Arrange Direct Cremation Online - Start in 5 Minutes

This form will ask for the details we need to begin arranging a direct cremation. You do not need to have everything worked out before you start. If anything is unclear, we can talk it through with you.

1Choose Location

2Your Details

3Deceased Details

4Deceased Family

5The Application for Cremation

6The Authority to Cremate

7Additional Details & Signing

8Final Check

Choose the location for your Cremation*

Estimated Price

Before we can arrange a cremation, there are some legal requirements and documents that need to be completed. Please fill in the forms below with as much detail as possible. The information you provide will be used for:

Registering the death with Births, Deaths, and Marriages
Completing the Cremation Application
Completing the Authorisation for Cremation and the Financial Agreement.

You will need to set aside about 15 minutes to complete this form. An email address for someone to witness this form will also be required. They will be emailed a link to digitally sign and witness the completed document on their phone or computer.

Helpful to have ready before you start

You do not need to tick these boxes. They are here to help you gather everything before you begin. Tick each one off as you find it.

The deceased’s personal details, including their place of birth, usual occupation, and how long they lived in New Zealand

Marriage or civil union details, if any: where it took place and their spouse or partner’s details

The name and address of their usual doctor, and any doctors who saw them during their last illness

Your wishes for the ashes

A witness’s name and email addressThey will sign the form from their own phone or computer

Your Details

Your Name*

The name of applicant

Your Address*

The Applicant's Address

Street Address Suburb Post Code Country

Your email*

The applicant's email

Your Phone*

Applicant's day time phone number

Your Occupation*

Your Date of Birth (Applicant)*

Your relationship to the deceased*

Details of the Deceased

Name of deceased*

Name at birth

If different from above

Date of Birth*

Age*

Gender / Sex*

This field is hidden when viewing the form

Age (in Months)*

Place of Birth (if known)

Years lived in NZ (if known)

Address of Deceased*

Street Address Suburb Post Code Country

Date of Death*

Approx Time of Death*

Place of Death*

To the best of your knowledge, give the location address of the place at death, and say whether its your own residence, lodging, hotel, hospital, nursing home etc

Usual Occupation, Profession or Job*

Was the deceased of Māori descent?

(if known)

Yes

Which ethnic group did the deceased belong to?*

Any additional details?

Signature of Applicant*

Date

Witness of Agreement

Please enter the name and email address of a person who can 'Witness' this information. They will then be emailed a link to witness this form and information.

Witness Name*

Witness Email*

This field is hidden when viewing the form

Witness Signature*

Waiting for another signer

This field is hidden when viewing the form

Witness Occupation*

This field is hidden when viewing the form

Witness Address*

Street Address Suburb Post Code Country

Arrange a cremation online

Your Details

Details of the Deceased

Living Children of the Deceased

Parents of the Deceased

Relationship Details of the Deceased

Application for Cremation Questions

The Authority to Cremate

Witness of Agreement