Online Arrangements

For your convenience, Simply Cremations offers the ability to make online arrangements.

Please be sure to contact us before filling out the below Online Arrangement form.

Once you have contacted us, please proceed with the form below.

Apply Offline

Download and print out the following forms then fax them to (780) 465-3665

Cremation Authorization Form
Cremation Arrangement Form

Fields marked with an * are required

Service Package

Vital Stats header

Vital Statistics of the Deceased

First Name of Deceased *

Last Name of Deceased *

Gender of Deceased *

Female
Male

Date of Birth *

Place of Birth

Date of Death *

Place of Death Please provide name of hospital or nursing home or full address if death occurred at home

Alberta Health Care Number

Alberta Drivers License Number

Social Insurance Number

Legal Marital Status

Married
Divorced
Widowed
Common Law
Never Married
Unknown

Husband's Full Legal names or Wife's Maiden Names (if married, widowed or divorced)

Type of Business - Pre-Retirement (retail, health, home, legal etc...)

Occupation - Pre-Retirement (office clerk, salesman, homemaker etc...)

Address of Deceased *

Mother (full legal names, maiden name)

Mother's Place of Birth

Father (full legal names)

Father's Place of Birth

Weight of Deceased *

Weight of the deceased is under 180 lbs.
Weight of the deceased is over 180 lbs.
Weight of the deceased is over 300lbs.

If the weight is above 180 lbs., it will be necessary to use a wood support casket.

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Authorized Representative Responsible for Disposition

First Name of Authorized Rep. *

Last Name of Authorized Rep. *

Relationship to the deceased: *

Address of Authorized Representative *

Email of Authorized Representative *

Phone Number *

Next of Kin *

Identification *

I have been given the opportunity to personally identify the above named deceased.
No identification was made and I hereby waive such identification

Commingling Understanding

Commingling Understanding

The Crematory Operator makes every reasonable effort to remove all of the cremated remains but it is impossible to remove all of them, as some dust and other residue from the cremation process is always left in the cremation chamber. In addition, while every reasonable effort will be made to avoid commingling, inadvertent or incidental commingling of minute particles from previous cremations is a possibility.

I, the authorized representative, understand and accept this fact. *

Timeframe Understanding header

Timeframe Understanding

Timeframe Understanding para

Unless contacted sooner, I understand that the cremated remains will be available 5 business days (excludes weekends and statutory holidays) from the time we receive the deceased and the doctors signed paperwork, at Simply Cremations & Funeral Service.

I require the remains earlier than this and acknowledge a $250 fee will apply.

Belongings header

Belongings Left

I hold the Funeral Service Provider, Crematory Operator or Funeral Director, harmless for the personal belongings left in the cremation casket/container. *

Implant header

Implants

Implant para

I hereby give permission to the Funeral Service Provider to remove any implanted Pacemaker and/or Artificial Limbs and dispose of same prior to cremation Implanted devices (pacemaker etc.) will explode during the cremation process and cause damage to the crematorium. I understand that I am liable for any damage or injury if I fail to disclose presence of any such device.

Is there any surgically implanted device in the body or battery operated devices in/with the body? *

Authorization header

Authorization and Indemnity

Authorization para

I, the undersigned certify that I have the right under "Alberta Regulation 226/1998" provisions of section 36 of the Funeral Services Act, General Regulation, to authorize the cremation and disposition of the cremated remains of the above named deceased subject to the Act, the regulations and the By-laws of the Crematorium. I agree to indemnify and hold harmless the Crematorium and the Funeral Service Provider, their officers and employees from any liability, costs, expenses or claims resulting from this cremation and disposition authorization.

I agree that I am and I understand this is a legal representation of my signature

Legal Authorization Signature *

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