Part 4 continued
5. Do you know or suspect that the baby was not stillborn?
6. Do you consider that there should be any further examination of the
stillborn baby’s remains?
If you have answered Yes to questions 5 or 6, please give reasons below.
Part 5 Applicant’s instructions for ashes
Local practices regarding ashes vary and your funeral director or cremation authority
will be able to advise you about these.
Please then tick the relevant box to confirm whether you have chosen Option 1, 2 or 3 below
for the ashes following this cremation, and provide further details in the relevant free text box.
If you choose Option 1 or 2 you may alter your choice, confirmed in writing with your signature,
before the cremation authority has made arrangements to implement your chosen option, so
please advise your funeral director or the crematorium as soon as possible if you change your
Option 1: Ashes to be scattered / interred / otherwise dealt with by the crematorium
Please give further details of your wishes here, from the options offered by the crematorium,
for instance where the ashes should be scattered / placed and when; and whether you wish
this to be witnessed.
Option 2: Ashes to be collected from the crematorium
Please give further details of your wishes here, such as who will collect the ashes (for instance
you and / or another family member, the funeral director, or another specified person); and by
which date, if known. The person collecting the ashes should bring a form of identification.
Cremation 3 continued over the page ]