Fees England Northern Ireland Wales

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Cremation fees and guidance

At a glance

These fees are applicable to forms completed by medical attendants (agreed with the National Association of Funeral Directors, NAFD, the National Society of Allied and Independent Funeral Directors, SAIF, and Co-operative Funeralcare).

When working with funeral directors who are not members of either organisation, doctors should negotiate their own fee in advance of doing this work.

Allowance Fee
Mileage allowance 57.5 pence per mile
Form 4 £82.00
Form 5 £82.00
Effective date 1 April 2015

 

Required forms

Before any cremation can take place there are a series of forms that have to be completed, which are laid down in the Cremation Regulations.

Form Form to be completed by Fee to be paid by
Form 4

Must be completed by the registered medical practitioner who attended the deceased during their last illness.

Please note: After completing form 4, it is necessary to confirm that no pacemaker or radioactive implant has been left in the body. A separate fee is charged if a doctor has to remove a pacemaker from a body.
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Funeral director
Form 5 Must be completed by a registered medical practitioner who is neither a partner nor a relative of the doctor who completed form 4. Funeral director
Form 10 Completed by a doctor appointed by the Home Office as a medical referee who undertakes a final check of the preceding forms Cremation authority
Form 12 Completed by a doctor appointed by the Home Office as a medical referee who undertakes a final check of the preceding forms Cremation authority
Form 13 Must be completed by medical referees regarding the cremation of body parts retained for medico-legal and other purposes Cremation authority

Medical referees at crematoria are paid by local authorities to scrutinise cremation certificates. If not satisfied, medical referees are required to contact the doctors completing certificates 4 and 5 and, if necessary, order a necropsy examination. They also have a duty, where appropriate, to refer a case to the coroner.

 

Fees negotiated at local level

Medical referee fees for Forms 12 and 13 are no longer negotiated on a national level by the BMA. Each individual local authority will set fees for the completion of these forms.

The system for scrutiny over all deaths (both cremation and burial) is currently being reviewed by the Department of Health with the proposal to implement a Medical Examiner led system. Medical Examiners (appointed by local authorities) will replace the current roles of the medical referee and the two doctors completing the cremation forms.

Find out more about setting and agreeing fees

Check the Ministry of Justice for more guidance and fees

 

Changes to death certification in Scotland

As of 13 May 2015, there have been changes to the way death certification works in Scotland.

See our guidance on the changes