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Menu
Home
About
About Us
Our Staff
Galleries
Funeral Home Gallery
Crematorium Gallery
In Memory Of…
Services
Services
Simple Cremation
Cremation With Memorial Service
Funeral Service With Cremation to Follow
Traditional Earth Burial
Death of a Child
Anticipating a Death at Home
Urns
Pre-Planning
Catering
Forms
Simple Cremation Form
Pre-Plan Arrangement Form
Ask the Funeral Director™
Articles
The Shadoe Davis Show
CHVN Radio Ads
FAQ’s
Healing Broken Hearts
Obituaries
Voyage Obituaries
Free Press Passages
Will Kit
Resources
Financial Assistance
Grief Support and Healing
Documents & Info
Acts & Regulations
Deceased Estate Handbook
Manitoba Land Titles
CPP Death Benefit Info
Vital Stats Death Document
Veterans Last Post Fund
Victims of Crime
Make a Donation
Contact
Contact Us
Careers
Pre-Planning Form
Filling out the form online prior to meeting with our pre-plan specialist is a safe and convenient way to document your information and your wishes. All information is kept confidential and is never shared. Voyage Funeral Home has a very strict privacy policy. We respect your personal security and privacy. NOTE: Certain questions are asked as they are required by the government in order to issue a death certificate upon ones passing.
Appointment location preference
220 Hespeler Avenue (Hespeler & Henderson Hwy) MAIN OFFICE
1577 Pembina Hwy (By appointment only)
472 Kirkfield Ave
Home visit
Legal name
*
First
Middle
Last
Male
Female
Social Insurance #
Residence
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
Cell phone
Place Of Birth
Date Of Birth
MM slash DD slash YYYY
Age
Legal Marital Status (Please Select One)
Never Married
Married
Widowed
Divorced
Separated
Common Law By Married
Full Name Of Spouse
First
Middle
Last
Maiden Name
Occupation
Industry Or Business
Full Name Of Father
First
Last
Place Of Birth
Full & Maiden Name Of Mother
First
Middle
Last
Maiden Name
Place Of Birth
Does The Deceased Have A Will?
Yes
No
EXECUTOR/EXECUTRIX
Name
First
Middle
Last
Relationship To Deceased
Mailing Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Primary Phone
Cell Phone
INFORMANT (IF DIFFERENT THAN EXECUTOR OR IF EXECUTOR DOESN’T EXIST)
Name
First
Middle
Last
Relationship To Deceased
Location
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Primary Phone
Cell Phone
Email
Other Contacts
My Wishes - What kinds of final arrangements would you like to have?
From Simple Cremation to a Traditional Earth Burial, there are several options when it comes to your final wishes. Everyone is unique and what may appeal to one may not appeal to another. At Voyage we respect your wishes and will never suggest products and/or services you don't want nor need.
Traditional Earth Burial Service
Yes
No
Notes:
Funeral Service With Cremation To Follow
Yes
No
Notes:
Cremation With Memorial Service
Yes
No
Notes:
Simple Cremation
Yes
No
Notes
Urn
I have my own
I am interested in looking at your urn selection
Yes - I'd like more information on additional pre-plan products
Assurant Travel Protection
If a death should occur while out of the country or just out of town on a brief trip, bringing a loved one back home can be a very complicated and expensive process. We offer Assurant Travel Protection - which takes care of all of the details and expenses. Another product available is Assurant's Final Document Services (FDS). A pioneer in estate documentation administration, details of the FDS option is available through Voyage's pre-plan specialist.
*BY CLICKING THE SUBMIT BUTTON BELOW ON THIS PAGE, YOU BELIEVE THE INFORMATION RECORDED ABOVE TO BE ACCURATE & TRUE.
Signature Name
*
First
Last
Signature Consent
*
By checking this box you agree to the following terms:
I confirm my identity, and the contents and accuracy of this pre-plan form, and authorize Voyage Funeral Homes to file and process it accordingly.
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