Funeral Planner V1.4 2021

Arrangement File

Step 2 - Arranger Information & Vital Stats

Location:

Pre-Arrangements (Funeral Director):

Date of Prearrangements:

Funeral Director Arrangements:

Other Director:

Date of Arrangements:

Do not use CARE OF or another family member’s address

If Deceased Went By Another Name Add After First Name

In (Brackets) if name is not the middle name

or

In "Quotations" if name is one of their middle names

Deceased First Name:

Deceased Middle Name:

Deceased Last Name:

Address 1:

City

Country

State/Province

Zip/Postal code

AB Health Number:

AB Driver's License Number:

Social Insurance Number:

Government Identification:

Brought In At Time of Arrangements

Family To Provide (include date)

No Identification to be Provided

Other

Place of Birth (City/Town (If rural, give nearest city/town/village)):

Place of Birth (Province):

Place of Birth (Country):

Last Name at Birth:

Occupation:

Type of Business:

Mother's Information - use given names for first name

Mother First Name:

Mother Last Name:

Mother Maiden Name:

Mother's Place of Birth (City/Town/Village):

Mother's Place of Birth (Province):

Mothers Place of Birth (Country):

Father's Information - use given names for first name

Father First Name:

Father Last Name:

Father's Place of Birth (City/Town/Village):

Father's Place of Birth (Province):

Father's Place of Birth (Country):

Step 5 - Application For Assistance

Applications for assistance are now able to be completed online.

Please click the below link to open and start the online application process

Funeral Benefits (alberta.ca)

Application for Assistance:

Yes - Application for Assistance

No Application for Assistance

Same as Primary Contact Same as Spouse Same as Contact 2 Same as Executor / Executrix Same as Contact 1

Responsible Survivor First Name:

Responsible Survivor Last Name:

Relationship:

Email:

Address 1:

Address 2:

City

Country

State/Province

Zip/Postal code

Phone:

Date of Birth:

Application Submitted by:

Date Submitted:

Submission Notes:

Follow Up Arrangements:

Application Response:

Amount:

Response Notes:

STEP 17 - Casket Details

Casket Details

Click to open

Casket Selection Room

Casket Details (Life Symbol Corners):

Casket Scroll:

Casket Details (alternate container)

If container is unavailabe a alternate container is approved by family and will be provided at no additional cost -

Name of prefered alternate container

Casket Required By:

Arranger Casket Notes / Special Instructions / Corners:

Casket Ordered On:

Casket Ordered By:

Casket Waiver:

Casket Fees:

Click here to send Arrangements Complete

Additional Items

<<< Selected for All Deaths Within The Province of Alberta >>>

Alberta Funeral Service Regulatory Board :

Alberta Funeral Services Regulatory Board Fee

Other

For additional items use the + button to open another product label box

Additional Items 1

Click here to send Arrangements Complete

Additional Items Notes:

Please wait

My Selections

Total Cost: $0.00

Funeral Planner V1.4 2021

Funeral Planner V1.44 2021

Information on who has passed away that we are caring for.

Name as will be on FDSD

Below Is the Information of where they passed away

Do not use CARE OF or another family member’s address

Mother's Information - use given names for first name

Will

Legal Marital Status

Common Law

Funeral Home Family Contact

Contact 2

Contact 3

Primary Invoice To

Is a Second Invoice Required?

Obituary Information (online and newspaper)

List Newspaper Name followed by date to run obituary in the "PRODUCT LABEL" field

Announcement Later

Funeral Home Website Hosting Obituary & Condolences

Newspaper Obituary

List Newspaper Name followed by date to run obituary in the "PRODUCT LABEL" field

"Price" field must be $1 or greater to display on contract

Obituary Costs

For Office Use - Submitted (online & print)

Obituary Submitted?

Flight Costs

Transfer In / Out Fees

<<< Dressing, Cosmetology, Casketing) - Required with Embalming >>>

In respect for the deceased our staff will bath and dress the deceased in their own clothing.

<<< Thumbprint Impression Taken >>>

<<< DNA Preservation >>>

Below Is the Information about who will be contacted when the DNA capsule is received from Securigene in 4-6 weeks.

Visitation or Identification

Catering / Hostesses - Visitation?

Catering Details

Specify the number of hostesses for visitation

Is there a second visitation, afterhours or all night visitation planned?

Is there a third visitation?

Type the first few letters of the location to see a list appear and select the location from the list - if it doesnt appear please enter complete location

Prayers Location

Prior to Presider's First Name Enter Their Title (example Dr., Very Rev, or Rev.)

Presider Honorarium Amount

Musician Honorarium - Prayers

Please List Musician's Name As it Should be Listed On the Honorarium

Catering Prayers

Prayer Catering Details

Vehicles Required for Visitation/Prayers

Is There Another Vehicle?

With scheduled arrival times requested use the below section

Pickup Address

Dropoff Address

Is There Another Vehicle?

With scheduled arrival times requested use the below section

Pickup Address

Dropoff Address

<<< Select Type of Service for Every File >>>

<<< Select Service Description for Every File >>>

<<< Select Facilities Description for Every File >>>

Funeral Service or Stationery Coordinated by Funeral Staff

Prior to Presider's First Name Enter Their Title (example Dr., Very Rev, or Rev.)

Presider Honorarium Amount

Please Add The Presider's Honorarium Below

Facility Honorarium Amount

Please Add: Facility Honorarium, Quantity, and Price Below.

Other Honorarium Amounts

Musician Honorarium

Please List Musician's Name As it Should be Listed On the Honorarium

Vehicle Required for Service

With scheduled arrival times requested use the below section

Pickup Address

Dropoff Address

Is There Another Vehicle?

With scheduled arrival times requested use the below section

Pickup Address

Dropoff Address

Is There Another Vehicle?

With scheduled arrival times requested use the below section

Pickup Address

Dropoff Address

Musicians Honorarium