Pinjarra Cemetery

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Details of Deceased

Name: *

Date of Death: *

Date of Burial: *

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Grave Details

Denominational Ground: *

Select an Option Garden Granite Niche Wall Limestone Plinths Garden Memorial Wall Non Denominational Lawn Cemetery Other

Section:

Plot: *

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Grant of Right of Burial Details

Holder of Grant Name: *

Holder of Grant Address *

Date Issued: *

Please Upload a Copy of the Grant and Written Consent from Grant Holder: *

Maximum size of ALL attachments is 976.56 MB

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Monument Permit Application

Name of Company: *

Address: *

Contact Person: *

Contact Number: *

Email Address: *

Quoted Cost:

Date of Quote:

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Nature of Work

Please Note:
All monuments must conform to the Pinjarra Cemetery Local Law 2006.
All Monuments should be constructed to a standard that lasts for a period of 50 years (GROB and Renewed GROB).

The project will entail: *

Adding further inscription
Renovating or Adding Further Work
Installing a New Monument/Memorial
Other

Please Upload Plans and Specifications: *

Maximum size of ALL attachments is 976.56 MB

Name of signatory: *

Date:

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Type the code from the image:

 

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In Person

Download the Monument Permit Application

Visit us with the completed form, payment and supporting documents:

Shire of Murray Administration Office, 1915 Pinjarra Road, Pinjarra 6208 View Map

By Post

Download the Monument Permit Application

Online

Navigation

• Introduction
• Details of Deceased
• Funeral Details
• Grave Details
• Declaration
• Submit Response

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

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Note: Incomplete forms are kept for a period of 2 day(s), after this time the system will automatically delete your response.

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Details of Deceased

Name *

Gender *

Male
Female
Undisclosed

Date of Birth: *

Age *

Occupation

Birthplace: *

Date of Death: *

Place of Death: *

Last Place of Residence: *

Select as Appropriate: *

Sudden Death
Coroner's Case
Not Applicable

Cause of Death: *

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Funeral Details

Funeral Director *

Contact Number *

Burial Date *

Burial Time *

Funeral Starting Location *

Name of Celebrant/Minister Officiating at Grave *

Please upload Certificate of identification (or, if applicable, form from the funeral director in lieu)

Maximum size of ALL attachments is 976.56 MB

Please upload Doctor’s certificate for burial or disposal of the dead body or coroner’s order for burial

Maximum size of ALL attachments is 976.56 MB

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Grave Details

Reserved Grave *

YesNo

Grant of Right of Burial Number (if applicable)

Denominational Ground *

Select an Option Garden Granite Niche Wall Limestone Plinths Garden Memorial Wall Non Denominational Lawn Cemetery

Coffin Size *

Date of Last Interment (if applicable)

Name of Last Interment (if applicable)

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Declaration

To the best of my knowledge the answers given to the questions above are true.

I am *

The Executor of the Deceased
Nearest Surviving Relative of the Deceased
Other

Name *

Contact Number *

Email Address *

Address *

Name of signatory *

Date *

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Validate and Submit Form

Type the code from the image:

 

Get Audio Code

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In Person

Download the Burial Application form

Visit us with the completed form, payment and supporting documents:

Shire of Murray Administration Office, 1915 Pinjarra Road, Pinjarra 6208 View Map

By Post

Download the Burial Application form

Site Options

Single and double sites are available.

Cemetery sections include:

• Garden Granite Niche Wall
• Limestone Plinths
• Garden Memorial Wall
• Non Denominational
• Lawn Cemetery

Plaques

Our Cemetery Officer is available to discuss the standard sizes and types of plaques available, provide quotations and order the plaque.

Please contact our Cemetery Officer:

9531 7777

mailbag@murray.wa.gov.au

Burial Times

• Tuesday to Friday 8:00am to 2:30pm
• Saturdays, Sundays and Public Holidays (other than Christmas Day and Good Friday) 8:30am to 11:00am

Terms for Burial Rights

Grants of burial rights are issued for a term of 25 years.

Exclusive burial rights can be granted for up to five graves to any person.

Burial Right Grant Renewals

The term for burial rights may be renewed for an additional 25 years from the expiry of the initial term.

An application may be made at any time during the term of the grant. 

An application for further renewals must be made within six months before or after the expiry of the grant.

Replacement of Burial Rights Grant

A written request must be made by the holder of the grant and evidence proving that the grant was lost, stolen or destroyed i.e. a statutory declaration, must accompany the request.

The request must be made to the attention of the Cemetery Officer and can be submitted:

By email:

mailbag@murray.wa.gov.au

In person:

Shire of Murray Administration Office, 1915 Pinjarra Road, Pinjarra 6208 View Map

By post:

PO Box 21, Pinjarra WA 6208

Transfer of Burial Rights Grant

Please contact our Cemetery Officer:

9531 7777

mailbag@murray.wa.gov.au

Exercising the Rights of a Burial Rights Grant Holder

If the holder of a grant is unavailable or has passed without bequeathing the grant by will, a statutory declaration must be submitted by the person seeking authority to exercise the rights of the grant holder.

The declaration must show that this person has the right to exercise the rights and knows of no other person having a prior or equal right or in the case of a Funeral Director, that has the permission of the holder or other person entitled to the grave.

Interment Options

• Niche Wall
• Garden Memorial Wall
• Limestone Plinth
• A grave
• Special monuments
• Scattered into the winds

Sites can be chosen by the family or a Cemetery Officer can nominate a site.

Ashes can be collected from the funeral home and kept on premises prior to interment.

Plaques

Our Cemetery Officer is available to discuss the standard sizes and types of plaques available, provide quotations and order the plaque.

Please contact our Cemetery Officer:

9531 7777

mailbag@murray.wa.gov.au

Online

Navigation

• Introduction
• Declaration
• Submit Response

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

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Declaration

In support of such Application, I declare as follows:

That all deceased will be enclosed in a substantial coffin bearing the name of the deceased person stamped or indelibly inscribed in legible characters on a metal plate on the coffin’s lid.

The casket will be obtained from any one of the following:

Business One Name: *

Business One Address: *

Business Two Name:

Business Two Address:

Business Three Name:

Business Three Address:

That the vehicle used to transport the body and coffin within the Cemetery is a suitable vehicle of the following description:

Make: *

Model: *

Year: *

In the event of a Licence being issued, I will comply with the provisions of the Pinjarra Cemetery Local Laws.

Funeral Director: *

Name and Surname:

Email: *

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Validate and Submit Form

Type the code from the image:

 

Get Audio Code

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In Person

Download the Application for Funeral Directors License

Visit us:

Shire of Murray Administration Office, 1915 Pinjarra Road, Pinjarra 6208 View Map

By Post

Download the Application for Funeral Directors License

Post the completed from to:

PO Box 21, Pinjarra WA 6208