Arrangement application

Arrange online

Complete the arrangement form below. The questions follow the relevant applicant, deceased, implant, ashes, and declaration sections of the GOV.UK Cremation 1 form, excluding crematorium and funeral director Part 1 details.

Cremation arrangement form

Based on the GOV.UK Cremation 1 application, excluding Part 1 crematorium and funeral director details. Enter N/A where a field does not apply.

0 of 29 required items completed

1. Applicant Details

Full name *

Telephone number *

Address *

Email address *

I confirm the applicant is aged 16 or over *

Relationship to the deceased *

Near relative

Executor

If neither near relative nor executor, explain the relationship and why the applicant is applying *

Has any near relative or executor not been informed of the proposed cremation? *

NoYes

Has any near relative or executor objected to the proposed cremation? *

NoYes

2. Details of the Deceased

Full name *

Address *

Occupation or last occupation *

Age at death *

Sex *

Status *

Date of death *

Time of death *

Address where death occurred *

Medical practitioner name *

Medical practitioner telephone number *

Medical practitioner address *

Medical practitioner email *

3. Medical Implant / Hazardous Device Information

Was any implant placed in the body that may become hazardous during cremation, such as a pacemaker, radioactive device, or Fixion intramedullary nailing system? *

YesNoDon't know

4. Ashes Instructions

Ashes means all material left in the cremator after cremation, following removal of metal and any grinding or other process.

Choose one option for the ashes *

Option 1: Ashes to be scattered, interred, or otherwise dealt with by the crematoriumOption 2: Ashes to be collected from the crematoriumOption 3: Ashes to be held awaiting a decision

Applicant requests metals to be returned with or separately from the cremated remains

Any special instructions about metals

5. Recovery of Ashes

Despite every effort being made to recover ashes following cremation, on very rare occasions there may be no recoverable ashes.

I understand this and wish to proceed with the cremation *

6. Statement of Truth

I apply for the body of the person who has died to be cremated and certify that I am at least 16 years of age. I believe that the facts given in this application are true. I am aware that it is an offence to wilfully make a false statement with a view to obtaining the cremation of any human remains.

Print full name *

Typed signature *

Date *

Drawn electronic signature *

Sign with a finger, mouse, or stylus. This will be embedded in the generated PDF.

Document upload

Use this section to upload the following forms: Green Certificate (Form 9 part B and C), and Form 9 Part D.

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