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Vital Statistics are used to register your death. The information you provide makes it easier for your family to have all the information on hand. Click here to print a copy of the Vital Statistics or fill out the form below.

VITAL STATISTICS

VITAL STATISTICS are used to register your death. The information you provide makes it easier for your family to have all the information on hand.

Vital Statistics

Full Legal Surname

Sex

All Given Names

Aboriginal Status

Street

City

State/Province

ZIP/Postcode

Full Name of Spouse

Occupation

Birth Month

Birth Surname (if different)

Surname and Given Name of Father

Surname and Given Names of Mother

Family Physician Name

Family Physician Address

Next-of-Kin or Executor Name

Next-of-Kin or Executor Address

Relationship to the Deceased

Other Contact Telephone No.

Other Contact Postal Code

Marital Status

Kind of business or industry in which worked

Birth Day

Birth Given Names (if different)

Birthplace of Father: City, Province, Country

Birthplace of Mother: City, Province, Country

Family Physician Telephone No.

Family Physician Postal Code

Next-of-Kin or Executor Telephone No.

Next-of-Kin or Executor Postal Code

Other Contact Name

Other Contact Address

Other Contact Relationship to the Deceased

Contact Us

West Kelowna
| 2541 Churchill Road
| West Kelowna, BC V4T 2B4
| Tel: 1-250-768-1187
|

Penticton
| 110-1960 Barnes St
| Penticton, BC V2A 4C3
| Tel: 1-250-493-3846
|

West Kelowna
| 2541 Churchill Road
| West Kelowna, BC V4T 2B4
| Tel: 1-250-768-1187
|

Oliver
| 110-1960 Barnes St
| Penticton, BC V2A 4C3
| Tel: 1-250-498-3833
|

Penticton

1-250-493-3846

West Kelowna

1-250-768-1187

Oliver

1-250-498-3833

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VITAL STATISTICS

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