Prepaid or Prearranged Cremation Details

Thank you for providing these details.

We collect this information when setting up a prepaid or prearranged cremation so we have the details required when the plan is eventually needed.

Some of this information will be used to assist with registering the death with Births, Deaths and Marriages (BDM).

You can complete this form for yourself or on behalf of someone else.

Throughout this form, the plan holder means the person the prepaid or prearranged cremation is for.

If there is any information you're not sure about, you can save this form and come back to it later. It will be sent to your email.

Fields marked with an * are required.

First, please tell us about yourself.

We'll use these details to create your contact record and to contact you if we need any further information.

As the person completing this form, you'll be recorded as the Responsible Person for the cremation arrangements. This means you'll be our main point of contact and we'll communicate with you about the arrangements and any decisions that need to be made.

Please enter your details and not the person you are filling this form on behalf of.

Please provide the following details about the person who has died.

Some of this information will be provided to Births, Deaths and Marriages to register their death. Please enter names, dates and other details as accurately as possible.

If you are completing this form for yourself, these questions are about you.

Please provide the details of the plan holder's next of kin.

The next of kin may be different from the person completing this form.

Births, Deaths and Marriages requires relationship information when a death is registered. It’s important that these details are as accurate as possible, as they may appear on the death certificate and can be important when managing the plan holder’s estate. Please provide their relationship history below.

Please list the plan holders current or most recent marriage relationship.

Please provide details of their domestic relationship or relationships.

Please provide details of their domestic relationship or relationships.

Please provide details of their domestic relationship or relationships.

Please provide the following information about the plan holder's parents. These details may be required when their death is eventually registed with Births, Deaths and Marriages.

Before submitting this form, please check the information you have provided, particularly names, dates and places. This information will be kept with the plan holder's prepaid or prearranged cremation details and may be used to assist with registering their death with Births, Deaths and Marriages when the plan is eventually required.

The total cost of your prepaid cremation is $2,135* including GST. Choose the payment option that works best for you. * Additional costs may apply. The $2,135 price covers the standard prepaid cremation arrangement. Additional costs may apply if: the cremation is required outside our usual service area; or you select an urn that has an additional cost. If either of these applies, we’ll explain any additional cost to you before proceeding.