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Alexandrina Council Policy – Public Cemeteries and Memorials Policy Page 1 of 29 CEMETERIES AND MEMORIALS POLICY First Approved December 2014 Review Frequency Biennial or as required Status Council Policy Last Reviewed July 2016 Next Review Due July 2018 File Number 18.63.002/ PL2016 ……… Related Documents LGA ‘Guide for Councils to the Burial & Cremation Act 2013’ Management Plan Guidelines for South Australian Cemeteries (2005) Cemetery and Memorial Information & Guidelines Cemetery and Memorial Brochure Memorial Application Form Roadside Memorial – Notice for Removal Alexandrina Council Fees and Charges Alexandrina Council By-Law No.2 – Local Government Land Applicable Legislation Burial and Cremation Act 2013 (the Act) Burial & Cremation Regulations 2014 (the Regulations) Local Government Act 1999 Development Act 1993 Heritage Places Act 1993 Unclaimed Goods Act (SA) 1987 Definitions Words and phrases used in this policy have the same meaning as they do in the Burial and Cremation Act 2013 and the Burial & Cremation Regulations 2014. Purpose This policy outlines Alexandrina Council’s objectives in respect of Council owned and operated cemeteries, with regard to the Burial and Cremation Act 2013 (the Act) and the Burial & Cremation Regulations 2014. Council recognises that these community cemeteries are also the resting place of many of the district’s pioneers and respected citizens and will efficiently and effectively manage them in a caring and equitable manner that meets the needs of the community. The policy applies to the following cemetery facilities owned or operated by Council: Currency Creek Cemetery, Peel Road, Currency Creek Hindmarsh Island Cemetery, Randell Road, Hindmarsh Island Langhorne Creek Cemetery, Lee Road, Langhorne Creek Milang Cemetery, Landseer Road, Milang Mount Compass Cemetery, Arthur Road, Mount Compass Port Elliot / Middleton Cemetery, Lines Road, Port Elliot Strathalbyn Cemetery, Parker Avenue, Strathalbyn Woodchester Cemetery, Dalveen Road, Woodchester. Principles All existing interment reservations issued by Council prior to the development of this policy, will be honoured by Council and renewal of interment rights will have regard to the basis on which the original burial sites have been allocated. Cemeteries will not be segregated into areas based on religion or ethnicity in accordance with s.22 of the Act, but Council will have regard to the customs and specific needs of all those who apply for an

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Page 1: CEMETERIES AND MEMORIALS POLICY - … · Cemeteries and Memorials Policy Page 1 of 29 CEMETERIES AND MEMORIALS POLICY First Approved December 2014 Review Frequency Biennial or as

Alexandrina Council Policy – Public

Cemeteries and Memorials Policy

Page 1 of 29

CEMETERIES AND MEMORIALS POLICY

First Approved December 2014 Review Frequency Biennial or as required

Status Council Policy

Last Reviewed July 2016 Next Review Due July 2018

File Number 18.63.002/ PL2016 ………

Related Documents LGA ‘Guide for Councils to the Burial & Cremation Act 2013’ Management Plan Guidelines for South Australian Cemeteries (2005) Cemetery and Memorial Information & Guidelines Cemetery and Memorial Brochure Memorial Application Form Roadside Memorial – Notice for Removal Alexandrina Council Fees and Charges Alexandrina Council By-Law No.2 – Local Government Land

Applicable Legislation Burial and Cremation Act 2013 (the Act) Burial & Cremation Regulations 2014 (the Regulations) Local Government Act 1999 Development Act 1993 Heritage Places Act 1993 Unclaimed Goods Act (SA) 1987

Definitions

Words and phrases used in this policy have the same meaning as they do in the Burial and Cremation Act 2013 and the Burial & Cremation Regulations 2014.

Purpose

This policy outlines Alexandrina Council’s objectives in respect of Council owned and operated cemeteries, with regard to the Burial and Cremation Act 2013 (the Act) and the Burial & Cremation Regulations 2014. Council recognises that these community cemeteries are also the resting place of many of the district’s pioneers and respected citizens and will efficiently and effectively manage them in a caring and equitable manner that meets the needs of the community.

The policy applies to the following cemetery facilities owned or operated by Council:

Currency Creek Cemetery, Peel Road, Currency Creek

Hindmarsh Island Cemetery, Randell Road, Hindmarsh Island

Langhorne Creek Cemetery, Lee Road, Langhorne Creek

Milang Cemetery, Landseer Road, Milang

Mount Compass Cemetery, Arthur Road, Mount Compass

Port Elliot / Middleton Cemetery, Lines Road, Port Elliot

Strathalbyn Cemetery, Parker Avenue, Strathalbyn

Woodchester Cemetery, Dalveen Road, Woodchester.

