2015/16 Cemetery Services



|Important information – read before completing application form. |

|Application form must be completed in full. |

|Council will provide a proof of concept for the plaque within 10 business days of receiving a fully complete application. Plaques will not be ordered until |

|confirmation and payment are received. |

|Select Cemetery |

| Beerwah Cemetery | Kulangoor Cemetery | Witta Cemetery |

| Buderim Cemetery | Mapleton Cemetery | Woombye Cemetery |

| Caloundra Cemetery | Mooloolah Cemetery | Yandina Cemetery |

| Diddillibah Cemetery | Nambour Garden Cemetery | Other, provide location: |

| | | |

| | |………………………………………… |

| Eumundi Cemetery | Old Nambour Cemetery | |

| Gheerulla Cemetery | Peachester Cemetery | |

|Location within Cemetery |

|Do you know the site | Yes, please provide details: |Section |Row |Site |

|location? | | | | |

| | No, I have a site however do not know the site location. |

| | No, I need to select a site for Ashes interment. |

| | No, Private use outside Sunshine Coast Council Cemetery |

|1. Applicant details |

|Surname |Given names |

|Postal address |

|Suburb |State |Postcode |

|Business phone |A/H phone |Mobile |

|Email address |

|Relationship to deceased | |

|DOB: |Preferred Contact: Phone Mobile Email |

|2. Details of deceased |

|Surname of deceased |Given names |Male / Female |

|Date of birth |Place of birth |

|Date of death |Place of death |

|Cause of Death | |

|3. Burial Rights Confirmation to be completed by Burial Rights Holder |

|I am the person in whose name the Burial Right was/will be issued |

|I act with the full authority of the family of the deceased Burial Right Holder |

|Written authority is attached from the Burial Right Holder |

|The deceased is the Burial Right Holder |

|Other:……………………………………………………………………………………………………………………………. |

|Executor Details: |

|Name: |

|Postal address: |

|Suburb |

|Business phone: |

|4. Declaration of Burial Rights Holder |

|I ………………………………………… of……………………………………………………………acknowledge I am the Burials Rights Holder or approved successor and am authorised to act on behalf of the deceased. |

|I acknowledge Council is acting in good faith on the declaration provided and does not accept responsibility for acting on the information provided. I accept |

|any responsibility should a dispute between family members arise. |

|Signature: |Date: |

|5. Memorial details |

|BURIAL MEMORIAL ONLY: Options as per provided fact sheet |

|Is there currently a memorial in place? |Yes “provide details below” |New / additional plaque for existing memorial |

| |…………………………. |If replacing an existing plaque do you require it returned? Yes |

| |No |No |

| | |Refurbishment of existing memorial |

|Burial Site Memorial |Other options |

|Lawn Base “flat on lawn” |Tree burial (Kulangoor only) |

|Base and Desk “sloped” |Detachable plate for existing plaque |

|Semi Monumental Upright “Traditional headstone” |Prepurchased Reserved Headstone “Dependant on site selection” |

|Full Monument |Additional Plaque only |

|Desk only “certain areas only” |…………………………………………………………………… |

|Material |Memorial Granite Colour choice |Style |

|Granite |Black |Drawing No. |

|Concrete |Balmoral Red |“If known” |

|Tiled |Rose Red, |Sketch Provided |

| |Blue Pearl, | |

|Photo’s & Motifs |Light Grey, | |

|Porcelain |Paradise, | |

|Laser |Butterfly Blue, | |

|Size 70,80,90,100mm |Emerald Pearl, | |

|Motif……………………….. |Sapphire Brown, | |

| |Viscount. “White ish colour” | |

|6. Plaque details (continued) |

|ASHES MEMORIAL ONLY: Options as per provided fact sheet |

|Plaque going on to |Plaque Type |

|Wall |Granite Plaque “Etched” |

|Garden |Granite Plaque “Raised lettering” |

|Rock |Granite Plaque Laser - black only |

|Size if known? |Bronze Plaque |

| |Alloy Plaque |

|mm x mm |Full Colour |

|Please note ashes are to be supplied to Councils cemetery office or may be brought to the interment on the day. Applicants and their respective Funerals Director|

|are responsible for the safe delivery of Ashes for interment to Council. No ashes can be accepted by council until all relevant fees are paid |

