Mortuary Requisitions

Home
BC Coroner Service
Local Funeral Home Directory
Trade Services
More About Us
- Facility / Team
- Contact

Local Mortuary Requisitions

Transfer or Removal Request

* Indicates required field

Funeral Home Requesting Service *

Funeral director in charge *

Follow up contact email or phone number *

Name of the deceased *

First

Last

[object Object]

Confirm their identity by referencing:

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

Coroner Case Number (2021 - 000 - 0000) *

Date of Birth (Month - Day - Year) *

Date of Death (Month - Day - Year) *

Transfer Service Requested *

Transfer Level 1 - Required within 24 hours allowing us to place into a schedule Transfer Level 2 - Urgent requiring one driver Transfer Level 3 - Urgent requiring one driver and one assistant Airport Transfer

Name and / or Address of pickup location *

Sheltering Facility being used *

Sheltered at our Funeral Home Sheltered at Omega Mortuary Services Other Location

Signed release authorization *

Max file size: 20MB

Additional information *

Submit

Mortuary Services Requisition

* Indicates required field

Funeral Home Requesting Service *

Funeral Director In Charge *

Follow up Contact Email or Phone *

Name of the Deceased *

First

Last

Confirm their identity by referencing:

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) *

Tasks to be completed by what date and time *

Decedent Care

Decedent Care for Disposition with no ceremony *

Casketing only Dress and Casketing

Pacemaker or any internal device *

Known to have a pacemaker Not supposed to have a pacemaker Unknown Other internal device

Body Preparation *

Embalming Embalming - Autopsied case Embalming - Major surgery or trauma case Sanitation Care Dressing and casketing by Omega Staff Dressing and casketing by funeral home staff

Body Preparation Authorization Upload File *

Max file size: 20MB

Grooming Instructions *

Do not shave Shave facial hair Shave but keep moustache Trim beard Shave head Curl Hair Dye Hair Use provided product

Cosmetics *

Do not apply cosmetics Light cosmetics Use provided cosmetics

Decedent Photo *

Max file size: 20MB

Casket / Cremation Container *

Being delivered by our staff Being delivered by the family Being delivered by the supplier Already at Omega Omega picking up

Model name of casket / cremation container *

Vehicle and Staffing Assistance *

We will use our own vehicles Rental of Omega hearse only Rental of Omega hearse with driver Rental of Omega hearse with driver and second attendant Flower Van Assistance

Pallbearers Required *

2 Pallbearers 4 Pallbearers 6 Pallbearers 8 Pallbearers

Ceremony Location *

Entire ceremony offsite Decedent to return to Omega after ceremony Rental of Omega Multipurpose room for private gathering

Omega to Transport Directly to Crematorium *

Alternatives Funeral & Cremation Services Bakerview Community Crematorium & Celebration Centre Fraser River Community Crematorium Society Maple Ridge Funeral Chapel & Crematorium Squamish Funeral Chapel & Crematorium Vancouver Memorial Services and Crematorium Wiebe & Jeske Burial & Cremation Care Providers

Additional Comments *

Submit

Phone: 778-246-6730

# 2 - 26647 Fraser Highway,
Aldergrove, BC V4W3L1
Email: admin@omegamortuaryservices.ca

Fax: 778-621-2752