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FR/EN
Licensed Funeral Director Available 24/7
Contact Us for Immediate Need
Get in touch
613.860.2424
Toggle Navigation
Our Team
Funeral Services
Direct Cremation
Burial Services
Funeral Planning
Pre-Planning
Virtual Funeral Services Ottawa
Online Arrangements
Obituaries
Locations
Blog
Contact
FR/EN
Licensed Funeral Director Available 24/7
Get in touch
613.860.2424
Toggle Navigation
Our Team
Funeral Services
Direct Cremation
Burial Services
Funeral Planning
Pre-Planning
Virtual Funeral Services Ottawa
Online Arrangements
Obituaries
Locations
Blog
Contact
FR/EN
Contact Us for Immediate Need
Licensed Funeral Director Available 24/7
Online Arrangement Form EN
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13
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Do you want to make funeral prearrangements or arrangements following a death?
(Required)
Funeral Pre-Arrangement
Arrangements Following Death
Did the deceased person have a will?
(Required)
Yes
No
In the absence of a will, the next of kin has the right to make, change or cancel funeral arrangements. Below is a list, by legal order, of the people who can make arrangements for the funeral. (eg: if there is no surviving spouse, the children are responsible). If you are completing documents on behalf of the next of kin, please provide their contact details in the sections below.*
(Required)
Executor or Executrix
Husband or wife
Children
Grandchildren
Great Grandchildren
Father or Mother
Brothers and Sisters
Grand Parents
Brother or Sister
Other
Are you the executor or executrix?
(Required)
Executor
Executrix
INFORMATION ABOUT YOU
As the person authorized to carry out these arrangements, please complete the following forms. Guidance will be provided along the way to explain certain terms, should you require individual assistance at anytime please call us at (613) 860-2424.
Name
(Required)
Your First Name
Your Last Name
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Phone Number
(Required)
Email Address
(Required)
Enter Email
Confirm Email
BENEFICIARY INFORMATION
If you require one-on-one assistance at any time, please call us at 613-860-2424.
Information About You:
Name
(Required)
Your First Name
Your Last Name
Beneficiary Information:
Name
(Required)
First Name
Last Name
Address
(Required)
Address
City
Province
Postal code
Date of Birth
(Required)
MM slash DD slash YYYY
Place of birth
(Required)
Primary Phone Number
(Required)
Email Address
(Required)
DEATH REGISTRATION FORM FOR THE CIVIL STATUS OFFICE
The information requested below helps us register the death with the Vital Statistics Agency. This form asks you to provide information on the parents of the deceased, their names at birth and place of birth, as well as information on the deceased (profession, residence, etc.).
Name
(Required)
First Name
Last Name
Home Address
(Required)
Apartment
City
(Required)
Postal code
(Required)
What is the gender of the deceased?
(Required)
Male
Female
Health Card Number
Place of Birth
Date of Birth
(Required)
MM slash DD slash YYYY
Date of Death
(Required)
MM slash DD slash YYYY
Type of work done most of working life
(Required)
Type of business or industry that the deceased worked in most of working life
(Required)
Civil status of the deceased
(Required)
Single
Married
Widow
Divorced
Common-law Partner
Former Common-law Partner
Spouse's First Name
Spouse's Maiden Name
Name of the Father of the Deceased
City & Province where Father was born
Name of the Mother of the Deceased
City & Province where Mother was born
Did the death occur in Québec
(Required)
Yes
No
The Québec Government requires the following information on the deceased spouse (or former spouse). Information of Surviving Spouse (if applicable):
Name
First Name
Last Name (Maiden name)
Date of Birth
(Required)
MM slash DD slash YYYY
Place of Birth
Date of Marriage
(Required)
MM slash DD slash YYYY
Place of Marriage
Health insurance Number
Full Name of Father
Full Name of Mother
How much does the person you are doing the arrangements for weight?
(Required)
Up to 200lbs
200lbs to 300lbs
300lbs and more
Place of Death
(Required)
Hospital
Retirement Home
Home
Other
The online arrangement section of our website is not monitored 24 hours a day. If the death occurred at a residence or nursing home, please call us immediately at 613-860-2424. (If selected Retirement Home, Home, Other)
Please indicate the name of the establishment or the address
(Required)
Is your loved one still at the above place of death?