Principles

All existing interment reservations issued by Council prior to the development of this policy, will be honoured by Council and renewal of interment rights will have regard to the basis on which the original burial sites have been allocated.

Cemeteries will not be segregated into areas based on religion or ethnicity in accordance with s.22 of the Act, but Council will have regard to the customs and specific needs of all those who apply for an

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interment permit. In considering applications and/or renewal of interment rights Council will have regard to:

the Cemetery’s local historical significance as a burial place for many of the pioneers of the area

the need for each cemetery site to be managed and maintained at a standard consistent with its significance and as an important family memorial place

remaining interment sites available, recognising relatives of people already interred in the cemetery, people with a long association to the area, and those who have made contributions to the well-being and social fabric of the community.

Issue of Interment Rights

Interment rights may be granted by Council for one or more sites within a cemetery on completion of an application and payment of the appropriate fee. The interment right gives the holder the exclusive right to bury or inter human remains in the allotted site. The holder of the interment right (Attachment 1) may use the site only for interment of human remains consistent with this Policy and the Burial and Cremation Act 2013. Council will not grant interment rights in perpetuity.

Interment rights may be issued for the following:

Grave sites (for new interments) for a dual depth system of burial.

The site can be used to accommodate family members and the term of the interment right is 50 years with renewal rights for a second period on the application of an interment right holder or authorised person. (See s.30 of the Act.)

Natural Burials

While no dedicated natural burial site is available in the Alexandrina area, natural burials can be undertaken in all Alexandrina Cemeteries. The use of a headstone is at the discretion of the individual.

Mausoleum

Council may approve an application for construction of an above ground structure subject to Council specifications.

Memorial or niche walls

The term of an interment right for ashes, in a memorial or niche wall is for a period of 50 years with a second period available on the application of an interment right holder or authorised person. (See s.30 of the Act.)

Vaults

Council may on application approve the construction of a water tight vault (distinct from a mausoleum) of either single or dual capacity depth. Approval will be subject to soil and ground water conditions, design and specifications. Construction will be in accordance with the specifications provided and subject to supervision of Council’s building supervisor or a contractor approved by Council. (See s.30 of the Act).

Scattering of ashes

No interment right or Council approval is required for scattering of cremated remains on private or public land. However, Council request that sensitivity and consideration be shown to the community, residents and visitors in the immediate area when undertaking this process.

Comment [JG1]: This is contrary to the Local Government Land – By-law 2. Should the draft by law be changed to

reflect this?

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The scattering of ashes in cemetery grounds within the Alexandrina Council area is not permitted. Ashes contained within an urn, may be positioned as per the Memorial or niche walls section above, and upon application of internment right (See s.36 of the Act).

Renewal or Transfer of Interment Rights

Renewal

At the end of the interment right period Council may, on application of the interment right holder or an authorised person, renew or extend an interment right on payment of an appropriate fee. (See s.32 of the Act).

Transfer or surrender of interment rights

A person/family holding an interment right for an unused burial site or memorial wall may seek approval of Council to surrender (s.34 of the Act) or transfer (s.33 of the Act) the right to another person/family (See Attachment 2). Council will not unreasonably withhold its approval however, administrative fees for the surrender, formal transfer and recording in Council’s register will be at the cost of the holder of the interment right in accordance with Schedule 1 of the Regulations.

Lost documentation

Council may issue a copy/replacement of an interment right certificate upon receipt of a Statutory Declaration by the interment right holder or an authorised person which sets out the circumstances in which the formal documentation was lost.

Reuse of Interment Sites

In the event that a right of interment is not renewed, Council will take reasonable steps, in writing, to advise a holder of the right of the impending expiration of the right twelve months prior to its expiration. If the holder of the right does not renew the interment right by the expiration date:

for a burial site: the interment site is deemed to have expired and Council has the right to reuse the site in accordance with the legislation

for an ashes interment site: the holder of the interment right may:

o instruct the Council to move the interment remains to an unmarked location in the cemetery

o collect the remains for private disposal.

Council has the right to reuse the site in accordance with the legislation.

Disposal of Human Remains

On rural land

Alexandrina Council does not allow/permit any burial of human remains on private land. All burials within the Alexandrina Council district must be undertaken within a cemetery.

Documentation

All applications for a right to inter human remains in a Council cemetery must be accompanied by appropriate documentation in accordance with s.12 of the Act and Regulation 9 of the Regulations. Council cannot allow disposal of human remains without seeing (and recording the details of):

a certificate of identification for the body, and

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a partial certificate of cause of death, or

a disposal authorisation, or

an authorisation to dispose of human remains granted by the Minister or the Registrar under s.12 of the Act.

All interments in Council owned/operated cemeteries are to be approved by Council using the application form (see Attachment 3). Interments are to be undertaken by the funeral company specified on the Burial Authority. Preparation of the interment site is to be undertaken by Council or a contractor authorised by the Council.

