Vital Statistics Form 

While we are social distancing because of COVID 19 we are asking families to supply as much information online as possible so that we can shorten the amount of time we have to spend face to face. Please fill out the form below so that we will have all the information Vital Statistics requires to register a death.
Arrangement Details

Personal Information



We require the spouse's name for registration no matter the marital status. The other spousal information is only required if the deceased was still married at the time of death.

Disposition Request

Summary Details

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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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