(Required)
Yes
No
MEDICAL TREATMENT AND HISTORY OF THE DISEASE
Does the person that you are doing the arrangements for have a pacemaker and/or other implanted medical devices?
Yes
No
Please list the implant here.
CONFIRMATION OF ITS IDENTITY
Would you or a member of your immediate family like to proceed with a private family viewing of your loved one before cremation?
(Required)
Yes
No
A licensed funeral director will contact you by the end of the following day.
Confirmation of non-visual identity. Must be completed by next of kin or other legally authorized representative making the arrangements: At Direct cremation Services, we offer each family the opportunity to have a private family visit prior to cremation. This allows the closure of the family as well as a final farewell. If you decide to decline, we require a recent photo to upload below, along with any identifying marks to note (eg tattoo, scar). Please upload a recent photo.
(Required)
Drop files here or
Select files
Max. file size: 32 MB, Max. files: 10.
Describe the alternative methods used to confirm identification (Recent photos, scars, tattoos).
(Required)
1. ADDITIONAL SERVICES
Optional professional services / documents, available to meet your needs.
1. Estate Fraud Protection-
 The Estate Fraud Protection Program offers you a better, easier way to protect your family against identity theft. Upon the death of a loved one, we will immediately notify all necessary government and credit reporting agencies on your behalf. Reporting procedures differ from agency to agency, so we work directly with each to make sure their policies are followed precisely. You can be confident that the right people have been notified in the right way, and that your loved one’s identity and their estate is well protected against fraud.
Would you like the Estate Fraud Protection Service for a cost of $135.00?
(Required)
Estate Fraud Protection
Estate Fraud Protection Service Declined
2. Family Estate Manager - 
Family Estate Manager is a comprehensive, step-by-step tool that simplifies the decisions you’ll make as you settle your loved one’s estate. This tool provides immediate access to legal professionals that will save you time, notify interested parties, and maximize the value of your estate.
Would you like a Family Estate Manager at an additional cost of $275.00?
(Required)
Family Estate Manager
Family Estate Manager Declined
3. Legal Service Plan - 
To help in the process of settling someone’s estate, we offer unlimited 24/7 telephone consultations with our team of experienced estate lawyers. Benefits include a 12-month membership following the death, as well as legal support for other areas of practice including family, employment and residential real estate.
Would you like a Legal Service Plan at an additional cost of $275.00?
(Required)
Legal service plan
Legal Service Plan Declined
4. Digital scan of fingerprint for future purchase of commemorative products -
Digital scan of one or more fingerprints, handprints and/or footprints from the Decedent prior to final disposition and are to be used exclusively for purposes of a commemorative keepsake(s) and for no other purpose. For example: Cherish memories with a sterling silver, round, rimmed pendant featuring your loved one's thumbprint or an 18' sterling silver curb style chain.
Would you like us to scan a fingerprint sample at no additional cost for future purchase of commemorative products ?
(Required)
Please scan a fingerprint sample for future purchase of commemorative products
Fingerprint Sample Declined
2. CHOOSE A CREMATION CONTAINER
CHOOSE A CREMATION CONTAINER
(Required)
Presswood Container (Basic Presswood Container with no interior)
Price : $275.00
MDF Pine Cremation Container, Batesville (Cremation container with a light pine finish exterior), cloth interior with lining Price
Price :$395.00
3. CHOICE OF URNS
Cremated remains will be returned in a temporary urn at no additional cost. Cremation urns contain approximately 200 to 220 cubic inches of cremated remains. These urns are considered normal size. Available in different shapes, materials and colors, the selection of a crematorium urn is a personal and individual choice.