|Ashes location: Funeral director:___________________ Family member:____________________ No Ashes |

|Do you wish to be present at the ashes installation? |Yes. If yes, council will contact the applicant. |

| |No. If no, council will notify you once completed. |

|Do you require a bronze vase / flower holder for columbarium wall memorials? |Yes |

|(additional cost of $ 99.00 each) |No |

|Is this application to refurbish an existing memorial? |Yes |

| |No |

|Does the deceased have a reservation? (Ashes Memorial only) |Yes |

| |No |

|7. Wording for memorial |

| |

|Line 1 |

|Line 2 |

|Line 3 |

|Line 4 |

|Line 5 |

|Line 6 |

|Line 7 |

|Line 8 |

|Line 9 |

|Line 10 |

|Note: ashes “254mmx152mm” plaques includes 7 lines of text, burial memorial plaques “381mm x 279mm” includes 10 lines of text. |

|8. Declaration of applicant |

|I understand that no product will be ordered or construction commenced until the provided invoice is paid in full. I understand that the completion of the |

|memorial will take 10 to 12 weeks once paid in full and I also acknowledge that I am the burial rights holder or acting with the permission of the burial rights |

|holder of the burial site. I have read and I understand the information provided to me on the attached information sheet. Further evidence of Burial Rights |

|holder may be requested and required at council’s discretion. |

|Signed |Name |Date |

|Plaque / memorial fees |

|Plaques | Cost inc. GST |

|Plaque - Provision and installation of single / double bronze columbarium plaque (plaque in wall with 10 lines of |$879.00 |PLQ |

|inscription and single motif) | | |

|Plaque - Provision and installation of single / double inscription lawn plaque "Flat Concrete Lawn Base"- up to 7 lines |$896.00 |PLQ |

|of inscription and single motif | | |

|Plaque - Provision and installation of single / double ornamental garden plaque concrete pier "inclusive of interment of|$854.00 |PLQ |

|single ashes" | | |

|Plaque - extra lines for lawn plaques (per line) |$40.00 |PLQ |

|Refurbishment of existing bronze Plaque. |$289.00 |PLQ |

|Above Ground Vaults including monument, headstone, plaque/inscription 200 letters and single ribbon |POA |PLQ |

|Plaque - Provision and installation of single / double inscription lawn plaque (Tiled) - up to 7 lines (Adult and |$1,865.00 |PLQ |

|Children) | | |

|Plaque - Provision and installation of single / double inscription lawn plaque (Granite) - up to 7 lines (Adult and |$2,874.00 |PLQ |

|Children) | | |

|Memorial Boulder plaque (Caloundra, Woombye) |$698.00 |PLQ |

|Additional Bronze Plaque (381x279) |$554.00 |PLQ |

|Additional Bronze Plaque (254x154) |$457.00 |PLQ |

|Detachable Plates (Any Size) |$294.00 |PLQ |

|Ceramic / Porcelain Photo for plaque |$269.00 |PLQ |

|Tree Burials plaque including granite |$1,851.00 |PLQ |

|Plaque - Custom made plaques - "Non standard" |POA |PLQ |

|Plaque - Provision and Installation of single /double inscription lawn plaque (Concrete Desk and Base) up to 7 lines |$989.00 |PLQ |

|(Adult or Child) | | |

|Supply and install Bronze flower holder - Ashes Wall |$99.00 |PLQ |

|Refurbishments | Cost inc. GST |

|Install stones/feature pebbles to double monument- plus selected stone @ Cost |$189.00 |PLQ |

|Install stones/feature pebbles to single monument- plus selected stone @cost |$164.00 |PLQ |

|Water blast and clean single Monument (only) |$198.00 |PLQ |

|Water blast and clean / repaint base & desk |$198.00 |PLQ |

|Water blast and clean / repaint and single monument |$285.00 |PLQ |

|Water blast and clean base & desk/semi monumental (only) |$168.00 |PLQ |

|Water blast and clean Double monument (only) |$256.00 |PLQ |

|Water blast and clean repaint double monument |$305.00 |PLQ |

|Concrete products | Cost inc. GST |

|Concrete Full Surround (including plaque, single only, double size price on application) |$3,201.00 |PLQ |

