Coroners Act 1997—Form 1
(see s 16)
Coroners certificate
Full name of deceased:
Usual place of residence of deceased:
I certify that—
(a)	the death of the deceased was reported to me on the		day of		20    ; and
(b)	the medical report of Dr                                         , states that the cause of death was established as:
	                                                                                                                  
	(Insert cause of death)
I am satisfied that there is no reason why the body of the deceased should not be buried, cremated or taken out of the Territory.
I authorise—
* the burial of the body;
* the cremation of the body;
* the removal of the body from the Territory.
(* Strike out whichever is inapplicable)
Dated                    20  .
Coroner

Endnotes
1	This form was originally in the Coroners Act 1997 (the authorising Act), schedule 2.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the authorising Act and became a form approved under section 101 of that Act (see amdts 1.930 and 1.932).
2	Under the Court Procedures Act 2004 A2004-59, pt 8, this form became a form approved under that Act.
3	This republication includes amendments made under the Legislation Act 2001, part 11.3 (Editorial changes).

©  Australian Capital Territory 2005