Name: Direct Cremations WA
Address: Unit 1/214 South St, White Gum Valley, WA, 6162, AU
Telephone: 0412 910 421
Price range: $

🟢 We’re Available 24/7

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Cremations
- Direct Unattended Cremation
- Direct Unattended Cremation With Viewing
About Us
Terms
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- Privacy Policy
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Contact Us

Home
Cremations
- Direct Unattended Cremation
- Direct Unattended Cremation With Viewing
About Us
Terms
- Terms & Conditions
- Privacy Policy
Advice
Contact Us

CALL 0412 910 421

Application for Unattended Direct Cremation

Application for Permit to Cremate, Instructions for Ashes, Sixth Schedule and Death Registration.

Full Legal Name of the Deceased

Email Address

Phone Number

Date of Birth

Age

Gender

Male Female N/A

Place of Birth

Residential Address

Year They Arrived in Australia (if not since birth)

Occupation During Life

Marital Status

Married Divorced Widowed Never Married Unknown

Does The Deceased Have Children?

Yes No Don't Know

Name of Mother of the Deceased

Mother's Occupation

Name of Father of the Deceased

Father's Occupation

Usual Doctor/GP if known

Date of Death

Place of Death

Home Hospital Aged Care Facility Other

Has the Coroner conducted an investigation into the death of the deceased?

Yes No Don't Know

Full Name of Applicant

Address of Applicant

I certify that the information provided is, to the best of my knowledge and belief, true and correct for the purpose of being inserted in the Register of Deaths.

Contact Us

Direct Cremations are happy to answer any questions you may have.

We are here to provide support during a difficult time.

office@directcremationswa.com.au

0412 910 421

Home
Cremations
- Direct Cremations
About Us
Terms
- Terms & Conditions
- Privacy Policy
Advice
Contact Us

Direct Cremations make it easy to deal with death. Our aim is to help families in need with an affordable cremation option. We help families when they need it the most.

Contact Information

PO Box 1191
Bibra Lake WA 6965
office@directcremationswa.com.au
Call 0412 910 421