Certification of Death (Scotland) Act 2011 Statutory Guidance

Annex D

Certificate of authorisation issued under section 18 of the Certification of Death (Scotland) Act 2011

Under section 18 of the Certification of Death (Scotland) Act 2011, the medical reviewer hereby certifies that it is safe to cremate the body:

Cremation of the late [insert name] at [latest crematorium]

Part A: the deceased

Name of deceased:

Date of death:

Date of birth of deceased:

Country in which death occurred:

Part B: Medical reviewer notes

Part C: Hazards

To the best of my knowledge and belief;

Does the body of the deceased pose a risk to public health: for example, did the deceased have a notifiable infectious disease or was their body contaminated immediately before death? Yes/No

Is there a cardiac pacemaker or any other potentially explosive device currently present in the deceased? Yes/No

Is there radioactive material or other hazardous implant currently present in the deceased? Yes/No

The hazard questions above (no.1-3) must be completed. The medical reviewer should specifically outline any known hazards or reasons that the body cannot be cremated.

I hereby certify that to the best of my knowledge and belief the information contained on this certificate is correct and complete.

(insert name)

Medical Reviewer Healthcare Improvement Scotland