This form is part of the checks and balances in NSW to make sure that there's nothing preventing a cremation taking place. 

This form should be completed by an executor or nearest surviving relative of the deceased or other proper person, and all questions must be fully answered.

The form was produced by NSW Health. The information you provide here will be transcribed to a PDF (see here). 

Do not write "retired" above but put main occupation during working life. Similarly, put main occupation activity before retirement. 

Do not write "unemployed" above but put main occupation during working life. Similarly, put main occupation activity before retirement. 

Select {agedcarefacilitys} from the dropdown list for the aged care facility.

Home address

Address other than aged care facility

Select {hospitals} from the dropdown list for hospitals

A direct cremation or an unattended cremation following a church service in/near the ACT, is much cheaper at the Sydney crematorium we work with than local crematoriums.

This is in part because of the higher costs of cremation in Canberra. Costs range from approx. $500 to more than $1,000 extra, depending on the circumstances. 

A cremation in Sydney also provides more options for the delivery of the ashes.

The ashes can be delivered in person to you or sent by Registered Post for the same fee. 

The crematorium itself is near Campbelltown and is a private crematorium on a commercial estate.

This form cannot be completed. The respective form for Norwood Park or Gungahlin Crematorium is required.

Select {cemcrems} from the list of crematorium(s).

^ With a cremation at Macarthur Grange crematorium, ashes can be sent by Registered Post or collected from our Redfern head office within about a week. 

Alternatively, they could be delivered at a time that suits the family and when Salvos Funerals might be available. The ashes can also be sent to another crematorium if they are to be interred there. 

All delivery options are at no additional cost.

The crematorium itself is near Narellan and is a private crematorium on a commercial estate, South West of Sydney.

For a cremation at all other crematoriums, the ashes can be collected from the respective location, as required. 

*With a service in the chapel at Liverpool Cemetery, the cremation actually occurs off site at Kemps Creek Memorial Park. Ashes can be collected from Liverpool Cemetery.

^ With a service in the All Souls Chapel at Rookwood General Cemetery, cremation occurs off site at Australian Cremation Services in St Marys. Ashes can be collected from the cemetery normally within a few days.

^ With a cremation at Macarthur Grange crematorium, ashes can be sent by Registered Post or collected from our Redfern head office within about a week. 

The ashes can also be sent to another crematorium if they are to be interred there. 

All delivery options are at no additional cost.

The crematorium itself is near Narellan and is a private crematorium on a commercial estate, South West of Sydney.

For a cremation at all other crematoriums, the ashes can be collected from the respective location, as required. 

^ With a cremation at Macarthur Grange crematorium, ashes can be sent by Registered Post or collected from an office in Tuggerah within about a week. 

Alternatively, they could be delivered at a time that suits the family and when Salvos Funerals might be available. The ashes can also be sent to another crematorium if they are to be interred there. 

All delivery options are at no additional cost.

The crematorium itself is near Narellan and is a private crematorium on a commercial estate, South West of Sydney.

For a cremation at all other crematoriums, the ashes can be collected from the respective location, as required. 

Please note: in the case of a basic funeral and cremation, the service would take place at a facility in Tuggerah, regardless of where the cremation takes place.

^ With a cremation at Macarthur Grange crematorium, ashes can be delivered in person person when it may suit Salvos Funerals, sent by Registered Post or collected from an office in Tuggerah within about a week. 

The crematorium itself is near Narellan and is a private crematorium on a commercial estate, South West of Sydney.

A cremation at Palmdale, near Ourimbah, or at Lake Macquarie Memorial Park, Ryhope can be collected from the respective crematorium. 

Please note: in the case of a basic funeral and cremation, the service would take place at a facility in Tuggerah, regardless of where the cremation takes place.

^ A funeral service that occurs at Greenway Chapel and Memorial Gardens includes a cremation off site at Palmdale Memorial Park.

Please note: before the cremation can proceed, all near relatives need to be advised of the proposed cremation.

Another way of asking this question is whether the Coroner needs to be involved in investigating your loved one's death.

Please note: if you answer 'yes', the cremation cannot proceed. You will need to contact the Coroner to discuss the matter (see here).

It is common to know the name of the main specialist who treated a loved one in a hospital. However, it is unusual to know the full name of the last doctor to have seen your loved one alive. 

Please sign on the screen below.

Submit the form to receive a printable version

I hereby certify that all particulars stated above are true and accurate, and that to the best of my knowledge and belief no particular material has been omitted; I therefore make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths Act, 1900. I am aware that the deceased may not be cremated on the day of the service at the crematorium.