|Purchase of Concrete Lawn Base (Flat) |$260.00 |PLQ |

|Purchase of Concrete Desk (Adult) |$289.00 |PLQ |

|Purchase of Concrete Pier |$158.00 |PLQ |

|Purchase of Concrete Vase |$54.00 |PLQ |

|Purchase of Concrete Desk (Child) |$183.00 |PLQ |

|Concrete Memorial base and desk (External plaque provided) Supply & install |$672.00 |PLQ |

|Tiled Full Surround (including plaque, single only, double size on application) |POA |PLQ |

|Granite products | Cost inc. GST |

|Granite Semi Monumental Headstone (Upright any colour from standard range including provision for a plaque) |$2,879.00 |PLQ |

|Granite Garden Pier for Ashes Gardens (All standard colours - not including plaque) |$622.00 |PLQ |

|Granite Memorial 2nd Inscription to existing |$586.00 |PLQ |

|Granite Lawn Base (Flat, All standard colours 530mm x 430mm- not including plaque) |$680.00 |PLQ |

|Granite Memorial Desk and provision for plaque - Kulangoor Hex Garden |$1,881.00 |PLQ |

|Install additional flower holes in memorial - each |$83.00 |PLQ |

|Ashes | Cost inc. GST |

|Additional fees (relating to interments of ashes). Weekend Surcharges Saturday 8 am -12 noon only (per min 4 hours) |$545.00 |BUR |

|Interment of ashes in an existing burial plot |$355.00 |BUR |

|Scattering of ashes in cemetery grounds (No family attendance) |$144.00 |BUR |

|Removal of Ashes and / or Postage to other facility (Registered Post) |$94.00 |BUR |

|Transferring ashes with existing plaque |$160.00 |BUR |

|Interment of Additional Ashes. "each"+ interment |$88.00 |BUR |

|OFFICE USE ONLY |

|PLQ- | |

|Date application received |Memorial completion date |

|Date application processed |Date proof forwarded |

|Information when ordering and installing headstones, memorials and plaques |

|Who can order a plaque or memorial? |

|The ordering of a plaque / memorial must be completed by the burial rights holder / applicant or a representative with written authority from the burial rights |

|holder / applicant. |

|When will my headstone / memorial be ordered? |

|Plaques and memorials will only be ordered on receiving a signed, dated and approved plaque proof and full payment of invoice. |

|How long before my order is installed? |

|Generally installation of memorials will take 12 to 14 weeks from date of full payment being received however special request or customer works may take longer. |

|Can I place my own memorial? |

|Yes, memorials can be placed by any who has been issued with the required approval pursuant to Councils Local Law 1 applicants in most cases will require |

|appropriate insurance cover. You are free to obtain private works quotes from a memorial supplier directly. |

|I have seen some positions with lots of trinkets and personal items as well as planted trees and shrubs, can I do this? |

|The planting of trees and shrubs and the placement of items including crosses, trinkets and other artefacts is not permitted without cemetery approval and will |

|be remove by an authorised officer. |

|What if I want to refurbish or add a plaque to an existing memorial? |

|We encourage families to take care and maintain memorials and if you are doing minor adjustments and repairs which do not require large plant you can simply |

|complete a Notice of Intension Form “NOI” to advise the cemetery of what you are doing. |

|Will the cemetery look after my memorial? |

|No, the care and maintenance of plaques, memorials and monuments is the responsibility of the family or the representative of the deceased. |

|There is a family member objecting to the headstone, what do I do? |

|Sunshine Coast Council acts in good faith when it relies on advice provided by applicants and does not accept any responsibility for allowing a plaque / memorial|

|that might be the subject of a later dispute between family members, Executors and/or assigns, in this instance you need to seek independent legal advice. |

|Can I place artificial flowers on the headstone? |

|Artificial flowers are not permitted to be placed onto headstones. Fresh flowers only are to be placed. |

|Can I place additional vases on my headstone? |

|Items including vases, trinkets, jars and existing plants will be removed should they be placed without prior permission from the cemetery where they create a |

|safety, amenity or operational nuisance cemetery management. |

|After I lodge my memorial application when will I receive a proof for consideration? |

|You will receive a proof for checking 10 days after your application is received by the cemetery staff. If you would like changes made, please contact us to |

|make necessary changes. We will prepare a new proof and send back to you until you are happy with the design. We require a signed copy of the proof be returned|

|to us prior to your order proceeding. |

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