Government of Ontario: Ministry of Community Safety and Correctional Services

Office of the Chief Coroner

Warrant to Bury the Body of a Deceased Person

The Coroners Act – Province of Ontario

I issue this warrant to bury the body of: (Name of deceased)

who died at (location) on the (day) day of (month) 20

Dated this (day) day of (month) 20 at (location)

Coroner’s Name (Please print)

Coroner’s Signature

Note: This is not a burial permit under The Vital Statistics Act.  A burial permit under that Act is also required.

Note: Personal information contained on this form is collected under the authority of the Coroners Act, R.S.O. 1990, C. C.37, as amended. Questions about this collection should be directed to the Chief Coroner, 25 Morton Shulman Avenue, Toronto ON  M3M 0B1, Tel.: 416 314-4000 or Toll Free: 1 877 991-9959