Register/Records & Plans

Under s.53 of the Act, the Council as the relevant authority, must maintain and make available to the public, documentation for each cemetery.

Copies of the registers and plans of the cemetery are available for inspection by members of the public during normal Council office hours.

Access to an interment site

A holder of an interment right (including those who have existing Interment Rights) is required to comply with the Act and the approval given by Council, prior to:

interment of human remains in a cemetery

reopening an interment site containing bodily remains

removing or relocating human remains.

The process of excavating and/or modification of a site must be undertaken by a Council employee or a contractor approved by the Council. Confirmation of a burial site must be verified by Council’s Administration prior to any excavation or other work on the site.

Memorials within Cemeteries

Headstones or Plaques

All headstones, monuments, structures and plaques, require Council approval prior to erection within a cemetery. The maximum headstone height permitted will be no greater than 1m high. Applications for headstones exceeding this height will be assessed on a case by case basis and the decision will be at the discretion of the Cemetery Curator. Only Council approved contractors may manufacture headstones within the cemeteries. Unapproved headstones, monuments, structures and plaques may be removed by the Council.

Fees for a Memorial Licence/Permit is stated in the Council’s Fees and Charges Schedule.

Memorials erected on lawn cemetery allotments shall consist of a headstone only which shall not exceed a height of 0.84 metres and a depth of 0.3 metres and each headstone shall have a maximum width of 1.2 metres.

Installation of headstones or plaques

Only Council staff or a contractor approved by Council shall install a headstone or plaque.

Removal of Top Stones

Council will not remove top stones erected as part of a memorial for the interment of additional bodies or cremated remains. Removal arrangements must be made through a nominated stone mason, as

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approved by the Funeral Director carrying out the burial. Removal costs of top stones will be the responsibility of the Funeral Director.

Ornaments

The placement of ornaments, trinkets or tributes adjacent to a site is not permitted. Flowers and wreaths may be placed on sites. The council has the right to remove any unattached ornament, trinket or tribute, broken masonry, decayed or broken wreath or dead flowers, cut down or removal any plant on any site within the cemetery grounds that is, in the opinion of Council’s Cemetery Curator or authorised Council employee, unsightly, offensive or overgrown.

Where a removed item may, in the opinion of the Council, be of some value to the Interment Right Holder, it will be recorded within the cemetery register and placed in storage for a period of three (3) months from the date of removal. Council will (so far as the Interment Right Holder can be located by reasonable endeavours) notify the Interment Right Holder of the items removed from the cemetery. If contact is unable to be made between Council and the Interment Right Holder, after the period of three (3) months from the date of removal, the items will be disposed of at Council’s discretion.

Alcohol Containers

Alcohol beverages and/or containers (full or empty) are not permitted to be placed on sites within the cemetery grounds.

Plantings

No plantings on memorials or within the cemetery shall take place, without the prior consent of Council.

Lighting

Solar powered lights or spikes on individual sites are prohibited.

Ownership and maintenance of memorials

The ownership of plaques, monuments and other approved structures remains with the interment right holder. The Council is not responsible for the upkeep, repair or maintenance of any memorial. In accordance with s.41 of the Act, the Council may issue a notice on the owner of a memorial requiring repairs, removal or reinstatement of the memorial. Council may remove any structure deemed to be unsightly, in poor condition or dilapidated or repair it consistent with s.41 of the Act at the owner’s cost.

Power to dispose of unclaimed memorials

Council may, after giving notice in accordance with s.42 of the Act, remove and dispose of the memorial.

Community Memorials

The Alexandrina Council manages over 250 parks, reserves and other areas of public open space. These areas often hold a special significance for those that live near them, use or have involvement in their management or maintenance.

This results in Council receiving many requests for the placement of commemorative plaques and memorials in public open space. Council will consider the balance between the desire to commemorate events or individuals and the ongoing enjoyment of natural, uncluttered open areas before any decision is made. Any existing plaque or memorial cannot be taken as a precedent for future approvals.

Alexandrina Council provides the following memorial options:

Community Memorial Bricks

These are engraved with a message in memory of a loved one is available to all members of

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the public at the following designated scenic locations:

o Goolwa – Richard Ballard Reserve, Liverpool Road o Middleton – The Esplanade, Corner Padman Crescent & The Esplanade o Port Elliot – Green Bay, access via The Esplanade or the pathway over Green Bay o Strathalbyn – Soldiers Memorial Gardens, Corner Albyn Terrace & Sunter Street

Council will not be held responsible for:

o damaged or vandalism that occurs to memorial bricks o maintenance of the bricks o replacement of worn or ageing bricks

Applicants are responsible for the arrangement of any replacement through the Council.

As each Memorial Brick site has reaches full occupancy, the site will remain in place for a period of 10 years from the date the last brick was laid. After this time, Council maintains the right to remove the site in full to utilise the area as required.

