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Forms for arranging a cremation

Forms for arranging a cremation

Due to the Cremation (England and Wales) (Amendment) Regulations 2017, that came into force from 6th April 2018 allowing Crematoria to receive electronic copies of Cremation documents Chesterfield & District Crematorium has introduced a system allowing funeral directors to submit electronic versions of cremation documentation via a secure file sharing site.

We do hope that by allowing the electronic submission of forms it will save Funeral Directors travelling time and expense, especially for those of you with longer distances, whilst reducing the impact of our service on the environment. 

This is an alternative to the current system and not a replacement. 

If you have any questions or comments, please do not hesitate to contact our office on 01246 345888

Select the links below to download and view the relevant documents.

Preliminary application for cremation PDF (PDF 188 KB)
Application for cremation - form 1 PDF (PDF 169 KB)
Application for cremation of body parts - form 2 PDF (PDF 147 KB)
Application for cremation of a stillborn baby - form 3 PDF (PDF 107 KB)
Combined medical certificate - form 4 PDF (PDF 72 KB)
Notice of interment PDF (PDF 179 KB)
Memorial Application Bulb Planting PDF (PDF 147 KB)
Memorial Application Book Of Remembrance PDF (PDF 145 KB)
Memorial Application Kerb Unit PDF (PDF 148 KB)
Memorial Application Mushroom PDF (PDF 147 KB)
Memorial Application Never Land Barbican PDF (PDF 120 KB)
Memorial Application Pond Marker PDF (PDF 146 KB)
Memorial Application Rose Bush PDF (PDF 145 KB)
Memorial Application Sanctum PDF (PDF 147 KB)
Memorial Application Seat PDF (PDF 147 KB)
Memorial Application Tree PDF (PDF 145 KB)
Memorial information and terms and conditions PDF (PDF 2.25 MB)

Last updated on 24 March 2020