Forms prescribed under the Cemeteries and Crematoria Regulations 2015 and other forms relating to cemeteries and cemetery trusts are available to be downloaded on this page. 

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  • Abstract of Accounts

    Overview

    Under Section 52 of the Act, cemetery trusts are required to submit a financial report each year to the Department of Health & Human Services by 1 September. The report, known as the Abstract of Accounts, is to give a true and fair view of the financial position and performance of a trust, for the reporting period.  

    All sections of the Abstract are to be completed or where appropriate, marked N/A (not applicable) or NIL. Copies of bank and investment account statements relating to the reporting period are to be submitted with the Abstract. 

    The Abstract contains a statutory declaration which is to be signed by three trust members and an authorised witness, prior to it being submitted.

    Trusts with a total income of $100,000 up to $1 million (inclusive) are to have their financials reviewed in accordance with the Australian Auditing Standards on Review Engagement by a professionally recognised accountant.

    Trusts with a total income above $1 million are to have their financials audited by a registered auditor or a professionally recognised accountant.

    If a review or audit report is required, a copy of this report must also be submitted with the Abstract. An Abstract checklist has been developed to assist trusts with the preparation and submission of the Abstract of Accounts.

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    Abstract of Accounts

    Abstract of Accounts - Checklist

  • Application to Establish or Alter a Memorial or Place of Interment
  • Appointment Application - Class B

    Class B cemetery trusts are established under the Cemeteries and Crematoria Act 2003 (the Act) and comprise no less than three and no more than eleven persons appointed by the Governor in Council as cemetery trust members on the recommendation of the Minister for Health.

    The Act provides for members of a cemetery trust to hold office for not more than five years from the date of appointment. Existing trust members are eligible for reappointment.

    Cemetery trusts are responsible for the administration of the cemetery or cemeteries under their control and provision of funds for the future maintenance of the cemetery.

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    Guidelines for Class B cemetery trusts appointing cemetery trust members

    Information for applicants seeking appointment to a Class B cemetery trust

    The trust member application form below can be completed by hand or completed online and printed for signature.

    Application form for appointment to a Class B cemetery trust

    Nomination of directly related family members

    When a trust is seeking to appoint a directly related family member, the trust chairperson should complete the letter below and attach it to the applicants application form before submission to the department for processing:

    Letter of support  nomination of directly related family member July 2015

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  • Class A cemetery trust advice & assistance for Class B cemetery trusts

    The department recommends and encourages Class A cemetery trusts to keep a record of the types and frequency of information requested by Class B cemetery trusts and the advice/assistance provided.

    he Class A cemetery trust record keeping template is available below.

    The department recommends and encourages Class B cemetery trusts to keep a record of the types and frequency of information they request of Class A cemetery trusts and the advice/assistance provided.

    The Class B cemetery trust record keeping template is available below.

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    Class A cemetery trust record keeping template 

    Class B cemetery trust record keeping template 

  • Cremated Remains - Interment Application

    Application for Approval to Inter Cremated Human Remains.

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    Application for Approval to Inter Cremated Human Remains 

  • Cremation Authorisation

    Under section 131 of the Cemeteries and Crematoria Act 2003 (the Act), a person who wishes bodily remains to be cremated in a crematorium at a public cemetery may apply to the responsible cemetery trust for a cremation authorisation.

    Application form

    To apply for cremation authorisation you must complete the ‘Application for cremation authorisation’ form. This form is prescribed under Schedule 1 of the Cemeteries and Crematoria Regulations 2015 and is also referred to as ‘Form 3’:

    Application for cremation authorisation (Form 3)

    This form is an interactive Microsoft Word document which you can complete online and then print for signature. Alternatively you can print out the document and complete it by hand. Instructions on how to use interactive Microsoft Word documents are provided below:

    How to complete prescribed forms

    Required documentation

    In accordance with section 131(3)(a) of the Act, the prescribed form titled ‘Certificate of registered medical practitioner authorising cremation’ (Form 4) and a notice as required under section 37(2) of the Births Deaths and Marriages Registration Act 1996 must be submitted with an ‘Application for cremation authorisation’.

    Certificate of registered medical practitioner authorising cremation (Form 4)

    A Certificate of registered medical practitioner authorising cremation’ (Form 4) is always required for an application for cremation, unless the application relates to one of the following:

    • the cremation of a still-born child (to confirm that the application relates to a still-born child please check the ‘Medical Certificate of Cause of Perinatal Death’);
    • where an order has been made by a Coroner under section 47 of the Coroners Act 2008; or
    • a deceased person who died interstate or overseas and for whom an authority to cremate has been issued by the Coroner or other person permitted by the law of the jurisdiction where they died to authorise the cremation.

    In accordance with section 138 of the Act, the ‘Certificate of registered medical practitioner authorising cremation’ must be completed by a registered medical practitioner who is not the registered medical practitioner who completed the notice as required under section 37(2) of the Births, Deaths and Marriages Registration Act 1996 in respect of the death of the deceased person who is to be cremated.

