Fill - Free fillable Applicants instructions to Crematorium (Belfast City Council) PDF form

Address:

Telephone No:

Email:

Date:

Belfast City Council (BCC) is the Data Controller under the General Data Protection Regulation (GDPR) for

the personal data it gathers relating to the disposal of cremated remains. Belfast City Council is also seeking

your permission for the display of the deceased name on oral cards and electronic display screens. By

completing and signing this form you are providing your personal data and on a consensual basis and

permitting the display of the deceased name as above. Article 6 -1 (e) of GDPR additionally provides a

lawfulness for Belfast City Council to process this personal data as it is necessary for the performance of a

public task vested in Belfast City Council.

Your personal data is shared internally with sta who are involved in providing this service and when

necessary, between internal departments with the purpose of supporting an eective delivery of service.

Your personal data will not be shared or disclosed to any other organisation without your consent or unless

the law permits or places an obligation on the Belfast City Council to do so.

Your personal data is held and stored by Belfast City Council in a safe and secure manner and in compliance

with Data Protection legislation and in line with the Belfast City Council’s records retention and disposal

schedule.

If you have any queries regarding the processing of your personal data or you wish access to it, please

contact the Belfast City Council’s Bereavement Services Oce, Cecil Ward Building Belfast BT2 8BP Tel: 028

9027 0296 or email cemeteries@belfastcity.gov.uk

Once you have completed this form, please deliver it together

with forms A, B (including pacemaker/xion form), C, F, and

GRO21 form (or where the death has been reported to the

Coroner, a Coroner’s Order for Cremation) to the Medical

Referee at Bereavement Services Oce. All forms must be

submitted no later than one working day before the cremation

date and before the following times: - Monday to Thursday

12noon, Friday and Saturday 11am.

Postcode:

City of Belfast Crematorium

www.belfastcity.gov.uk

Part 2: Applicant details

Part 1: Full name of deceased

For oce use only

Cremation number:

Applicant’s instructions to Crematorium

Name:

www.belfastcity.gov.uk

Part 3: Cremated Remains

This section is used to record what will happen to the cremated remains after the cremation.

The term cremated remains means the material (other than any metal) to which human remains are

reduced by cremation, including the con and any clothing.

Collection by Funeral Director, who arranged the cremation.

Collection by the applicant or their representative

We will give you the cremated remains in a standard biodegradable urn. You can collect these from 12 noon the

next working day following the cremation service. You must show photographic identication when collecting

cremated remains.

After the cremation, we will hold cremated remains in the City of Belfast Crematorium for a

maximum of 16 weeks from the date of cremation. If you do not collect the cremated remains in

this time frame, we will scatter the remains in the Garden of Remembrance. We will contact you

two weeks before we intend to scatter the remains.

Part 4: Floral tributes

This area is located at the crematorium for the display of oral tributes following the cremation

service. Unfortunately the crematorium cannot accept any responsibility for any oral tributes left

in the hallway. It is recommended that oral tributes are removed from the hallway immediately

after the cremation service. Floral tributes from Monday, Tuesday and Wednesday services are

removed for disposal on the following Saturday morning. Floral tributes from Thursday, Friday and

Saturday services are removed for disposal on the following Wednesday morning.

Scatter the cremated remains in the Garden of Remembrance

at the Crematorium without any relatives present.

Cremated remains are normally scattered on the lawns in the Garden of Remembrance no sooner than ve days

after the cremation service. We keep a record of the lawn where the remains are scattered, but it is not possible

to give their exact location.

Name of Funeral Director:

Name of applicant or representative:

Where applicable; address of representative:

www.belfastcity.gov.uk

Only tick if you do not consent to holding over

Only tick if you need all metal residues recovered

following cremation to be returned to you.

Part 5: Environmental Policy

B: Holding over

A: Consent for disposal of metals remaining after cremation

Please tell us how you want to dispose of metals recovered following cremation

Ferrous metals used in the construction of the con, metal used in medical implants and non-

ferrous metals which may include an unrecognisable element of precious material will be recycled

for charitable purposes through the Institute of ‘Cemetery and Crematorium Management Recycling

of Metal Following Cremation Scheme’.

If you want to dispose of the metals in any other way, please tick the box below and metals will be

returned to you with the cremated remains.

In accordance with the Code of Cremation Practice, City of Belfast Crematoriums policy allows

for the holding over of the con. We will carry out all cremations as soon as possible after the

funeral service and will only hold over in the event of health and safety, environmental and

operational reasons or mechanical failure. In circumstances were we are required to hold over

without consent, we will inform the applicant via the Funeral Director.

Soft metals (such as gold and silver) melt into tiny globules and combine with the cremated

remains. These cannot be returned separately. We recommend that precious metals in the form of

jewellery are not cremated with the deceased.

Applicant’s signature:

www.belfastcity.gov.uk

Part 6: Con Information

Identication

The Funeral Director must ensure that con has a nameplate

bearing the full name of the deceased, which shall be checked

by the Crematorium Ocial before entry into the Chapel. Any

variation from the Application for Cremation details will require

the submission of a written declaration before the cremation

can proceed.

Measurements

The external measurements of a con (including the handles

or any other adornments) shall not exceed 83 inches in length,

32 inches in width or29.5 inches in depth. Any cons that

exceed any of these individual measurements will not be

accepted for cremation.

Con Accreditation

The con must be certied suitable for cremation in

accordance with The Funeral Furnishing Manufacturers

Association (FFMA) or The Con, Casket and Shroud

Association (CCSA).

Contents of con

In order to minimise the release of pollutants to air, it is

recommended that clothing should be of natural bres such

as cotton, linen and wool, whereas shoes or any material

manufactured from PVC should not be included.

Additional items, particularly of glass or plastic must not

be placed in the con due to particulate emissions during

combustion within the cremation process. No other cremated

remains (human or pet )should be placed within the con.

Guidance for funeral directors when completing the

‘combined weight’ section

It is recommended that funeral directors should take steps

to obtain access to suitable weighing equipment as soon

as possible. However, in the event that suitable weighing

equipment is not available, an estimated weight should be

provided. This can be obtained provided that:, the deceased

person is in your care prior to the cremation form being sent

to the cremation authority; you are able to provide a useful

estimate based on the information available to you; and you

are able to get the information from the client (considering the

likelihood of causing upset to your client).

When providing an estimated weight, it is important that the

fact that it is an estimation rather than an accurate reection

of the combined weight is made clear. It is recommended that

the funeral director writes the words “estimated weight” next

to the estimated gure

Con Accreditation Number

Combined Weight of Con and Deceased

Length of Con

Width at Shoulder

Depth of Con

Additional Control Measures

For oce use only

CREMATION: REQUIREMENTS FOR THE COFFIN AND CONTENTS

Funeral Director (to be completed by funeral director if services are used)

Name

Address

Telephone

I have read and agree to abide by the

requirements for the con and contents

Date (DD/MM/YYYY):

Additional Control Measures

For oce use only

On arrival at The City of Belfast Crematorium, crematorium sta may decline the acceptance

of the con, if it does not comply with these requirements.

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