Arrangement application

Arrange online

Complete the arrangement form below. The questions follow the applicant, deceased, implant, ashes, and declaration sections of the GOV.UK Cremation 1 form. When submitted, the website will fill the Cremation 1 PDF and email it to Pure Path Cremations.

Cremation arrangement form

Enter N/A where a field does not apply.

0 required items completed

1. Applicant details

Full name *

Telephone number *

Address *

Postcode

Email address *

I confirm the applicant is aged 16 or over *

Relationship to the deceased *

Near relativeExecutor

If not near relative or executor, explain why you are making the application

Any near relative(s) or executor(s) not informed? *

If yes, give names and reasons

Has anyone expressed an objection? *

If yes, give details

2. Details of the person who has died

Full name *

Address *

Postcode

Occupation

Age at date of death *

Sex *

Marital/civil status *

Date of death *

Time of death

Address where they died *

Postcode where they died

3. Doctor / practitioner details

Doctor or practitioner name

Address

Postcode

Telephone

4. Implant and ashes instructions

Is there a hazardous implant or medical device? *

Has it been removed?

If no or don't know, give details

I understand ashes may not be recoverable in some circumstances *

Ashes option *

Ashes instructions

I want metals returned / dealt with differently

Metal instructions

5. Declaration

Name for declaration *

Typed signature *

Date signed *

I confirm the information is correct and may be sent to Pure Path Cremations. *