CHOICE OF URNS
NATURAL BOX : Price: $ 195.00
LEATHER CYLINDER : Price: $ 125.00
SAND RECTANGLE : Price: $ 510.00
BOIS SILVER MAPLE : Price: $ 795.00
MOMENTS AZALEA URN AND FRAME KEEPSAKE : Price: $ 690.00
CHERRY CHEST : Price: $595.00
MOONLIGHT BLUE VASE : Price: $ 460.00
DOVE VASE : Price: $ 495.00
MOTHER OF PEARL ELITE : Price: $ 595.00
SERENITY TREE : Price: $ 895.00
SERENITY PLAIN : Price: $ 895.00
LAUREL MIDNIGHT : Price: $ 795.00
LAUREL WHITE PEARL : Price: $ 795.00
LIVING URN: Price: $ 595.00
OMEGA VASE : Price: $ 545.00
4. CHOICE OF REMEMBRANCE
We also offer a selection of other urns and souvenirs. Keepsake urns are designed to hold a small portion of the cremated remains. In some cases, you may want to purchase multiple keepsake urns for family members who want to keep some of the total cremated remains while scattering or discontinuing the balance.
MOONLIGHT HEART KEEPSAKE
MOONLIGHT HEART KEEPSAKE : Price : $125.00
Would you like additional memories for Moonlight Hearth Keepsake?
No
Yes
How many would you like?
Additional memories in the moonlight
DOVE MINI KEEPSAKE
DOVE MINI KEEPSAKE : Price : $125.00
Would you like additional memories for Dove Mini Keepsake?
No
Yes
How many would you like?
Extra Dove Mini Souvenirs
LAUREL WHITE PEARL KEEPSAKE
LAUREL WHITE PEARL KEEPSAKE : Price : $145.00
Would you like additional memories for Laurel White Pearl Keepsake?
No
Yes
How many would you like?
Mini souvenirs extra-gland
ROSE CRIMSON KEEPSAKE
ROSE CRIMSON KEEPSAKE : Price : $175.00
Would you like additional memories for Rose Crimson Keepsake?
No
Yes
How many would you like?
Mini souvenirs extra-gland
STAR BRIGHT MINI KEEPSAKE
STAR BRIGHT MINI KEEPSAKE : Price : $155.00
Would you like additional memories for Star Bright Mini Keepsake?
No
Yes
How many would you like?
Mini Star Bright Memories
MIDNIGHT PEWTER HEART
MIDNIGHT PEWTER HEART : Price : $155.00
Would you like additional memories for Midnight Pewter Heart?
No
Yes
How many would you like?
Extra Midnight Pewter Heart Memories
NIRVANA ADIEU KEEPSAKE
NIRVANA ADIEU KEEPSAKE : Price : $125.00
Would you like additional memories for Nirvana Adieu Keepsake?
No
Yes
How many would you like?
Extra Nirvana Adieu Keepsake Memories
CYLINDER
CYLINDER : Price : $275.00
Would you like additional memories for Cylinder?
No
Yes
How many would you like?
Extra Cylinder Memories
OVAL BLACK
OVAL BLACK : Price : $275.00
Would you like additional memories for Oval Black?
No
Yes
How many would you like?
Extra Oval Black Memories
ANGEL LOCKET
ANGEL LOCKET : Price : $275.00
Would you like additional memories for Angel Locket?
No
Yes
How many would you like?
Extra Angel Locket Memories
CREMATION JEWELLERY BUNDLE
CREMATION JEWELLERY BUNDLE : Price : $275.00
Would you like additional memories for Cremation Jewellery Bundle?
No
Yes
How many would you like?
Extra Cremation Jewellery Bundle
After cremation
Once the cremation is complete, you have the option of having the cremated remains, death certificates and other necessary documents returned to you by mail, home delivery or collection at our office.
How would you like the cremated remains returned?
Collect cremated remains at the funeral home
Returned via Registered Mail ($100)
NO OPTION SERVICE
Included in our No Service Option price of $1175.00 are the following services:
Professional and personnel services $ 310.00
Online Professional consultation including, but not limited to, expert advice on options to meet your needs. Our services also includes an online obituary on our website at no additional cost.
Registration and Documentation $250.00
Completion and filling of all documents necessary to carry out the services and supplies requested, including, but not limited to, death registration, burial permit, coroner's certificate for cremation & provision of Proof of Death Certificates.
Sheltering of remains $360.00
Transfer of remains from place of death to funeral home (within 50 kilometers) $ 495.00
Additional distance will be charged at $2.00 per kilometre.
Savings on Online Services of ($ 240.00)
Please take a moment to review your arrangements.
This total does not include HST and will be applied to the total of services and goods. A copy of your invoice will be sent to you by e-mail, with the total balance due, before accepting the payment.
Hidden
No Option Service
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