Repatriation Request

REPATRIATION REQUEST

* Indicates required field

Funeral Home Requesting Service *

Funeral Director In Charge *

Follow up Contact Email or Phone *

Follow up Email *

Legal Surname of the Deceased *

Legal Given Names *

Date of Birth (Month - Day - Year) *

Date of Death (Month - Day - Year) *

Personal Health Number (PHN) (1234-000-000) *

Coroner Case Number (2021 - 000 - 0000) *

Transfer Location Type *

Coroner Facility Hospital Care Home / Hospice Home Residence Other

Name of Transfer Location *

Address of transfer location (if known) *

Body Preparation *

Embalming Sanitation Care for Viewing (no embalming)

Body Preparation Authorization Upload File *

Max file size: 20MB

Grooming Instructions *

Do NOT shave Shave facial hair Shave but keep moustache Trim beard

Decedent Photo *

Max file size: 20MB

Shipping Container *

Combo Airpack / Bioseal Calgary Liner & Shipping Crate Casket & Shipping Crate

Model name of casket / cremation container *

Destination *

Vancouver - YVR Abbotsford - YXX Other - specified below

Other Destination Type *

Additional Comments *

Submit

Phone: 778-246-6730

# 2 - 26647 Fraser Highway,
Aldergrove, BC V4W3L1
Email: [email protected]

Fax: 778-621-2752