No new sites will be established once the above Memorial Brick sites are full. Once full, community memorial options will only be available within Council’s Cemeteries.

Memorial Seats

Alexandrina Council does not generally support memorial seats within the district, unless the individual has made a significant contribution to the local area. Applications for the installation of a memorial seat may be submitted to the Council in writing, detailing:

the name of the person(s) to be commemorated

the proposed inscription / text to be used on the plaque

the preferred location of the seat

a summary of the reasons for commemorating the individual (eg outlining their service to the community, achievements) and the contribution they have made to the Alexandrina Council district.

The request will be subject to approval by Council at the next available Council meeting. Successful applicants will be responsible for all costs incurred, including the purchase of the seat, the plaque required and all ongoing maintenance.

The plaque will be sourced through Council’s plaque supplier and be made of bronze. Council reserves the right to approve or amend the proposed inscription to be used and the location of the plaque, in consultation with the applicant.

Personal items are not to be placed or fixed to the memorial seat or placed at the base of the seat.

All care will be taken to maintain and care for the seats, however if the seats or plaques are vandalised or damaged, Council will not take responsibility for the damage. Council may repair or remove the seat if deemed unsafe or irreparable, but any cost associated in the repair or replacement will be the responsibility of the Applicant.

Any memorial plaque and/or memorial seat deemed by the Council to be at the end of its useful life will be removed by the Council.

Any new memorial plaque placed on a memorial seat after 1 May 2016, will only be permitted for a period of 10 years. After this time Council has the right to remove the plaque to allow the seat to be re-used for other memorialisation purposes. Council will (so far as the original Applicant can be located by reasonable endeavours) notify the Applicant of the item removed from the memorial seat. If contact is

Comment [JG2]: This decision has been made by GM – not sure if it has been

discussed by EMs.

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unable to be made between Council and the Applicant, after the period of three (3) months from the date of removal, the items will be disposed of at Council’s discretion.

Council reserves the right to remove the seat and/or plaque, if the seating is situated in an area to be redeveloped or the site changes significantly in character and the item is not deemed suitable for the site.

No new memorial or plaque will be considered which commemorates a person, event or occasion that is already memorialised within the district, unless there are exceptional circumstances.

Roadside Memorials

Roadside memorials, including temporary memorials, will not be permitted on roads located within the Alexandrina Council district. Any temporary memorials found on roadsides will have a “notice for removal” placed on the site to inform the responsible person that it is not allowed and must be removed within 60 days from the date of the notice. If there is failure to remove the memorial within the allocated timeframe, Council will remove the memorial and store for a period of 30 days. If unclaimed, the items will be disposed of in accordance with the Unclaimed Goods Act (SA) 1987.

Studies have found that roadside memorials can:

o cause distractions to road users o cause distress to members of the public o affect the quality of life of nearby residents and adjoining land owners.

Alternatively, Council offers memorial options within Council’s cemeteries, with or without the need to inter human remains.

Service fees and charges

Each financial year Council will review costs for services provided at cemeteries and natural burial grounds as part of the budget process. These costs are documented in the Alexandrina Council Fees and Charges document available on the Council’s website www.alexandrina.sa.gov.au.

Neglected Cemeteries

If Council is of the opinion that any non-Council (eg church) cemetery within the Council area is in a neglected condition or fails to comply with the requirements of the Act the Council may, by notice in writing, require the governing body to remedy the conditions of neglect or non-compliance (see s.46 of the Act).

The Authority on which the notice is issued can apply to the District Court for a review of the decision.

Authorised Officers

Council may appoint authorised officers to ensure administration and enforcement of s.59 of the Act.

Documentation

To assist in demonstrating that above processes are fair, transparent and accountable, cost effective and meet community needs, all decisions made, procurement undertaken and other related correspondence in relation to the management of Council cemeteries and memorials will be documented and recorded into Council’s Information Management System.

Availability of Policy

This Policy and the Register of Cemeteries will be available for inspection at the Council’s offices during normal business hours and on Council’s website www.alexandrina.sa.gov.au. Copies can also be

Comment [JG3]: Contentious issue – have EMs discussed?

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provided to interested members of the community upon payment of a fee in accordance with Council’s Schedule of Fees and Charges.

