Please complete the death registration form when directed by our team. We have made this form entirely online for your convenience, and you can complete it at any time.
Bringing you cost effective Funeral services Sydney wide. Our phone line is available for you 24/7. Please don’t hesitate to call if you have any enquiry.
Last Known Residential Address
Date of Death
Date of Birth *
Place of Death *
Place of Birth *
Migration Date or Year
Occupation During Working Life *
—Please choose an option—YesNo
—Please choose an option—AgedInvalid / DisabilityCarersUnemployedVeterans
Aboriginal or Torres Strait Island origin
—Please choose an option—AboriginalTorres Strait IslandBoth Aboriginal and Torres StraitNeitherUnknownNot Stated
Please state all marriages including divorced or deceased spouses.
Marital Status *
Never MarriedDe FactoMarriedDivorcedWidowed
Spouse Full Name
Please enter spouse details even if they are divorced or widowed.
Place of Marriage
Age at time of Marriage
More than one marriage
—Please choose an option—NoYes
Please state all children alive or deceased including stillborn children by order of birth.
Did the Deceased have children? *
—Please choose an option—NoYesUnknown
How Many children?
Child 1 Full Name
Child 1 Life Status
Child 1 Date of Birth
Child 1 Gender
Child 2 Full Name
Child 2 Life Status
Child 2 Date of Birth
Child 2 Gender
Child 3 Full Name
Child 3 Life Status
Child 3 Date of Birth
Child 3 Gender
Child 4 Full Name
Child 4 Life Status
Child 4 Date of Birth
Child 4 Gender
Child 5 Full Name
Child 5 Life Status
Child 5 Date of Birth
Child 5 Gender
Did the deceased have more than 5 children?
—Please choose an option—NoYesUnknown
Deceased's Parents details. If any fields are unknown please write "unknown" in them.We still need these details even if they are deceased or retired. please enter unknown for any unknown items.
Mothers Full Name *
Mothers Surname from Birth *
Mothers Occupation *
EG: Home Duties, Teacher etc. Please enter A trade or type of employment even if they are deceased or retired. - please also define the main activity of this occupation
Fathers Full Name *
Fathers Surname from Birth *
Fathers Occupation *
EG: Home Duties, Teacher etc. Please enter A trade or type of employment even if they are deceased or retired. please also define the main activity of this occupation
This is the person who provided the information above and will also be receiving the death certificate.
Did the deceased have a pace maker?
Name and Address of last seen General Practitioner
We need full name and address of the doctor the deceased used regularly towards the end of life. If unknown, please write "Unknown"
If you are having a direct service Please go ahead and submit the form. If you are having a service, you can enter some of the information below.
Are you having a Service or Direct Cremation or Burial?
—Please choose an option—Direct CremationChapel ServiceDirect BurialUnsure
Preferred Date / Time for the service
Are you having the service at our Chapel in Roselands or Elsewhere?
if Else Where, please specify where you would like to hold the service?
Do you wish to Book in a Celebrant or Clergy
—Please choose an option—Yes, A CelebrantYes, a Priest or ClergyNo Thank you - We will conduct service ourselves
If you would like to book in a celebrant or Clergy for your service, please choose one of the options above.
Please feel free to upload photos here. You can upload up to 10 photos. Which can be used on your memorial photo frames or Memorial cards.
Have you made Music Selections?
—Please choose an option—Rose MahoganyMapleOther
If you have seen the Full Package inclusion Pdf in your quote, it will demonstrate the available coffin selections in your package.
Please enter the colour of flowers you would like for the floral casket cover.
Our mission is to provide the best service, care and service match for you and your family
Sydney Memorial Cremations acknowledges the Traditional Custodians of the land on which we operate. We pay our respect to their Elders past, present and future.
Our phone line is available for you 24/7.
1300 491 759
We service the entire Sydney metropolitan area, we also conduct services from Newcastle through to the Shoalhaven area.
© 2023 Sydney Memorial Cremations. All Rights Reserved