    Please note: a ‘Certificate of registered medical practitioner authorising cremation’ is required for authorising cremations in regards to neonatal deaths (defined by the Births, Deaths and Marriages Registration Act 1996, as the death of a live-born child within 28 days after birth). The requirements are distinct from those for a still-born child because a still-born child is not born alive and therefore does not require a second independent doctor to enquire about and confirm the cause of death before authorising the cremation. Cemetery trusts and funeral directors should check Part 5, sections 23 and 24 of the ‘Medical Certificate of Cause of Perinatal Death’, to determine which type of death is being reported.

    For further information please refer to the guidance notes for medical practitioners provided below:

    Guidance notes for registered medical practitioners authorising cremation

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  • Exhumation licence application

    Application process

    The application process for an exhumation licence may take up to 6 months depending on the particular circumstances of the application. To avoid delays, please ensure all relevant sections of the application form have been completed and all supporting documentation is provided.

    Fact sheet

    The department has developed a fact sheet, Making an application for an exhumation licence, that outlines all of the requirements for making an exhumation licence application. Please follow this document carefully when completing your application.

    Making an application for an exhumation licence - fact sheet and checklist

    Policy

    The department’s Exhumation licence policy provides information about when an exhumation licence is required and the basis for assessing applications for an exhumation licence.

    Exhumation licence policy

    Application form

    Application to Secretary for exhumation licence

    The application form is an interactive Microsoft Word document which you can complete online and then print for signature. Alternatively you can print out the document and complete it by hand. Instructions on how to use interactive Microsoft Word documents are provided below:

    How to complete prescribed forms

    Application fee

    The application must be accompanied by the prescribed application fee. The current fee for the period 1 July 2017 to 30 June 2018 is $170.60.

    Payment of the prescribed application fee is to be made by cheque or money order made out to the Department of Health and Human Services. Please note that no refund is payable if the application for an exhumation licence is not granted.

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  • Interment Authorisation Application

    Prior to an interment taking place, an Application for interment authorisation must be completed by the applicant seeking to make arrangements for the interment of human remains, and submitted to the cemetery trust in a timely manner.

    The trust should always satisfy itself that the person wishing to use the place of interment is the holder of the right of interment, or that they have the permission of the holder to inter remains in the place of interment.

    Application form

    Application for interment authorisation (Form 1)

    The application form is an interactive Microsoft Word document which you can complete online and then print for signature. Alternatively you can print out the document and complete it by hand. Instructions on how to use interactive Microsoft Word documents are provided below:

    How to complete prescribed forms

  • Interment and right of interment registers

    Section 59 of the Cemeteries and Crematoria Act 2003 requires that details of all interments, including bodily and cremated remains, within a cemetery shall be maintained in a register. Regulation 5 of the Cemeteries and Crematoria Regulations provides details of specific information that must be maintained in this register.

    To assist trusts in this regard, the department has an interment register that accommodates all of the required information available for trusts to use. The register is available in bound book (hard copy) or in electronic form below. For a hard copy please contact the Cemeteries and Crematoria Regulation Unit.

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    Right of interment and interment register  

    Right of interment and interment register 

    Interment register (foetal remains)  

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  • Private burial application

    The Cemeteries and Crematoria Act 2003 (the Act) provides that burial outside public cemeteries is prohibited in Victoria except with the prior written approval of the Secretary to the department. This provision has been drafted to ensure that human remains are interred legally, appropriately and with dignity and that these remains can be traced and identified regardless of whether they are interred in a private or public cemetery. Under Section 114 of the Act it is an offence to bury a body in a place other than a public cemetery without this approval. This offence may attract a penalty of up to $60,000 or five years imprisonment, or both.

    Guidelines

    These guidelines contain further information about burials outside public cemeteries in Victoria:

    Guidelines for applications for interment approval other than in a public cemetery

    Application form

    Application for interment approval for interment other than in a public cemetery (Form 2)

    The application form is an interactive Microsoft Word document which you can complete online and then print for signature. Alternatively you can print out the document and complete it by hand. Instructions on how to use interactive Microsoft Word documents are provided below:

    How to complete prescribed forms

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  • Resignation letter – template (trust member)

    A trust member may resign from their position by means of a letter of resignation (template of letter below) addressed to the Minister and forwarded to:

    Manager
    Cemeteries and Crematoria Regulation Unit
    Department of Health and Human Services
    GPO Box 4057
    Melbourne VIC 3001

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    Resignation letter template

  • Right of Interment Application

    This form may be used for rights of interment for bodily remains and cremated remains.

    A cemetery trust may cancel a right of interment if the right has not been exercised within 25 years of its grant.

    A right of interment is considered to have been exercised if human remains are interred at the place of interment to which the right relates, or if the holder of the right of interment creates a memorial at that place of interment.

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    Application for Right of Interment 

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  • Statutory declaration

    A statutory declaration is a written statement declared to be true in the presence of an authorised witness. A person wishing to use a statutory declaration in connection with a law in the State of Victoria must make the declaration in accordance with sections 107-109 of the Evidence (Miscellaneous Provisions) Act 1958.

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    Statutory declaration (44kb, pdf)

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