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Attachment 1 File: Doc:

Cemetery Interment Right

Interment Right Number: Date of Issue: Expiry Date:

Alexandrina Council hereby grants interment rights to

(insert full name(s))

of

(insert residential address & postal address if different)

For the exclusive right of interment of human remains / interment of cremated human remains / memorialisation with or without human remains as detailed below for a term of 50 years:

Cemetery Name: Allotment Number: Section: Type of Licence:

The Interment Right is granted in accordance with the Burial and Cremation Act 2013 and is subject to the rules of the Authority which are in force during the term of this interment right. The interment right can be extended for a further 25 year period, only in the last remaining 5 years of the existing Interment Right, subject to payment of an approved fee. The Interment Right Holder or an authorised person can apply to have the Interment Right transferred to another party at any time as required. For

Simon Grenfell Curator of Cemeteries

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Attachment 2

APPLICATION FOR THE TRANSFER OF INTERMENT RIGHT

Cemetery Name:

Section: (please tick relevant box) General Section Memorial Gardens Niche Wall Lawn Section

Plot Number:

Interment Right / Lease Number:

IMPORTANT

Please select and complete all details for either “Section A” (current interment right holder/s) Or “Section B” (authorised person) below and sign in front of a JP on page 2.

Section A

I, the current registered interment right holder, do solemnly and sincerely declare that:

I, (full name) ______________________________________ (date of birth) _______________ of (address) _________________________________________________________________ (telephone) __________________________ (mobile) _____________________________ (email) ___________________________________________________________________ (And) I, (full name) ______________________________________ (date of birth) _______________ of (address) _________________________________________________________________ (telephone) __________________________ (mobile) _____________________________ (email) ___________________________________________________________________ do hereby authorise the transfer of my rights, title and interest in this interment right.

OR

Section B

I, the authorised person, do solemnly and sincerely declare that: I, (full name) ______________________________________ (date of birth) _______________ of (address) _________________________________________________________________ (telephone) __________________________ (mobile) _____________________________ (email) ___________________________________________________________________

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Being a person having the right to exercise a Power of Attorney for the interment right holder. (Please attach a copy of the Power of Attorney or other evidence documents) OR

Being a person entitled to exercise the rights granted to the interment right holder upon the interment right holder’s death, and being the highest ranking person of entitlement in relation to the deceased interment right holder, and having provided proof of my identity (Council has the right to determine the criteria to determine the relationship and entitlement of any person claiming a substituted right) do hereby request the interment right to be transferred to the new interment right holder as detailed below.

PLEASE NOTE:

This section below must be signed in front of a Justice of the Peace or Commissioner of Affidavits

I, the CURRENT INTERMENT RIGHT HOLDER/S or AUTHORISED PERSON, understand that the said interment right (Interment Right Number: ) is unencumbered and I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Oaths Act 1936.

Signed: ___________________________________________ (interment right holder of authorised person) Signed: ___________________________________________ (Interment right holder 2 – if

applicable)

Declare and subscribed at ______________________________________________________________ this ___________________________________ day of ____________________ Year ______________

Before me (Full Name) _________________________________________________________________

A Justice of the Peace or Commissioner for Affidavits

(Signed JP/Commissioner) ____________________________________________________________

NEW INTERMENT RIGHT HOLDER (1 ONLY – PLEASE INSERT FULL DETAILS)

Title: Dr Mr Ms Mrs Miss

Full Name: __________________________________________________________________________

of: _________________________________________________________________________________

Suburb: ___________________________________ State: _________________ Postcode: _________

Date of Birth: _________________________________________________________________________

Tel (W) ___________________________________ Tel (H) ____________________________________

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Mobile ______________________________________________________________________________

Email: ______________________________________________________________________________

hereby accept the transfer of the above interment right to my name.

NEW INTERMENT RIGHT HOLDER TO SIGN – not in front of JP

I ____________________________________________________ (Full name of new interment right holder)

Signed: _______________________________________________________ Date: ________________

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Attachment 3

INTERMENT NOTICE Burial Application

This form must be completed by the interment right holder or a person authorised to exercise the interment right in accordance with Section 35 of the Burial and Cremation Act 2013 (see overleaf).

DECEASED DETAILS: Full Name: Former Address: Post Code:

Date of Birth: Date of Death: Age:

Religion:

Officiating Clergyman:

The deceased person died of natural causes: Yes No

Authorisation for the Certificate of Identification was issued by:

BURIAL / INTERMENT - INSTRUCTION DETAILS: Date of Burial:

Time of Burial:

Graveside Service: Yes No Special Request:

Coffin/Casket Size (please provide exact measurements):

Coffin Type (Casket / Coffin etc.)

Interment Depth (tick one) Single depth Double depth Triple depth

Re-open: Yes No If Yes, Name of Person(s) Currently Buried:

CEMETERY LOCATION DETAILS: Cemetery Name:

Section: i.e. General / Lawn Section / Children’s Section etc

Lot Number

Name of Persons Currently Buried:

Interment Right: Council to issue New Interment Right for a new site? Yes If yes, please complete the Application for New Interment Right and return to council with this form.

