in Charge of Arrangements (executor of estate, or next-of-kin if there is no Last Will & Testament), mailing address and phone number:

Type of Service:

Disposition:

Would you like to arrange for a public and/or private visitation (viewing)?

Officiating Clergy:

Pallbearers or Urn Bearer:

Flower Preference (casket spray, urn arrangement, etc.)::

Music Selection Ideas:

Jewelry:

Glasses:

Casket Preference:

Cemetery Name / Location:

The Cemetery Property is in the Name of:

Miscellaneous Notes and Instructions:

Phone: 306-634-8233

1506 - 4th Street

Estevan SK CAS4A 0X6

Fax: 306-634-7165

info@hallfuneralservices.ca

Phone: 306-452-6020

13 Souris Avenue

PO Box 670

Redvers SK CAS0C 2H0

Fax: 306-634-7165

info@hallfuneralservices.ca

Online At Need Funeral Planning

Vital Statistics & Funeral Planning Details

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