Office of the Chief Coroner
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.