✨ Cremation Regulations Forms
Oct. 25.] THE NEW ZEALAND GAZETTE. 3099
FORM D.
THE CREMATION REGULATIONS, 1928.
Coroner’s Certificate.
I CERTIFY that I held an inquest on the body of __, and that the finding was as follows:—
Medical evidence was given by __. I am satisfied from the evidence that the cause of death was __, and that no circumstance exists which could render necessary any further examination of the remains or any analysis of any part of the body.
[Date.] [Signature of Coroner.]
—
FORM E.
THE CREMATION REGULATIONS, 1928.
Authority to Cremate.
WHEREAS application has been made for the cremation of the remains of—
[Name.]
[Address.]
[Occupation.]
And whereas I have satisfied myself that all the requirements of the Cemeteries Act, 1908, and the Cremation Regulations, 1928, have been complied with, that the cause of death has been definitely ascertained, and that there exists no reason for any further inquiry or examination:
Now, therefore, I hereby authorize the sexton of the crematorium at __ to cremate the said remains.
[Signature.]
Medical Referee (or Medical Officer of Health or trustees) duly authorized under the Cremation Regulations, 1928.
[Date.]
NOTE.—This authority should be signed in duplicate; one copy to be retained with the application papers and the other sent by the Medical Referee to the sexton of the crematorium.
In the case of a still-born child, in the place of the name, address, and occupation, insert a description sufficient to identify the body, and in place of the words “that the cause of death has been definitely ascertained” insert the words “that the child was still-born.”
—
FORM F.
THE CREMATION REGULATIONS, 1928.
Authority to cremate elsewhere than in an Approved Crematorium.
WHEREAS application has been made for the cremation of the remains of—
[Name.]
[Address.]
[Occupation.]
And whereas I have satisfied myself that all the requirements of the Cemeteries Act, 1908, and the Cremation Regulations, 1928, have been complied with, that the cause of death has been definitely ascertained, and that there exists no reason for any further inquiry or examination:
And whereas it has been represented to me that the said deceased belonged to a religious denomination whose tenets require the burning of the body to be carried out as a religious rite otherwise than in a crematorium:
Now, therefore, I hereby authorize the remains of the said deceased to be cremated at __, subject to the following conditions.
[Signature.]
Medical Officer of Health.
[Date.]
NOTE.—This authority should be signed in duplicate; one copy to be retained with application papers and the other delivered to the person or persons signing the application.
—
FORM G.
REGISTER OF CREMATIONS IN CREMATORIUM.
CONSECUTIVE number of application for cremation:
Name of deceased:
Sex: Age:
Date of death:
Place of death:
Date of Medical Referee’s certificate:
Date of cremation:
Method of disposal of ashes:
Date of disposal of ashes:
Signature of person receiving ashes:
Ground of recipient’s claim [i.e., applicant for cremation; relative of deceased—relationship to be stated, &c.].
F. D. THOMSON,
Clerk of the Executive Council.
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VUW Te Waharoa —
NZ Gazette 1928, No 81
NZLII —
NZ Gazette 1928, No 81
✨ LLM interpretation of page content
🏥 Coroner’s Certificate for Cremation
🏥 Health & Social WelfareCremation, Coroner’s Certificate, Death, Inquest
🏥 Authority to Cremate
🏥 Health & Social WelfareCremation, Authority, Medical Referee, Crematorium
🏥 Authority to Cremate Elsewhere
🏥 Health & Social WelfareCremation, Religious Rite, Medical Officer of Health
🏥 Register of Cremations in Crematorium
🏥 Health & Social WelfareCremation, Register, Crematorium, Ashes Disposal
- F. D. Thomson, Clerk of the Executive Council