Create Funerals

The following information is required for Dignified Cremations to complete the necessary documentation to carry out the cremation and for the Registrar of Births, Deaths and Marriages to register the person’s death. Please ensure you complete all details and as accurately as possible. If you do not know an answer to a question please write Not Known.

Deceased Details

NOTE: Please write 'Not Known' if you do not know an answer.

Title : *

First Name*

Middle Name

Surname : *

Is There Another Name for the Deceased:

Address Line 1 :

Address Line 2 :

Country

State :

Suburb :

Postcode :

Date Of Birth : *

Sex : *

Place Of Birth :

Town/City : *

Country : *

State : *

Religion :

Was the deceased retired at date of death : Yes No

Type Of Pension :*

Pension Number :

Date Of Death :

Age At Death :

Time Of Death :

Place Of Death : *

Location of Deceased : As Above

Deceased Occupation :

Doctors Name :

Doctors Phone Number :

Does the deceased have a pacemaker: Yes No

How was the cause of death certified :

Next Of Kin

A person is regarded as the Next of Kin if they are the nearest surviving relative of the deceased. The order of surviving relatives is usually Spouse or Partner; then children and their descendants; then Parents; then Brothers and Sisters; then Grandparents; then Uncles and Aunts.

Title :

First Name :

Middle Name :

Surname :

Relationship :

Phone :

Mobile :

Street Address 1 :

Street Address 2 :

Country

State :

Town :

Suburb :

Post Code :

Email :

Occupation :

Executor

This is a person who is named as an executor on the deceased’s last will and testament. If they are same person as the next of kin please select “Same as Next of Kin” from the drop down box and move to the next question.

Executor :

Title :

First Name :

Middle Name :

Surname :

Relationship :

Phone :

Mobile :

Street Address 1 :

Street Address 2 :

Country

State :

Town :

Suburb :

Post Code :

Email :

Occupation :

Authorised Person

This is the person who’s name will be on all of the documentation giving permission for the cremation to take place. In most cases it will be the person who is the executor. If authorised person is same person as the executor please select “Same as Executor” from the drop down box and move to the next question. If the authorising person is not the executor we may need a letter of authority from the executor.

Authorised Person :

Title :

First Name :

Middle Name :

Surname :

Relationship :

Phone :

Mobile :

Street Address 1 :

Street Address 2 :

Country

State :

Town :

Suburb :

Post Code :

Email :

Occupation :

Registrar Generals Details

NOTE: Please write 'Not Known' if you do not know an answer.

The following details are required by the Office of Births, Deaths and Marriages to register the death of your loved one.

Was the deceased of Aboriginal or Torres Strait Islander Origin?:*

If born overseas, which year did the deceased first arrive in Australia?:

Relationship status of the deceased at the time of death?:*

RELATIONSHIP HISTORY

Has the deceased ever been married at any time?*

Yes

List all marriages, registered relationships or De facto relationships of the deceased starting with the earliest.

If the deceased had more than one marriage please click on green cross at right hand side to add another marriage.

Type of Relationship*	Age(Yrs) at Marriage*	Country*	State*	City/Town*	First Name Of Spouse(At Time Of Marriage)*	Middle Name Of Spouse(At Time Of Marriage)*	Surname Of Spouse(At Time Of Marriage)*	Action

PARENT DETAILS OF DECEASED

Are the Father or Registered Parents Details Known?:*

Are the Mother or Registered Parents Details Known?:*

Father's First Names:*

Mother's First Names:*

Father's Surname Currently or at Death:*

Mother's Surname Currently or at Death:*

Father’s Surname at their Birth:*

Mother’s Surname at their Birth:*

Father's usual occupation during working life:
(Example Childcare Aide, Teacher, Electrician, Clerk etc)

Mother's usual occupation during working life:
(Example Childcare Aide, Teacher, Electrician, Clerk etc)

How will this be shown on the Death Certificate?:*

Children of Deceased

Include legally adopted Children.
Enter in order of birth. If deceased enter “D” in age column. If not born alive (stillborn) enter “SB” in age column. If no Children of Deceased write “None” in first column

Did the Deceased have Children?*

Yes

Please click on green cross at right hand side to add more children.

First Names*	Middle Names*	Date Of Birth*	Current Status	Action
			Deceased Still Born Alive		Male Female

Please click Next to continue – if you cannot complete all the information at this time please click save. To return to this page please reopen the email click on the link again.

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Create Funerals

Deceased Details

Next Of Kin

Executor

Authorised Person

Registrar Generals Details

RELATIONSHIP HISTORY

PARENT DETAILS OF DECEASED

Children of Deceased

Application for Permission to cremate

Delivery of Ashes

Death Notice in the courier mail