Western Australia Cremation Act 1929 Cremation Regulations 1954 Western Australia Cremation Regulations 1954 CONTENTS 1. Citation 1 2. Commencement 1 3. Term used in these regulations 1 Part I - Application for licence to use and conduct a crematorium 4. Application 3 5. Form of licence 3 6. Compliance certificate 3 7. Form of certificate 4 Part II - Maintenance and inspection of crematoria 8. Crematoria to be maintained 5 9. Inspection 5 10. Notice requiring work to be carried out 5 Part III - Application for permit to cremate 11. Form of permit application 6 12. Other requirements for permit 6 Part IV - The medical referee 13. Referee to be a medical practitioner 7 14. Conditions for medical referee 7 Part V - Cremation elsewhere than in a crematorium 15. Cremation elsewhere for religious reasons 9 16. Cremation in a cemetery 9 17. Permission required for cremation elsewhere 9 Part VI - Miscellaneous 18. Register of cremation to be kept 10 19. Inspection of register 10 20. Notice of cremation to be given 10 20A. Post mortem certificate 10 Appendix "A" Appendix "B" Notes Compilation table 34 Defined Terms Western Australia Cremation Act 1929 Cremation Regulations 1954 1. Citation These regulations may be cited as the Cremation Regulations 1954 1. 2. Commencement These regulations shall come into operation on 6 September 1954. 3. Term used in these regulations In these regulations - nearest surviving relative in relation to a deceased person, means the first person who is available from the following persons in the order of priority listed - (a) a person who, immediately before the death, was living as - (i) the spouse of the person; or (ii) a de facto partner of the person, and who is of or over the age of 18 years; (b) a person who, immediately before the death, was the spouse of the person; (c) a son or daughter, who is of or over the age of 18 years, of the person; (d) a parent of the person; (e) a brother or sister, who is of or over the age of 18 years, of the person. [Regulation 3 inserted in Gazette 24 Sep 2002 p. 4767.] Part I - Application for licence to use and conduct a crematorium 4. Application (1) Every application under section 4(1) of the Act for a licence to use and conduct a crematorium shall be made in writing and shall be made in accordance with Form 1 of Appendix "A". It shall be signed by the chairman of the body making the application, and shall be accompanied by statutory declaration or other evidence as required by section 4(2) of the Act, and the fee prescribed in Appendix "B". (2) The application shall be submitted to the Executive Director who shall ensure that it is in order before forwarding it to the Governor. (3) If the licence is not granted the fee shall be returned to the applicant. [Regulation 4 amended in Gazette 29 Jun 1984 p. 1781.] 5. Form of licence Every licence granted shall be in accordance with Form 2 or Form 3 of Appendix "A" as the case may require. 6. Compliance certificate (1) Where in respect of a licence to use and conduct a crematorium a certificate by the Executive Director pursuant to section 4(3) of the Act is necessary before the licence is valid and effective, application for a certificate shall be made in writing by the licensee named in the licence, in accordance with Form 4 of Appendix "A", and shall be accompanied by the inspection and certificate fee prescribed in Appendix "B". (2) Upon receipt of an application under this regulation together with the prescribed fees, the Executive Director shall cause an inspection to be made of the premises and apparatus referred to in the licence in order to satisfy himself that the certificate applied for may be properly given. (3) If after such inspection the Executive Director is not satisfied that a certificate can properly be given he shall refuse to give the certificate, and shall refund the fee to the licensee. [Regulation 6 amended in Gazette 29 Jun 1984 p. 1781.] 7. Form of certificate Where the Executive Director gives a certificate pursuant to an application made in accordance with regulation 6, the certificate shall be in accordance with Form 5 in Appendix "A". [Regulation 7 amended in Gazette 29 Jun 1984 p. 1781.] Part II - Maintenance and inspection of crematoria 8. Crematoria to be maintained Every crematorium and the fittings, works and apparatus used in connection therewith shall at all times be - (a) maintained in good condition, repair and working order; (b) kept in a clean, sanitary and orderly condition; (c) provided with a number of attendants sufficient for the compliance with the requirements of paragraphs (a) and (b) to the satisfaction of the Executive Director. [Regulation 8 amended in Gazette 29 Jun 1984 p. 1781.] 9. Inspection (1) The licensee of every crematorium shall at any time and from time to time permit the crematorium and the register to be inspected by the Executive Director or any persons authorised in writing by him, or any Inspector of Police. (2) Any person authorised by the Executive Director and any Inspector of Police who makes an inspection of a crematorium shall forthwith report to the Executive Director any breach of these regulations which is observed by him. [Regulation 9 amended in Gazette 29 Jun 1984 p. 1781.] 