Online Form - Deceased Enquiry Form

Details of Deceased

Surname 1*

Given Name 1*

Date of Death 1*

Cemetery 1*

Surname 2

Given Name 2

Date of Death 2

Cemetery 2

Surname 3

Given Name 3

Date of Death 3

Cemetery 3

Surname 4

Given Name 4

Date of Death 4

Cemetery 4

Applicant Details

Title*

MrMrsMsDr

Surname*

First Name(s)*

Postal Address*

Postcode*

Relationship to Deceased*

Email Address*

Phone No*

Work Phone Number

Mobile Phone Number

Fees Applicable: $28.90 (Inc Gst)
(for each enquiry)

Payment Method*

Cash
Cheque
EFTPOS - Credit Card (Visa or Master) or Debit Card

Signature

I declare that the information I have supplied in this application is complete, true and correct.

Your full name*

Date*

Extract of Cemeteries Act 1986 Part V, Division 5, Section 41

41. Register available for inspection;

A Board shall make all registers kept under this Act available for inspection by members of the public at times and places set by the Board and shall on request make available copies of extracts from any register.
A Board may charge a fee for the inspection of a register or for providing an extract from or certified copy of an extract from a register.

42. Register to be evidence of burials;

A register of burials maintained by a Board in accordance with this Act and every document purporting to be a copy of an extract from such a register and to be certified as a true copy ofan extract by or on behalf of a Board shall be admissible in evidence in any court or before any person acting judicially and shall be evidence of a burial referred to in the register or copy.

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