OR Interment Right / Lease already exists? Yes

Interment Right Number:

Interment Right Holder(s) Name:

Interment Right Holder Current Address:

Interment Right Holder Postal Address:

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Relationship to Deceased:

FUNERAL DIRECTOR DETAILS: Company Name:

Funeral Director Contact Name:

Address:

Postal Address:

Phone: Fax: Mobile:

Email:

I acknowledge that I have read and understand my rights and responsibilities and declare that I am the Interment Right Holder or a person authorised to exercise the interment right in accordance with the conditions listed below. Furthermore, I hereby authorise for the above burial interment to take place. Please forward any accounts for burial charges and any associated Interment Right (Lease) fees to me at the above address.

Signature: Date:

NB Copies of documentation which meet the requirements of section 12.2 of the Burial and Cremation Act 2013 and Regulation 9 must be provided. Attached Yes No

Your rights and responsibilities: New interment right

If a new interment right is being requested in order to facilitate this burial, the Authorised Person

will become the interment right holder.

In signing this Burial Authority, the Authorised Person acknowledges receipt of a Statement by

the Funeral Director if a new interment is required.

An interment rights will only be granted to one interment right holder.

Authority to exercise the interment right

Only the interment right holder may exercise an interment right, provided that if the interment

right holder is deceased the interment right may be exercised by the person representative of the

deceased interment right holder (by definition the Executor or Administrator of the Deceased

Estate) in accordance with section 35 of the Burial and Cremation Act 2013.

If there is no personal representative the interment right may be exercised in accordance with

regulation 32 of the Burial and Cremation Regulations 2014 as follows:

o by the spouse of domestic partner of the deceased interment right holder; or

o if there is no surviving spouse or domestic partner – by the eldest living relative of the

deceased interment right holder in the following descending order of priority:

a child;

a grandchild or great-grandchild;

a brother or sister;

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a parent;

a grandparent;

an aunt or uncle;

a nephew or niece;

a cousin;

any other blood relative

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Attachment 4

REQUEST FOR NEW INTERMENT RIGHT

Applicant Details: Interment Right Holder 1 Name: Address: Post Code:

Postal Address: Phone: Mobile:

Email:

Interment Right Holder 2 (If applicable) Name: Address Post Code:

Postal Address

Phone: Mobile:

Email:

Cemetery / Location of Grave: Cemetery Name:

Section: i.e. General Section, Memorial Gardens, Niche Wall, Lawn Section

Lot Number (if known):

General Information: Are you a property owner or resident within the Alexandrina Council District? Yes

No

If you are not a property owner or resident within the Alexandrina Council District,

please give reasons for choosing a cemetery allotment in Alexandrina Council:

I hereby request a 50 year Cemetery Interment Right as detailed above and declare that all

information provided on this form is true and accurate. Any accounts for the relevant fees

& charges are to be forwarded to me at the above postal address (shown on Interment

Right Holder1).

Interment Right Holder 1

Full Name:

Signature: Date:

Interment Right Holder 2

Full Name:

Signature: Date:

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Attachment 5

APPLICATION FOR INTERMENT OF ASHES

Applicant Details: Full Name: Address: Post Code:

Postal Address: Phone: Mobile:

Email: Relationship to Deceased:

Deceased Details: Full Name: Date of Birth: Date of Death:

Age:

Former Address:

Religion:

Cemetery / Location of Grave: Cemetery Name:

Section: i.e. Memorial Garden / Niche Wall / Burial Plot/ Other

Lot Number

Interment Right Details: Council to issue New Interment Right for a new site? Yes If yes, please complete the Application for New Interment Right and return to council with this form.

OR Interment Right (Lease) already exists? Yes

Interment Right (Lease) Number:

Interment Right Holder Name:

Residential Address:

Postal Address (if different to above):

Contact Details: Ph: Mobile:

Email:

Interment Details: Current location of ashes (i.e. family member/ funeral director):

Does the family wish to be present when the ashes are interred? Yes No Is the plaque required before the ashes are interred? Yes No If Yes, a Plaque Request Form must accompany this form

Plaque Request Form Attached: Yes No Note: All interments into Niche Walls require a plaque prior to the ashes being interred.

NOTE: Interments of ashes are conducted between Monday-Friday 9am-4pm. A Council employee must be present at the time of interment. Council will contact you once this request has been processed to arrange a suitable date & time for the interment of ashes

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I hereby authorise the above interment of ashes into the nominated Cemetery as detailed above and declare that all information provided on this form is true and accurate. Any accounts for the Interment of ashes or plaques (if applicable) are to be forwarded to the above applicant’s postal address.

Applicant Name:

Applicant Signature: Date:

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Attachment 6

PLAQUE REQUEST FORM For Currency Creek, Mount Compass, Port Elliot and Hindmarsh Island Cemetery

Applicant Details: Name: Address: Post Code:

Postal Address: Phone: Mobile:

Email:

Deceased Details: Name: Date of Birth: Date of Death:

Age:

Cemetery / Location of Grave: Cemetery Name:

Section: i.e. Memorial Gardens, Niche Wall, Burial Plot

Lot Number

Interment Right Details: Council to issue New Interment Right for a new site? Yes If yes, please complete the Application for New Interment Right and return to council with this form.

