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Required fields are marked with asterisks (*)

Historical Data Form

The staff at Memorial Park Cemetery recognizes our duty to collect and archive historical data of the persons interred in our cemetery. In July of 2006 we acquired a new electronic database and have recorded data for all interments since this date. For interments prior to July 2006, our records are not as comprehensive as this information was retained only at the Funeral Home.

If you would like your family member's file updated, please complete the form below. Please do not telephone this information as we would like to keep our telephone lines clear for families who are planning at-need funeral and cemetery services. If you do not have all of the information, we will enter what you provide. This information is for historical purposes only, for instance individuals doing genealogy research and is entirely voluntary.

Request Information

Deceased First Name

Middle Name

Last Name

Address (Last known or Historical)

Date of Birth

Date of Death

Place of Birth

Place of Death

Maiden Name

Next of Kin

Occupation (while working)

Marital Status

Religion

Cause of Death

Applicant Information

First Name

Last Name

Phone Number

Email Address

Address

City / Town

Province / State

Country

Postal / Zip Code

The personal information on this form is collected by the City of Prince George for the purposes of processing this application, under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of information, please contact the Manager, Parks and Solid Waste, at 1100 Patricia Boulevard, Prince George, BC, or by telephone 250-561-7600.

Learn more information about the collection of personal information under the Freedom of Information and Protection of Privacy Act.