Funeral Application Form

Research Services >> Funeral Application Form

The Metropolitan Cemeteries Board is able to supply original Funeral Application Forms for records over 25 years old (Note: At the moment, this service is unavailable for records relating to Fremantle Cemetery).

This service is used by genealogists and anyone wishing to research their family tree. The form contains various facts; for example:

Last address of the deceased
Name of the funeral director
Date of the funeral
Date of death
Age of deceased
Name of the applicant for the funeral
Name of any clergy officiating.

To purchase, complete the form below and return it to us with your payment.

Your name___________________________________________________

Address___________________________________Postcode___________

Telephone (Work)__________________(Home)______________________

E-mail_______________________________________________________

Name of Deceased_____________________________________________

Post form to me:

E-mail form to me:

(Please use our search facility to accurately identify the deceased.)

Total number of forms required: _____

Total payment owing: ___ forms @ AUD$5.50 each including GST AUD$______

Method of payment: Cheque__________ Money Order_______________

Credit card:

Name of cardholder:

Bank or financial institution:

Credit card number:

Expiry Date:

Please forward this form with your payment by post to:

Metropolitan Cemeteries Board
PO Box 53
Claremont WA 6910
Australia

Or, (if paying by credit card), fax to: (08) 9384 9273.