SANTÉ QUÉBEC
PERMIT

19FUN0007

FUNERAL
DIRECTOR

Denis Lachance

since 1997

Available at all times

Montreal: 514-721-2525

Quebec: 418-688-0505

Toll free: 1-855-491-2121

Montreal:

514-721-2525

Quebec:

418-688-0505

Toll free:

1-855-491-2121

To speed up data processing, please complete the following forms

Information required to open a file
  • Full name of deceased.
  • Other first names of deceased, if applicable.
  • Full address of the deceased’s home.
  • Date of birth of deceased.
  • Estimated weight of the deceased.
  • Social Insurance Number (SIN) of the deceased.
  • The deceased’s health insurance number.
  • Place of birth of deceased.
  • Place of registration of the deceased’s birth.
  • Full names of the deceased’s parents.
  • Place of death (present or future) and full address.
  • Marital status of the deceased.
  • If married, divorced or widowed: date of marriage and date of divorce (if applicable).
  • Active driver’s license number of the deceased.
  • CNESST file number (if applicable).

If you have any questions or changes to make, please contact us at one of the following numbers :

Montreal: 514-721-2525

Quebec: 418-688-0505

Toll free:1-855-491-2121

Thank you for contacting Services Funéraires Azur!