Application for Permission to Cremate To
(The application has to be to a coroner if an autopsy was or is being conducted under the Coroners Act 1958 or the Coroners Act 2003. Otherwise the application is to be made to an independent doctor – section 5 of the Cremations Act 2003.)
apply for a permission to cremate the human remains of:
Name of deceased person
Date of death of deceased person
Place of death of deceased person Did the deceased person leave signed instructions that their human remains be cremated?
Note: If the deceased person left signed written instructions that his/her human remains be cremated then:
• if the personal representative is arranging the disposal of the human remains he/she must ensure an application for a permission to cremate is made (section 7(2) of the Cremations Act 2003); and • there is no obligation to have regard to any objections to the cremation (section 8(1) of the Cremations Act 2003). Select one option only
Note: The Permission to Cremate cannot be issued if there is an objection from one of the persons referred to (section 8(2) of the Cremations Act 2003) unless the deceased person left signed written instructions that his/ her human remains be cremated (section 8(1) of the Cremations Act 2003).
Select one option
Note: Human remains pose a cremation risk if the remains contain something that, if cremated, might expose someone to the risk of death, injury or illness (for example, a cardiac pacemaker or radioactive implant: section 6(7) of the Cremations Act 2003).
Please specify (eg, cardiac pacemaker) The following documents accompany this application to an independent doctor
(Note: a cremation risk certificate is not necessary if the cause of death certificate is not a Queensland cause of death certificate and a cremation risk certificate has not been issued for the deceased person – section 6(4) and (5) of the Cremations Act 2003.)
Name, address and telephone number of person nominated to be sent the permission to cremate
(Section 6(9) of the Cremations Act 2003). (Complete only if this person is different from the applicant.)
Telephone number Signature of person making the application
Date of application Note:
1. The address for service is the address which will be used by the crematorium to give notice if it decides to bury any unclaimed ashes after one year: section 11 of the Cremations Act 2003.
2. The application can be sent to the coroner or independent doctor by fax or other electronic means: section 6(3) of the Cremations Act 2003.
3. The permission to cremate can be sent to the applicant, or person nominated by the applicant, by fax or other electronic means: section 6(9) of the Cremations Act 2003.
4. Section 16 of the Cremations Act 2003 makes it an offence to give false or misleading information in a material particular to a coroner or independent doctor. The maximum penalty that can be imposed is 80 penalty units ($6000).