*Original Certificate of Cremation must be submitted to the District of Sicamous Office.
Authorization
This authorization acknowledges that the information provided and services and products selected by me are accurately reflected herein and that the use, memorialization and visitation of a lot in the Eagle Valley & District Cemetery is subject in every way to the Cemetery Management Bylaw No. 733, 2009 and rules and regulations of the District of Sicamous as they may be in effect at the time of interment or as may be amended from time to time thereafter.
Under "Order of Priority" provisions of the Cremation, Interment and Funeral Services Act of BC, I certify that I am the legally authorized representative of the above named deceased. Further, I certify that I have the full legal right to authorize use of the above identified lot, do hereby authorize the interment of the above named deceased under the terms and conditions outlined herein and accept all responsibility for costs associated wit this authorization. I agree to indemnify and hold harmless the District of Sicamous, its officers and employees, from liabilities, costs, expenses or claims resulting from this authorization.
Freedom of Information Collection Notice
Personal information on this form is collected under the authority of the Freedom of Information & Protection of Privacy Act (the Act) for administrative purposes of the District of Sicamous. Personal information is protected from unauthorized use and disclosure under the Act and may only be used and disclosed as provided by the Act. Questions about the collection of personal information can be directed to the chief administrative officer or freedom of information coordinator, District of Sicamous, PO Box 219, 446 Main Street, Sicamous, BC V0E 2V0, corporate@sicamous.ca, 250-836-2477. Information about the district's privacy management policy can be found here.