OR Interment Right (Lease) already exists? Yes

Interment Right (Lease) Number:

Interment Right Holder Name:

Residential Address:

Postal Address (if different to above):

Contact Details: Ph: Mobile:

Email:

Interment Details: (If Applicable) Are cremated remains required to be interred? Yes No If Yes, an application for Interment of Ashes NOTE: Interment of Ashes are conducted between Monday - Friday between 9am–4pm. The interment date & time is to be pre-arranged with Council prior to ashes being interred. Council will contact you once this application has been processed to arrange a suitable date & time with you.

Current location of ashes (i.e. family member/ funeral director):

Does the family wish to be present when the ashes are interred? Yes No Is the plaque required before the ashes are interred? Yes No

Note: All interments into Niche Walls require a plaque prior to the ashes being interred.

Please provide details for plaque overleaf

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PLAQUE DETAILS: Character Limitations Apply:

Currency Creek Memorial Gardens & Mount Compass Niche Wall (Bronze Plaques Only) Maximum Lines: 16 Lines Maximum Characters: 42 characters per line Plaque Size: 180mm X 180mm

Port Elliot Niche Wall (Bronze Plaques Only) Maximum Lines: 12-14 Lines Maximum Characters: 42 characters per line Plaque Size: 180mm X 150mm H

Mount Compass Memorial Gardens (Granite Plaques Only) Maximum Lines: 12-14 Lines Maximum Characters: 35 characters per line Plaque Size: Single: 150mm X 150mm Double: 300mm X 200mm H

Hindmarsh Island Cemetery – General Section Please enquire at Council office

Wording For Plaque:

PLEASE NOTE:

Any alterations to the proof of plaque will incur additional charges

Any emblems or pictures will incur additional charges

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The approximate length of time until completion is approximately 6 weeks.

This time may very depending on each individual application.

I hereby authorise the above plaque to be arranged by Alexandrina Council. I declare that

all information provided on this form is true and accurate. Any accounts for plaque costs are

to be forwarded to me at the postal address stated on this application.

Applicant Name:

Applicant Signature: Date:

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Attachment 7

PLAQUE REQUEST FORM For Strathalbyn Cemetery

Applicant Details: Name: Address: Post Code:

Postal Address: Phone: Mobile:

Email:

Deceased Details: Name: Date of Birth: Date of Death:

Age:

Cemetery / Location of Grave: Cemetery Name:

Section: i.e. Memorial Gardens, Niche Wall, Burial Plot

Lot Number

Interment Right Details: Council to issue New Interment Right for a new site? Yes If yes, please complete the Application for New Interment Right and return to council with this form.

OR Interment Right (Lease) already exists? Yes

Interment Right (Lease) Number:

Interment Right Holder Name:

Residential Address:

Postal Address (if different to above):

Contact Details: Ph: Mobile:

Email:

Interment Details: (If Applicable) Are cremated remains required to be interred? Yes No If Yes, an application for Interment of Ashes NOTE: Interment of Ashes are conducted between Monday - Friday between 9am–4pm. The interment date & time is to be pre-arranged with Council prior to ashes being interred. Council will contact you once this application has been processed to arrange a suitable date & time with you.

Current location of ashes (i.e. family member/ funeral director):

Does the family wish to be present when the ashes are interred? Yes No Is the plaque required before the ashes are interred? Yes No

Note: All interments into Niche Walls require a plaque prior to the ashes being interred.

Please provide details for plaque overleaf

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PLAQUE DETAILS: Character Limitations Apply:

Strathalbyn Rose Garden (Granite Plaques Only) Maximum Lines: 12-14 Lines Maximum Characters: 35 characters per line Plaque Size: Single 230mm X 230mm Double: 150mm X 150mm (small) or 300mm X 200mm H (large)

Strathalbyn Granite Columbarium Niche Wall (Granite Plaques Only) Maximum Lines: 12-14 Lines Maximum Characters: 35 characters per line Plaque Size: 150mm X 150mm

Strathalbyn Brick Columbarium Niche Wall (Bronze Plaques Only) Maximum Lines: 7-9 Lines Maximum Characters: 19 characters per line Plaque Size: 149mm X 111mm H

Wording For Plaque:

PLEASE NOTE:

Any alterations to the proof of plaque will incur additional charges

Any emblems or pictures will incur additional charges

The approximate length of time until completion is approximately 6 weeks.

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This time may very depending on each individual application.

I hereby authorise the above plaque to be arranged by Alexandrina Council. I declare that

all information provided on this form is true and accurate. Any accounts for plaque costs are

to be forwarded to me at the postal address stated on this application.