10. Notice requiring work to be carried out On receipt of a report that these regulations are not being complied with at any crematorium, the Executive Director may give written notice thereof to the licensee of the crematorium. The notice may specify the works to be carried out and fix a time within which the works shall be completed. The licensee shall comply with any such notice. [Regulation 10 amended in Gazette 29 Jun 1984 p. 1781.] Part III - Application for permit to cremate 11. Form of permit application Every application for a permit to cremate shall be made in accordance with Form No. 6 of Appendix "A". 12. Other requirements for permit Every application to cremate made in accordance with regulation 11 shall be accompanied by - (a) a certificate in accordance with Form 7 of Appendix "A"; or (b) a certificate in accordance with Form 8 of Appendix "A"; and (c) the fee prescribed in Appendix "B". Part IV - The medical referee 13. Referee to be a medical practitioner No medical practitioner shall be appointed as a medical referee unless he has engaged in the practice of medicine for not less than 5 years. 14. Conditions for medical referee In performing his duties, the medical referee shall comply with the following conditions: - (1) Before permitting any cremation he shall ensure that all documents are completed in accordance with the provisions of the Act and that there is nothing in the Act to debar him from issuing a permit, and in particular is satisfied that all of the requirements of sections 8, 8A and 8B of the Act have been complied with. (2) A medical referee shall provide reasonable facilities, for persons wishing to make application to cremate, between the hours of 9 a.m. and 5 p.m. Mondays to Fridays, inclusive, and between the hours of 9 a.m. and noon on Saturdays, unless prevented by urgent circumstances. He shall, when available, deal with any urgent application at other times, in which case he shall be entitled to receive the higher prescribed fee. (3) Forthwith after issuing a permit to cremate, the medical referee shall forward a copy of the permit marked with the permit number and date to the Executive Director. (4) If the medical referee refuses to give a permit to cremate he shall give notice of his decision to the applicant and shall advise him of his right to apply to the State Administrative Tribunal for a review of the decision. He need not advise the applicant of his reasons for refusing to give the permit, but shall forthwith notify the Executive Director of his decision, and the reasons therefor. (5) Every permit to cremate shall be in accordance with Form 9 of Appendix "A". (6) In the case of the body of a person who has died in Australia but in any place outside the State of Western Australia, the medical referee may accept, in lieu of the forms prescribed, documents which substantially contain the information required to be supplied, and signed by persons having the status of medical practitioner or coroner, as the case may be, in the place where the person died. (7) The medical referee shall carefully preserve all documents received by him in the discharge of his duties, and shall deliver to the Executive Director once per year any documents over 2 years old. (8) If any medical referee is to be absent from his usual address for more than 24 hours at one time, he shall notify the Executive Director of the fact. [Regulation 14 amended in Gazette 29 Jun 1984 p. 1781; 30 Dec 2004 p. 6933.] Part V - Cremation elsewhere than in a crematorium 15. Cremation elsewhere for religious reasons If application is made in accordance with Part III for the cremation of a deceased person of Asiatic race who belonged to a religious denomination, the tenets of which require the burning of the body elsewhere than in a crematorium, the medical referee may give his consent if the place at which the cremation is to take place, and the arrangements for the cremation are approved by the Executive Director or by a person appointed to be a medical officer of health under the Health Act 1911. Approval may be subject to such conditions as the Executive Director or the medical officer of health deem necessary. [Regulation 15 amended in Gazette 29 Jun 1984 p. 1781.] 16. Cremation in a cemetery When such a cremation is carried out in a cemetery the person responsible for the arrangements shall comply with any directions, which may be given by the cemetery authority. 17. Permission required for cremation elsewhere No cremation shall be permitted elsewhere than at a crematorium except where permission is granted under this Part or, unless the Executive Director issues a direction pursuant to the powers vested in him under the Health Act 1911. [Regulation 17 amended in Gazette 29 Jun 1984 p. 1781.] Part VI - Miscellaneous 18. Register of cremation to be kept Every licensee of a crematorium shall keep a register of cremations in accordance with Form 11 of Appendix "A", and shall enter therein all particulars for which the form provides. The entries shall be made in relation to every cremation carried out in the crematorium, and shall be made immediately after the cremation, except in the case of those entries referring to the disposal of ashes. 19. Inspection of register The register of cremations shall be open to inspection by any person during ordinary business hours of the licensee, on payment of 10 cents. [Regulation 19 amended by No. 13 of 1965 s. 8(1).] 20. Notice of cremation to be given The licensee of a crematorium shall, within 24 hours after a cremation is carried out, give notice thereof to the Executive Director and the Registrar General, in accordance with Form 12 of Appendix "A". [Regulation 20 amended in Gazette 29 Jun 1984 p. 1781.] 20A. Post mortem certificate A certificate of a medical practitioner who has conducted a post mortem examination may be in accordance with Form 13 of Appendix "A". [Regulation 20A inserted in Gazette 17 Dec 1954 p. 2252.] Schedule Appendix "A" Form 1 Western Australia Cremation Act 1929 APPLICATION FOR A LICENCE TO USE AND CONDUCT A CREMATORIUM Regulation 4 To His Excellency the Governor of Western Australia: 1. The trustees and the controlling authority of the ....................................... Cemetery, being a public cemetery appointed under the Cemeteries Act 1897 2 (or the ............................................. being an association incorporated under the Associations Incorporation Act 1895 3, established and constituted in connection with the cremation of dead human bodies, and holding a certificate under the hand of the Executive Director that the association is an association to which the provisions of section 4 of the Act may reasonably be extended), hereby apply for a licence to use and conduct a crematorium under and in accordance with the provisions of the Act, at and in the cemetery at the site next mentioned. 2. The buildings to be used as the crematorium have been erected upon (or will be erected upon) that portion of the area of the said cemetery which has been defined and set apart by the trustees of the cemetery as a site for the crematorium, namely: - ............................................................................ ................................................................. ............................................................................ ................................................................. and shown on the attached plan. 3. This application is accompanied by the statutory declaration of ................ ..................................................................., of .................................................................., in the State of Western Australia, ............................................................... as required by section 4(2) of the Act, and by the sum of ...................................... the fee for the licence hereby applied for. 4. The applicant undertakes that within one year from the date on which the licence is granted they (or it) will obtain the certificate of the Executive Director, Public Health and Scientific Support Services required by section 4(3) of the Act. Dated the ....................................... day of .......................................................... , 20......... For and on behalf of the applicant, ................................................ ................... Chairman. [Form 1 amended in Gazette 29 Jun 1984 p. 1781.] [pic] Form 2 Western Australia Cremation Act 1929 Regulation 5 LICENCE TO USE AND CONDUCT A SPECIFIED CREMATORIUM Whereas by an application bearing the date................................................., day of ..............................., 20 ........, ............................................................................ ................. ............................................................................ ................................................................. ............................................................................ ................................................................. being the trustees duly appointed under the provisions of the Cemeteries Act 1897 2, as the Trustees and controlling body of the ........................................................... Cemetery, a public cemetery duly proclaimed under the provisions of the Cemeteries Act 1897 2, applied to His Excellency the Governor in Council for a licence under the provisions of the Cremation Act 1929, to the trustees and controlling body of the said ........................ ................................... Cemetery, upon a site thereon, as defined in the said application, and whereas the applicants have satisfied His Excellency the Governor in accordance with the provisions of section 4 of the Cremation Act 1929, that the said trustees or controlling body of the said ..................................... Cemetery have sufficient authority to use the proposed site in the said cemetery for the purpose of a crematorium, that the crematorium not yet being established the Executive Director, Public Health and Scientific Support Services has approved of the plans and specifications of the proposed building, fittings, works and apparatus to be built and used for the purposes of the said crematorium, and that in all other respects the requirements of section 4 of the Cremation Act 1929, have been duly complied with: Now, therefore, His Excellency the Governor, acting with the advice and consent of the Executive Council, and in exercise of the powers conferred by section 4 of the Cremation Act 1929, doth by these presents grant to the trustees and controlling body for the time being and from time to time of the ...................................... Cemetery, but subject as hereinafter provided, a licence to use and conduct a crematorium within the said ....................................... Cemetery, upon the site therein defined in the aforementioned application, to be established in accordance with the plans and specifications of the proposed building, fittings, works, and apparatus which have been approved by the Executive Director, Public Health and Scientific Support Services as aforesaid: Provided that the licence hereby granted shall be held and the said crematorium shall be used and conducted under and subject to the provisions of the Cremation Act 1929, and that the licence hereby granted shall not have any validity or effect unless and until the Executive Director, Public Health and Scientific Support Services shall certify within one year of the granting of this licence that the buildings, fittings, works, and apparatus have been erected and installed in accordance with the plans and specifications which have been approved by him as aforesaid and that the regulations have been complied with. Dated at Perth in the State of Western Australia this .............................................. day of ...................................................., 20 ........... By His Excellency's Command, ................................................ .................... Minister. [Form 2 amended in Gazette 29 Jun 1984 p. 1781.] [pic] Form 3 Western Australia Cremation Act 1929 LICENCE TO USE AND CONDUCT A SPECIFIED CREMATORIUM Regulation 5 Whereas by an application bearing the date ................................................. day of ................................................. , 20 .......... , ....................................................................... ............................................................................ ................................................................. an association duly incorporated under the provisions of the Associations Incorporation Act 1895 3, for the purpose of conducting a crematorium holding a certificate under the hand of the Executive Director, Public Health and Scientific Support Services that the association aforesaid is an association to which the provisions of section 4 may reasonably be extended, applied to His Excellency the Governor in Council for a licence under the provisions of the Cremation Act 1929, for the said association to use and conduct a crematorium within the boundaries of land, not being part of a public cemetery, being the whole (or portion) of ........................... lot/location .......................... comprised in Certificate of Title Volume ......................, folio ........................., held by the said association for the purpose aforesaid (or within the ........................... cemetery, a public cemetery duly proclaimed under the provisions of the Cemeteries Act 1897 2) upon a site thereon as defined in the said application; and whereas the said applicants have satisfied His Excellency the Governor, in accordance with section 4 of the Cremation Act 1929, that the association has sufficient authority to use the proposed site as aforesaid for the purpose of a crematorium, that the crematorium has not yet been established, the Executive Director, Public Health and Scientific Support Services has approved of the plans and specifications of the proposed building, fittings, works and apparatus to be built and used for the purposes of crematorium, and that in all other respects the requirements of section 4 of the Cremation Act 1929, have been duly complied with: Now, therefore, His Excellency the Governor, in exercise of the powers conferred by section 4 of the Cremation Act 1929, doth by these presents grant to the said association, but subject as hereinafter provided, a licence to use and conduct a crematorium within the boundaries of the land (or cemetery) as aforesaid, upon the site therein as defined in the application, to be established in accordance with the plans and specifications of the proposed building fittings, works, and apparatus, which have been approved by the Executive Director, Public Health and Scientific Support Services as aforesaid: Provided that the licence hereby granted shall be held and the crematorium shall be used and conducted under and subject to the provisions of the Cremation Act 1929, and that the licence hereby granted shall not have any validity or effect unless and until the Executive Director, Public Health and Scientific Support Services shall certify, within one year of the date on which the licence is granted, that the necessary buildings, fittings, works and apparatus have been erected and installed in accordance with the plans and specifications which have been approved by him, and that the regulations have been complied with. Dated at Perth in the State of Western Australia, this ............................................. day of ................................................... 20 ............. By His Excellency's Command. ................................................ .................... Minister for Health. [Form 3 amended in Gazette 29 Jun 1984 p. 1781.] [pic] Form 4 Western Australia Cremation Act 1929 APPLICATION FOR CERTIFICATE OF EXECUTIVE DIRECTOR, PUBLIC HEALTH AND SCIENTIFIC SUPPORT SERVICES TO GIVE EFFECT TO A LICENCE GRANTED TO USE AND CONDUCT A CREMATORIUM Regulation 6 To the Executive Director, Public Health and Scientific Support Services. The trustees and controlling authority of the ........................................... cemetery (or the ............................................. ) being the licensees named in the licence to use and conduct a crematorium on a site in the said cemetery, granted under the provisions of the Cremation Act 1929, to the licensee on ............................................ hereby apply for your certificate as required by section 4(3) of the Act, that the necessary buildings, fittings, works and apparatus for the said crematorium have been erected and installed in accordance with the approved plans and specifications and that the relative regulations have been complied with. The sum of ........................................... being the prescribed fee accompanies this application. Dated this ................................ day of .........................................., 20 ........ For and on behalf of the applicant. ................................................ .............. Chairman. [Form 4 amended in Gazette 29 Jun 1984 p. 1781.] [pic] Form 5 Western Australia Cremation Act 1929 CERTIFICATE OF THE EXECUTIVE DIRECTOR, PUBLIC HEALTH AND SCIENTIFIC SUPPORT SERVICES GIVING EFFECT TO A LICENCE TO USE AND CONDUCT A CREMATORIUM Regulation 7 Whereas a licence to use and conduct a crematorium upon a site defined and set aside for the purpose within the ...................................................... cemetery was on the ............................................... granted under the provisions of the Cremation Act 1929, to ............................................................................ ........................................................ and whereas it is provided that the licence shall not have any validity or effect unless and until the Executive Director, Public Health and Scientific Support Services shall certify within one year from the granting of the licence that the necessary buildings, fittings, works and apparatus have been erected and installed in accordance with the approved plans and specifications, and that the relative regulations have been complied with: Now, therefore, I ............................................................................ ......... Executive Director, Public Health and Scientific Support Services do hereby certify that the buildings, fittings, works and apparatus have been duly erected and installed, in accordance with the approved plans and specifications, at the site mentioned in the licence, and that the relative regulations have been complied with. Dated the ................................ day of ..............................................., 20 ............... ................................................ .................... Executive Director, Public Health and Scientific Support Services. [Form 5 amended in Gazette 29 Jun 1984 p. 1781.] [pic] Form 6 |Application for Permit to Cremate |Cremation | | |Act 1929 | | |Form 6 | |Applicant |Name | | |Address | |Deceased |Name | | |Address | | |Date of birth / / | | |Male/Female | | |Marital status | | |Occupation | |(*"Nearest|Nearest surviving relative* (if known) | |surviving |Name | |relative" |Relationship | |is | | |explained | | |at the end| | |of this | | |form.) | | | |Usual doctor | | |Name | | |Address | | |Doctor(s) who attended deceased during his| | |or her last illness | | |Name | | |Address | |Instructio|Did the deceased leave any written | |ns from |directions about how his or her remains | |deceased |were to be dealt with? | | |No | | |Yes. Give details | | | | |Objections|Do you know of anyone who objects to the | | |deceased's remains being cremated? | | |No | | |Yes. Give detail of that person: | | |Name Relationship to deceased | | |__________________________ | | |Relationship to deceased | | |Address | |Coroner |Has the Coroner conducted an investigation| | |or inquest into the deceased's death? | | |Yes No Unsure | |Applicant'| Administrator of the deceased | |s |Nearest surviving relative* of the | |relationsh|deceased | |ip to |Other | |deceased | | |(*"Nearest|If you are not the Administrator, why are | |surviving |you making the application instead of the | |relative" |Administrator? | |is | | |explained | | |at the end| | |of this | | |form.) | | |Details of|Date / /20 | |death |Time a.m./p.m. | | |Place where deceased died | | |Home | | |Address | | |Hospital | | |Address | | |Other | | |Address | | |Do you know, or have reason to suspect, | | |that the deceased's death was directly or | | |indirectly due to any of the following? | | |(tick if yes) | | |violence | | |poison | | |privation or neglect | | |medical procedure | | |drowning | | |suffocation | | |burns | | |Do you have any reason to suppose that an | | |examination of the deceased's remains may | | |be desirable? | | |No | | |Yes. Give details | | | | |Other |Have you, or anyone else that you know of,| |applicatio|previously applied for a permit to cremate| |ns |the deceased's remains? | | |No | | |Yes. Give details of previous application | | |Made by | | |Date _______/_______/20 _____ | | |Medical Referee to whom it was made | | |________________________________________ | |Statutory |I sincerely declare that the information | |declaratio|given in this application is true and | |n |correct and that I have not omitted any | | |relevant information. | | |I know that it is an offence to make a | | |declaration knowing that it is false in a | | |material particular. | | |Signature | | |Date / /20 | |(Witness |Witness | |must be a | | |person | | |authorised| | |to take | | |statutory | | |declaratio| | |ns.) | | | | Signature | | | Name | | | Address | |Medical |Permit No. | |referee | | |(For | | |office use| | |only) | | | |Date / /20 | | |Medical Referee | | | Signature | | | Name | | | | |The nearest surviving relative of a deceased person, | |is the first person who is available from the | |following persons in the order of priority listed - | |(a) a person who, immediately before the death, was | |living as - | |(i) the spouse of the deceased; or | |(ii) a de facto partner of the deceased and who is at| |least 18 years of age; | |(b) a person who, immediately before the death, was | |the spouse of the deceased; | |(c) a son or daughter of the deceased who is at least| |18 years of age; | |(d) a parent of the deceased; | |(e) a brother or sister of the deceased who is at | |least 18 years of age. | [Form 6 inserted in Gazette 4 Apr 2008 p. 1300-2.] Form 7 |Certificate of Medical Practitioner |Cremation | | |Act 1929 | | |Form 7 | |Certificate to be completed by doctor who attended | |deceased prior to death. | |Add additional pages if more space is required. | |Attach copies of all relevant laboratory reports, | |results, certificates etc. | |Deceased |Name | | |Address | | |Date of birth / / | | |Age | | |Marital status | | |Male/Female | | |Occupation | |Doctor |Name | | |Address | | |Are you a spouse, de facto partner or | | |relative of the deceased? | | |No | | |Yes Nature of relationship | | |__________________________ | | |As far as you are aware, do you have a | | |pecuniary interest in the deceased's | | |estate or any other pecuniary interest in | | |the deceased's death? | | |No | | |Yes Give details | | |_________________________________ | | |Were you the deceased's usual doctor? | | |No Yes | |Recent |During the 4 weeks prior to death did the | |care of |deceased receive medical or nursing care? | |deceased | | | |No | | |Yes Where was the deceased cared for? | | |Hospital | | |Nursing home | | |Home | | |Other | | |If cared for at home or other place, who | | |provided care? | | |Professional health care providers | | |Relatives, friends, others | | |Give names and relationship to the | | |deceased | | | | | | | | |Did you attend the deceased during his or | | |her last illness? | | |No Yes Since what date? / | | |/20 | | |Did any other doctor(s) attend the | | |deceased during his or her last illness? | | |No | | |Yes Give names | |Last |Brief clinical history of last illness | |illness |including diagnoses and events leading to | | |death. | | |__________________________________________| | |__________________________________________| | |__________________________ | | | | |Details of| | |death |Date / /20 | | |Time a.m./p.m. | | |Place where the deceased died - | | |Home | | |Address | | |_________________________________________ | | |Hospital | | |_________________________________________ | | |Address | | |_________________________________________ | | |Other | | |__________________________________________| | |_ | | |Address | | |_________________________________________ | | |Were you present when the deceased died? | | |Yes | | |No When did you last see the deceased | | |alive? | | |Date / /20 | | |Time a.m./p.m. | | |Did you examine the deceased's body after | | |death? | | |No | | |Yes Give details | | |Do you have any reason to suppose that a | | |further examination of the deceased's | | |remains may be desirable? | | |No | | |Yes Give details | |Cause |Was a post mortem performed? | |of death |No | | |Yes Give details of results | | | | |(* If a |*Did you sign the Medical Certificate of | |Medical |Cause of Death? | |Certificat|Yes | |e of Cause|No Name of the doctor who signed the | |of Death |certificate | |is | | |attached, | | |answers | | |are not | | |required | | |to these | | |questions.| | |) | | | |*Direct cause of death | | | | | |*Antecedent causes of death (if any) | | | | | |*Conditions contributing to or | | |accelerating death (if any) | | | | |Clinical |Do you know, or have reason to suspect, | |observatio|that the deceased's death was directly or | |ns |indirectly due to any of the | | |following? (tick if yes) | | |violence | | |poison | | |privation or neglect | | |medical procedure | | |drowning | | |suffocation | | |burns | | |In view of the deceased's lifestyle and | | |health, do you have any doubts about the | | |character of the deceased's illness or | | |cause of death? | | |No | | |Yes Give details | |Safety of |At the time of death was the deceased | |cremation |fitted with a cardiac pacemaker? | | |No | | |Yes Has it been removed Yes No | | |Had the deceased received any of the | | |following radioactive treatments? | | |Strontium-89 injection (e.g. for bone | | |metastases) | | |during the 12 months prior to death | | |No Yes* | | |Iodine-125 seed implant (e.g. for prostate| | |cancer) | | |during the 12 months prior to death | | |No Yes* | | |Samarium-153 during the 2 weeks prior to | | |death | | |No Yes* | | |Rhenium-188 during the 2 weeks prior to | | |death | | |No Yes* | | |Yttrium-90 during the 2 weeks prior to | | |death | | |No Yes* | | | | | |* If yes - has the Radiation Safety | | |Officer at the treating institution | | |certified that cremation is safe? | | |No Yes Attach certificate | | |Are you aware of anything else that could | | |render cremation unsafe? (e.g. other | | |medical devices, recent treatment etc.) | | |No | | |Yes Give details | |Certificat|I certify that the information set out | |ion of |above is true and correct and that I have | |medical |not omitted any relevant information. | |practition| | |er | | | |Signature | | |Date / /20 | [Form 7 inserted in Gazette 4 Apr 2008 p. 1302-4.] Form 8 Western Australia Cremation Act 1929 CORONER'S CERTIFICATE I am informed that application is to be made for a permit to cremate in regard to the deceased person whose particulars are set out hereunder: - Name of deceased .............................................. Age ............... Sex ...................... Date of death ..................................Place of death .......................................................... It has been reported that the cause of death was (primary) ..................................... ............................................................................ ................................................................. (secondary) ............................................................................ ............................................. I certify that in my opinion the cause of death was as stated. I consider that no circumstance exists which can render necessary any further examination of the body, and that there is no reason why the body should not be cremated. Dated at ......................................this .......................... day of ................. 20 .......... ................................................ .................... Coroner. [pic] Form 9 Western Australia Cremation Act 1929 PERMIT TO CREMATE No ................................. I, ............................................................................ ................................., a medical referee appointed under section 8 of the Cremation Act 1929, acting pursuant to the powers and duties vested in me under the said Act and having received an application from .............................................., of ........................................., for a permit to cremate the remains of: - Name of deceased ............................................................................ ......................., late of ............................................................................ ...................................... (address in full), who died at ............................................................................ .....................(place of death) on ................................................................. (date of death), hereby permit and authorise the cremation at any duly licensed crematorium in the State of Western Australia. This permit shall not be valid until 24 hours have elapsed from the time of death of the deceased person to whom the permit refers. Dated this ....................................... day of .............................................., 20......... ................................................ .................... Medical Referee. [pic] Form 10 Western Australia Cremation Act 1929 NOTICE OF REFUSAL OF APPLICATION TO CREMATE To .............................................................., of ................................................................... I hereby give you notice that the application made by you for a permit to cremate the remains of ............................................................................ ....... (name of deceased), late of ............................................................................ .................. (address), who died at ............................................................................ ..................................... (place of death) on ............................................................................ ................. (date of death) is refused. This refusal has been made known to the Executive Director, Public Health and Scientific Support Services, together with the reasons therefor. You may apply to the State Administrative Tribunal for a review of the decision. ................................................ .................... Medical Referee. [Form 10 amended in Gazette 29 Jun 1984 p. 1781; 30 Dec 2004 p. 6933.] [pic] Form 11 Western Australia Cremation Act 1929 REGISTER OF CREMATIONS | | | | | | | | |Method of | | | | | | | | | | |Disposal of| | | | | | | | | | | | | | | | | | | | | |Ashes | | | | | | | | | | | | |Name of | |No. |Person | | |Cremated| |For a licence to use and conduct a crematorium|15.00 | |.......................... | | |For a certificate of the Executive Director to| | |validate and give effect to a licence, |5.00 | |including inspections | | |..................................... | | |For a permit to cremate - | | | (a) given between the hours of 9 a.m. and | | |5 p.m., Monday to Friday inclusive, or 9 a.m. | | |and noon on a Saturday (public holidays |62.00 | |excluded) ...................... | | | (b) given at any other time |94.00 | |............................................. | | [Appendix "B" inserted in Gazette 16 Nov 1973 p. 4220; amended in Gazette 28 May 1976 p. 1579; 29 Jun 1984 p. 1781; 28 Dec 1984 p. 4206; 27 May 1994 p. 2209; 29 Mar 1996 p. 1580; 2 Apr 1996 p. 1580; 30 Jun 2000 p. 3406; 13 Apr 2010 p. 1373.] Notes 1 This is a compilation of the Cremation Regulations 1954 and includes the amendments made by the other written laws referred to in the following table 1a. The table also contains information about any reprint. Compilation table |Citation |Gazettal |Commencement | |Cremation |20 Aug 1954|6 Sep 1954 (see | |Regulations 1954 |p. 1441-9 |r. 2) | |Untitled regulations |17 Dec 1954|17 Dec 1954 | | |p. 2252 | | |Reprint of the Cremation Regulations 1954 in Gazette | |15 Sep 1959 p. 2339-50 | |(includes amendments listed above) | |Decimal Currency Act 1965 |Act other than | |assented to 21 Dec 1965 |s. 4-9: 21 Dec 1965 | | |(see s. 2(1)); | | |s. 4-9: 14 Feb 1966 | | |(see s. 2(2)) | |Untitled regulations |16 Nov 1973|16 Nov 1973 | | |p. 4220 | | |Untitled regulations |28 May 1976|28 May 1976 | | |p. 1579 | | |Untitled regulations |24 Feb 1978|24 Feb 1978 | | |p. 560-1 | | |Health Legislation |29 Jun 1984|1 Jul 1984 (see | |Amendment Regulations |p. 1780-4 |r. 2) | |1984 r. 4 | | | |Cremation Amendment |28 Dec 1984|28 Dec 1984 | |Regulations 1984 4 |p. 4206 | | |Cremation Amendment |27 May 1994|27 May 1994 | |Regulations 1994 |p. 2209 | | |Cremation Amendment |2 Apr 1996 |2 Apr 1996 | |Regulations 1996 |p. 1579-80 | | |Miscellaneous |6 Jan 1998 |6 Jan 1998 | |Amendments Regulations|p. 33 | | |1997 r. 2 | | | |Cremation Amendment |30 Jun 2000|1 Jul 2000 | |Regulations 2000 |p. 3406 |(see r. 2) | |Reprint of the Cremation Regulations 1954 as at 1 Dec | |2000 (includes amendments listed above) | |Cremation Amendment |24 Sep 2002|24 Sep 2002 5 | |Regulations 2002 |p. 4766-8 | | |Cremation Amendment |30 Dec 2004|1 Jan 2005 (see r. 2| |Regulations 2004 |p. 6933 |and Gazette | | | |31 Dec 2004 p. 7130)| |Cremation Amendment |4 Apr 2008 |1 Jul 2008 (see | |Regulations 2008 |p. 1299-304|r. 2) | |Reprint 3: The Cremation Regulations 1954 as at 1 Aug| |2008 (includes amendments listed above) | |Cremation Amendment |13 Apr 2010|r. 1 and 2: | |Regulations 2010 |p. 1373 |13 Apr 2010 (see | | | |r. 2(a)); | | | |Regulations other | | | |than r. 1 and 2: | | | |25 May 2010 (see | | | |r. 2(b)) | 2 Repealed by the Cemeteries Act 1986. 3 Repealed by the Associations Incorporation Act 1987. 4 The Miscellaneous Regulations (Validation) Act 1985 applied to these regulations. It deems the regulations not to have ceased to have effect as a result of the failure to comply with section 42(1) of the Interpretation Act 1984, subject to their being laid before the Legislative Assembly. The Interpretation Act 1984 s. 42(2) then applied as if the words "or if any regulations are not laid before both Houses of Parliament in accordance with subsection (1)" had been omitted. 5 The commencement date referred to in r. 2 was before the date of gazettal. Defined Terms [This is a list of terms defined and the provisions where they are defined. The list is not part of the law.] Defined Term Provision(s) nearest surviving relative 3