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Website Arrangement Form

Before we get started, we would like to express our sincere condolences for your loss.
If you'd like to speak with one of our directors immediately, please call 613.544.3411.

Informant Information

Contact Name (Your Name)*:

Contact E-mail*:

Contact Phone*:

Contact Secondary Phone:

Have you been in contact with us before?

Who have you been in contact with?:

Decedent Information

Date of Death:

Who has passed away?*:

Where did they pass away?:

What is your relationship to the deceased?:

Social Insurance Number:

Usual Residence

Address:

City:

Country:

State/Province:

Zip/Postal code:

Type of work done most of working life:

Type of Business or Industry worked in:

Spouse Name:

Spouse Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Father's Name:

Father's Birth Place:

Mother's Maiden Name:

Mother's Birth Place:

To your knowledge, were pre-arrangements made?

Which funeral home are the pre-arrangements with?:

Have we previously served your family?

Who was your loved one?*:

Funeral Information

Please share any funeral details with us:

Helpful Items for Arrangements:

Picture(s)

Clothing

Social Insurance Number Card

Will (if available)

Executor of Will is

Executor Name*:

Executor Relationship:

Executor Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Executor Phone Number

Address:

City:

Country:

State/Province:

Zip/Postal code:

Executor E-mail:

Other notes or messages for us:

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PReplan Today

Taking the time to arrange your funeral now leaves one less thing your loved ones will need to worry about once you've passed. We are here to help you every step of the way.
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Funeral Options

James Reid Funeral Home provides a quiet, sensitive setting for making the necessary funeral arrangements. All details are attended to personally by our talented and caring team.
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grief Support

It’s not articles online. It’s not a monthly mailing. It’s a relationship built with one of two Bereavement Support Providers through monthly phone calls or visits for a year after the service.
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