It Is Our Honour To Serve Your Family
Heritage Funeral Home
Calgary Crematorium
3219-4th St. NW (within Queens Park Cemetery)
403-299-0111

We want to thank you for entrusting your loved one into our care and we consider it a privilege to assist your family.


Vital Satistics Information
Below is the information we will require during our meeting. You are welcome to bring it with you or provide us with this information prior to our meeting.
Deceased Last Name
Family Name
Your answer
Deceased First & Middle Names
First and Middle
Your answer
Deceased Name at Birth
If different from above. Please include maiden name if applicable.
Your answer
Date and Time of Deceased Death
Your answer
Place of Death
Please be as specific as possible, including town, province/state and country
Your answer
Date of Birth
MM/DD/YYYY
Your answer
Place of birth
Please be as specific as possible, including town, province/state and country
Your answer
Social Insurance Number
This is a required number
Your answer
Drivers License Number
Your answer
Alberta Health Care Number
Your answer
Home Address
Please include city, province and postal code
Your answer
Executor Information
Please provide all relivant information about the executor. Include name, address and phone number.
Your answer
Marital Status
Spouses Full Name
Include maiden name if applicable
Your answer
Deceased Occupation
Unfortunately every occupation can not be listed so please select the most appropriate one or fill in other
Deceased Mother's Last Name
Her Maiden Name
Your answer
Deceased Mother's First Name
Include middle names if you know them
Your answer
Mothers Place Of Birth
Please be as specific as possible, including town, province/state and country
Your answer
Deceased Father's Last Name
Your answer
Deceased Father's First Name
Include middle names if you know them
Your answer
Fathers Place Of Birth
Please be as specific as possible, including town, province/state and country
Your answer
Family Information
Please provide us with as many relatives names as possible and their relationship to the deceased as this will help in writing the obituary
Your answer
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