Ashes interring permit

Funeral Director / Contact* - required

ABN (if necessary)

Address 1* - required

Address 2

City State Postcode* - required

Telephone number* - required

Email* - required

Section* - required

Columbarium Wall orientation* - required

Ashes niche or plot number or Grave section, row and pot details* - required

Proposed Date for Ashes interment* - required

Time of interment* - required

Full Name of Deceased* - required

Last known address of deceased* - required

Gender:* - required

Male Female

Age at time of death* - required

Date of Birth* - required

Date of Death* - required

If interring ashes in a pre-existing grave, name of person buried in the grave

Next of Kin of existing grave - Full name required (including middle name)* - required

Has approval been granted by Next of Kin (Council will require written proof)* - required

Yes No

Letter or evidence of approval

Next of Kin Relationship to interred of existing grave* - required

Address 1* - required

Address 2

City State Postcode* - required

Telephone number* - required

Email

Applicant Name - who is requesting Ashes to be interred* - required

Applicant relationship to deceased to be interred** - required

Applicant relationship to the interred in existing grave (not required for niche or ashes garden)

Address 1* - required

Address 2

City State Postcode* - required

Telephone number* - required

Email

Are you aware of anyone who would dispute the Ashes Interment Application?* - required

Is there any dispute within the family that Council should be aware of?* - required

Permit for Interring Ashes