Cremation

Deceased's Birth Details

Please provide the location of where your loved one was born.

City *

State *

Country *

Deceased's Last Residential Address

Please provide the location of where your loved one was born.

Deceased's Occupation

Occupation (Cannot be retired) *

Type of Industry *

We thank your loved one for their service

Please provide more information.

Branch

Other Branch

Service No

Rank

Entry to Millitary Date

Discharge from Millitary Date

Deceased's Parents

Please give us a bit more information about the deceased's parents

Mother - First Name *

Mother - Middle name

Mother - Last Name *

Mother - Maiden Name *

Mother - Occupation *

Mother - Life status *

Alive Deceased

Father - First Name *

Father - Middle name

Father - Last Name *

Father - Occupation *

Father - Life status *

Alive Deceased

Address for Delivery of Cremated Remains

First name *

Last name *

Phone number *

Email address *

Address *

Note: Signature will be required upon delivery. Some rural postcodes may incur an additional charge.

Social Notice

Would you like a Social Media Notice *

Yes

Upload photo for social notice

Choose file

Message on Social Notice *

I confirm that I have proofread the notice message.

Urn / Jewelry Selection

Select an Urn

Your loved ones cremains will be returned to you by our staff in a minimum container provided by the cemetery, or you have the option to upgrade to an urn from our selection below.

Packages

Packages:

Your Details

Title:

First name:

Last name:

Phone number:

Email address:

Date Of Birth:

Gender:

Residental address:

Postal address same as address?:

Postal address:

Relationship to Deceased:

How would you like us to contact you?:

Drivers Licence Front:

Drivers Licence Back:

Are you Executor?:

First name:

Other name:

Last name:

Phone number:

Email address:

Date Of Birth:

Gender:

Residental address:

Are you NOK?:

First name:

Other name:

Last name:

Phone number:

Email address:

Date Of Birth:

Gender:

Residental address:

Your loved ones details

First name:

Middle name:

Last name:

Last name at Birth:

Known As (other than legal name):

Date of Birth:

Date of Death:

Age (Yrs):

Age (Mths):

Age (Days):

Gender:

Is the deceased Aboriginal/Torres Islander?:

Place of Death:

Please call our 24 Support line on 1300 346 047 and our support staff will arrange for your loved one to be brought into our care immediately.:

Deceased Address:

Attending Doctor (If Known):

Client has a pacemaker?:

BDM:

Your loved ones birth details

City:

State:

Country:

Occupation (Cannot be retired):

Type of Industry:

Veteran details

Branch:

Other Branch:

Service No:

Rank:

Entry to Millitary Date:

Discharge from Millitary Date:

Packages

Marital Status at Time of Death:

Spouse Family Name:

Spouse Family Name at Marriage:

Spouse First Given Name:

Spouse Other Given Names:

Spouse Known As:

Town of Marriage:

Country:

State / Territory:

Date of Marriage:

Was there any additional marriages?:

Marriage Type:

Relationship Type:

Spouse Family Name:

Spouse Family Name at Marriage:

Spouse First Given Name:

Spouse Other Given Names:

Spouse Known As:

Suburb:

Country:

State / Territory:

Date of Marriage:

Age at Date of Marriage:

Age Defecto Relationship commenced:

First Given Name:

Other Given Names:

Family Name:

Family Name at Birth:

Life Status:

Date Of Birth:

Gender:

Your loved ones parents

Mother - First Name:

Mother - Middle name:

Mother - Last Name:

Mother - Maiden Name:

Mother - Occupation:

Mother - Life status:

Father - First Name:

Father - Middle name:

Father - Last Name:

Father - Occupation:

Father - Life status:

Disposition Details

First name:

Last name:

Phone number:

Email address:

Address:

Would you like a Social Media Notice:

Upload photo for social notice:

Message on Social Notice:

I confirm that I have proofread the notice message.:

Urn / Jewelry Selection

Selected Urn / Jewelry:

Please make sure all details are correct before submitting

Cremation

Your Details

Executor Details

Next of Kin Details

Deceased Person's Details

Where is the deceased currently located?

We will arrange to bring them into our care.

Deceased's Birth Details

Please provide the location of where your loved one was born.

Deceased's Last Residential Address

Please provide the location of where your loved one was born.

Deceased's Occupation

We thank your loved one for their service

Please provide more information.

Family Details

Marriages

Children

Deceased's Parents

Please give us a bit more information about the deceased's parents

Address for Delivery of Cremated Remains

Social Notice

Urn / Jewelry Selection

Select an Urn

Your loved ones cremains will be returned to you by our staff in a minimum container provided by the cemetery, or you have the option to upgrade to an urn from our selection below.

Cremation

Packages

Your Details

Your loved ones details

Your loved ones birth details

Veteran details

Packages

Your loved ones parents

Disposition Details

Urn / Jewelry Selection