Arrange Online

Arrange a cremation online

Start the arrangement online, at your own pace.

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.

Drafts

You are resuming your draft "July 23, 2026 6:06 am".

1Choose Location2Your Details3Deceased Details4Deceased Family5The Application for Cremation6The Authority to Cremate7Additional Details & Signing8Final 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 startYou 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 numberYour Occupation*Your Date of Birth (Applicant)* DD slash MM slash YYYY Your relationship to the deceased*

Details of the Deceased

Name of deceased*

Name at birthIf different from above

Date of Birth* DD slash MM slash YYYY Age*Gender / Sex*This field is hidden when viewing the formAge (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* DD slash MM slash YYYY 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 etcUsual Occupation, Profession or Job*

Was the deceased of Māori descent?(if known) Yes No

Which ethnic group did the deceased belong to?*

Living Children of the Deceased

Ages of Living DaughtersAges of Living Sons

Parents of the Deceased

Mother's NameMother’s First NameMother’s first name at birth if different from aboveMother’s SurnameMother’s Surname at birth if different than aboveMother's OccupationFather's NameFather's First NameFather’s first name at birth if different from aboveFathers's SurnameFather’s Surname at birth if different than aboveFather's Occupation

Relationship Details of the Deceased

Relationship status at time of death* Married Widow/er Marriage Dissolved or DivorcedMarriage Dissolved or Divorced Permanently Separated Never Married De-facto

Most recent relationshipRecent Spouse or Partner's full nameSpouse or Partners surname at birthIf different from abovePlace of marriage or civil unionAge of deceased at time of marriage / civil unionSex of Spouse / PartnerAge of Spouse / Partner (if living)

Application for Cremation Questions

The true answers to the questions set out below are as follows:

Are you an executor of the deceased?* Yes No

Are you a relative of the deceased?* Yes No

If so, state the relationship:*If you are not an executor or a near relative state why this application is being made by you and not by an executor or near relative:*The term “near relative” as used in this form, means the wife or husband of the deceased, a parent of the deceased, or a child of the deceased who is over the age of 16 years; and includes any other relative of the deceased who usually resides with them.

Have the near relatives of the deceased been informed of the proposed cremation?* Yes No Not Applicable

If the application is not made by an executor, is there an executor of the deceased?* Yes No Not Applicable

If there is an executor, has he/she been informed of the proposed cremation?* Yes No Not Applicable

If there is an executor please state their name and address:

To the best of your knowledge and belief has any near relative or executor of the deceased expressed any objection to the proposed cremation?* Yes No

If so, on what ground?*Do you know or have any reason to suspect that the death of the deceased was due to:

Violence* Yes No

Poison* Yes No

Privation or neglect* Yes No

Illegal operation* Yes No

Do you know of any reason whatever for supposing that an examination of the body of the deceased may be desirable?* Yes No

If Yes, what is the reason*

Do you know or have any reason to suspect that the body of the deceased contains a Cardiac Pacemaker or other Biomechanical Aid?* Yes No

If Yes, what is the reason*

Give the name and address of the usual medical attendant of the deceased*Name of usual medical attendant/practionerAddress of usual medical attendant/practioner

Give the names of all the medical practitioners who attended the deceased during his/her last illnessendant of the deceasedName of additional medical practioner (1)Address of additional medical practitioner (1)

Give the names of all the medical practitioners who attended the deceased during his/her last illnessendant of the deceasedName of additional medical practioner (2)Address of additional medical practitioner (2)

Give the names of all the medical practitioners who attended the deceased during his/her last illnessendant of the deceasedName of additional medical practioner (3)Address of additional medical practitioner (3)

Who were the persons (if any) present at the time of death or attended the deceased during his/her last illness

Was the deceased a member of a religious denomination whose tenets require the burning of the body to be carried out as a religious rite elsewhere than in an approved crematorium?* Yes No

If so, give the name by which that religious denomination is known*Following cremation my instructions in relation to the ashes are:

I hereby certify, with a view to procuring the Cremation of the body of the above-named Deceased, that all particulars stated above are true, and that to the best of my knowledge and belief no information has been omitted.* Yes

The Authority to Cremate

I declare that I am authorised to give this authority and fully indemnify you against any and all claims, costs, damages and/or proceedings arising from any matter, services and/or attendances arising from this agreement.* Yes

I authorise you to pay on my behalf all costs in connection with the funeral arrangement from the date of this agreement.* Yes

I acknowledge that I may be requested to and if so will pay the external or third party funeral expenses, relating to this financial agreement, in advance. I may also be required to pay for all or part of the services in advance of the services being provided and you will not be obliged to perform the services where such requested payment is not forthcoming (time being of the essence).* Yes

I understand that your account will be dated day of the cremation and will be emailed on the day of cremation.* Yes

The due date for full payment is on invoice date. After this date this account becomes overdue and I am liable to pay any late payment penalties charged and calculated at 1.25% per month on the closing monthly balance including any late payment penalties. The late payment penalty fee has been agreed between us to take into account a genuine pre-estimate of the costs of enforcement, collection costs and additional administration costs. For the avoidance of doubt, no credit is extended in respect of late payment of your account and any late payment penalty fee.* Yes

I understand that you may use any of my/or the deceased’s information for your credit and administrative purposes. I hereby consent to you undertaking any credit checks/enquiries with any third party you consider necessary and I consent under the Privacy Act 1993 to you collecting, retaining and using any personal information that may arise from your enquiries for the purposes for which it was collected.* Yes

I understand that if the account remains unpaid beyond the date of invoice, you may, at your discretion, take steps to recover the amount unpaid (including assigning the benefit of this agreement to a collection agency of your choice) and I am liable for those associated costs.* Yes

The terms of payment are not subject to the granting of probate, reimbursement under any compensation funds (statutory or otherwise), or payment of any insurance claim.* Yes

This is an estimate only as additional requirements may or may not be requested following the signing of this agreement.* Yes

Estimated Fee for this Service

Intended method of payment*Will we contact you with our bank account number or to take your credit card payment before we begin. (*2% surcharge applies to credit card payments) Bank Transfer Credit Card*

Prices are inclusive of GST. The package includes a Cremation coffin. If required, an over-sized coffin is available at an additional cost. The package includes transfer of the deceased into our care up to 30km during business hours, Monday to Friday 9am-5pm. Transfers over 30km or outside business hours are available at an additional cost. Available to approved applicants only. Payment is to be made in advance. Terms & Conditions apply and are available on application. Any additional details?Signature of Applicant*Date DD slash MM slash YYYY

Legal Consent*Electronic signatures in NZ are covered by the Contract and Commercial Law Act 2017. I agree to these e-signature terms and conditions.

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 formWitness Signature*

Waiting for another signer

This field is hidden when viewing the formWitness Occupation*

This field is hidden when viewing the formWitness Address* Street Address Suburb Post Code Country

Final check before submitting. You will be then sent an email and the witness will be sent an email to witness.

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