Vital Statistic Form 

Grief Support
|
Local Resources
|
Helpful Links
|
Local Area Churches
|
Vital Statistic Form
|
When Death Occurs
|
Funeral Etiquette
|
Talking to Children
|
Making Arrangements
|
Frequent Questions
|
Privacy Policy

Please feel free to print off and fill out this convenient form containing the information required to register a death with Vital Statistics.

Bring it to the office when you come to make your arrangements.

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Vital Statistics Form

Click on the graphic on the left to download the file.

Send Us a Message

Contact Us

location_on Address
P.O. Box 367,
118 Fern Road East,
Qualicum Beach, BC V9K1S7  

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Available by Phone 24/7
Office Hours by Appointment

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Or, visit our funeral home in person at your convenience.

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