Cremation Application Form

Application for Cremation

Part 1: Details of the Crematorium

Full Name of the Deceased must be at least 10 characters long.

The information provided on this form is a legal requirement under the Cremation (England and Wales) Regulations 2008 and will be processed in line with Data Protection legislation. The data will be held by the cremation authority that is carrying out the cremation. It will be held securely, in confidence and processed solely for the purpose of carrying out the cremation and the handling of ashes. You have the right to know what data is held about you and you can, by contacting the cremation authority in writing, receive a copy of that data. The cremation authority is obliged to include in their privacy notice how the information will be held, for how long and how you may make a complaint to the Information Commissioner’s Office.

I confirm that all relevant documentation has been provided to the crematorium.

Please confirm that you have provided all relevant documentation before proceeding.

A list of relevant documentation can be found in the guidance at the link below:

https://www.gov.uk/government/collections/cremation-forms-and-guidance

Part 2: Your Details (the Applicant)

1. Are you a near relative and/or an executor of the person who has died? (please tick all that apply)

Near relative means the widow, widower or surviving civil partner of the person who has died, or a parent or child of the person who has died, or any other relative usually residing with the person who has died.

If you answer No to both Near relative and Executor, please give the nature of your relationship and explain why you are making the application rather than a near relative or an executor.

2. Is there any near relative(s) or executor(s) who has not been informed of the proposed cremation?

If Yes, please give the name(s) and the reason(s) why they have not been contacted.

3. Has any near relative(s) or executor(s) expressed any objection to the proposed cremation?

If Yes, please give details including name(s).

Part 3: Details of the Person Who Has Died
Part 4: Additional Information
Part 5: Confirmation

Please review all the information before submitting the application.