Applicant Name:

Applicant Signature: Date:

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Attachment 8

PLAQUE REQUEST FORM For Milang Cemetery and Langhorne Creek Cemetery

Applicant Details: Name: Address: Post Code:

Postal Address: Phone: Mobile:

Email:

Deceased Details: Name: Date of Birth: Date of Death:

Age:

Cemetery / Location of Grave: Cemetery Name:

Section: i.e. Memorial Gardens, Niche Wall, Burial Plot

Lot Number

Interment Right Details: Council to issue New Interment Right for a new site? Yes If yes, please complete the Application for New Interment Right and return to council with this form.

OR Interment Right (Lease) already exists? Yes

Interment Right (Lease) Number:

Interment Right Holder Name:

Residential Address:

Postal Address (if different to above):

Contact Details: Ph: Mobile:

Email:

Interment Details: (If Applicable) Are cremated remains required to be interred? Yes No If Yes, an application for Interment of Ashes NOTE: Interment of Ashes are conducted between Monday - Friday between 9am–4pm. The interment date & time is to be pre-arranged with Council prior to ashes being interred. Council will contact you once this application has been processed to arrange a suitable date & time with you.

Current location of ashes (i.e. family member/ funeral director):

Does the family wish to be present when the ashes are interred? Yes No Is the plaque required before the ashes are interred? Yes No

Note: All interments into Niche Walls require a plaque prior to the ashes being interred.

Please provide details for plaque overleaf

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PLAQUE DETAILS: Character Limitations Apply:

Milang Rose Garden (Granite Plaques Only) Maximum Lines: 12-14 Lines Maximum Characters: 35 characters per line Plaque Size: Single 230mm X 230mm

Milang Brick Columbarium Niche Wall (Bronze Plaques Only) Maximum Lines: 12-14 Lines Maximum Characters: 40 characters per line Plaque Size: 229mm X 229mm

Langhorne Creek Brick Columbarium Niche Wall (Bronze Plaques Only) Maximum Lines: 12-14 Lines Maximum Characters: 40 characters per line Plaque Size: 229mm X 229mm

Wording For Plaque:

PLEASE NOTE:

Any alterations to the proof of plaque will incur additional charges

Any emblems or pictures will incur additional charges

The approximate length of time until completion is approximately 6 weeks.

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This time may very depending on each individual application.

I hereby authorise the above plaque to be arranged by Alexandrina Council. I declare that

all information provided on this form is true and accurate. Any accounts for plaque costs are

to be forwarded to me at the postal address stated on this application.

Applicant Name:

Applicant Signature: Date:

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Attachment 9

APPLICATION FOR MEMORIAL / RESTORATION LICENCE

Applicant Details: Name: Address: Post Code:

Postal Address: Phone: Fax:

Email:

Nominated Monumental Mason / Representative: Registered Business Name: Contact Name: Address: Phone: Fax:

Licence Number:

Type of Memorial / Restoration Work: (please tick) New Monument Restoration Work Additional Inscription

Other: (please give details)

**Please attached diagram / details of proposed memorial, including all measurements/

dimensions

Deceased Details: Full Name of Deceased:

Date of Birth: Date of Death:

Cemetery Details: Cemetery Name:

Lot Number:

Section: General Section Lawn Section Other _______________

Interment Right (Lease) Holders Name: Interment Right Number:

Declaration: I hereby declare that: (please tick appropriate box)

I am the person whose name the Cemetery Interment Right is issued to; or

I am the executor of the estate of the person in whose name was on the Cemetery

Interment Right (Lease); or

I have the written authority of the person, or executor of the estate of the person, in

whose name the Cemetery Lease was issued to; or

I am the next of kin and/or a relative and have provided documents showing evidence

of connection to the deceased;

And hereby consent the work described in this application being carried out by the

nominated Monumental Mason / Representative and declare that all information provided

is true and accurate.

Signed: Date:

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Attachment 10

REQUEST FOR EXTENSION OF INTERMENT RIGHT

Applicant Details: Full Name: Address: Post Code:

Postal Address: Phone: Mobile:

Email:

Interment Right Details: Interment Right / Lease Number:

Date of Original Interment Right / Lease:

Name(s) of Interment Right Holder :

Full Address of Interment Right Holder:

Postal Address (if different to above):

Cemetery / Location of Grave: Cemetery Name:

Section: i.e. Memorial Garden / Niche Wall / Burial Plot/ Other

Lot Number

Declaration: I ___________________________________________________________________ (Insert Full Name)

Hereby request extension of my Cemetery Interment Right for a further 25 year period from the expiry date of my existing Interment Right /Lease. I declare that the information provided on this form is true and accurate. Any accounts for the Interment Right Transfer fee is to be forwarded to the above applicant’s postal address for payment. Applicant Signature: Date: