An Order for Interment

A cemetery operator must complete and issue this order for interment before it conducts an interment at the site.

Section 67 of the Cemeteries and Crematoria Act 2013 provides that an interment must not take place in a cemetery unless the cemetery operator has issued an order for interment.

Reservation* - required

Pre-Reserved Site No Reservation

Order for:* - required

First interment Re-opening Placement of ashes

Next of Kin or Secondary Interment Right Contacts

First Name* - required

Last Name* - required

Street Address* - required

Suburb* - required

State* - required

Postcode* - required

Phone Number* - required

Email Address

Relationship to the Deceased* - required

Funeral Director* - required

Email Address* - required

Arrival Time at Cemetery (HH:MM AM/PM)* - required

Please call Council's Cemeteries Desk on (02) 6767 5555 for payment or

Check box to receive an invoice for payment.

Acknowledgment/Declaration

I acknowledge that all information provided on this form is true and correct to the best of my ability.* - required

Do you consent to Tamworth Regional Council updating their records with the information provided above?* - required

Privacy Declaration

Information collected on this form is held in accordance with Privacy and Personal Information Protection Act 1998. Personal information is collected for a lawful purpose that directly relates to our primary function of providing cemetery/cremation services in accordance with the Cemeteries and Crematoria Act 2013. We will not collect any more information than is necessary to fulfil these functions. Except as necessary to carry out these functions, we will not disclose your personal information to anyone without your consent unless legally required to do so. We will take all reasonable steps to protect the security of any personal information held, be it stored in electronic or hard copy format. You may request access to your personal information held by us, except in the circumstances set out in Part 2, Division 3 of the Privacy and Personal Information Protection Act 1998.

Mandatory field(s) marked with *

Purpose of this application form

Acknowledgment/Declaration

Privacy Declaration