Guidance

Completion of form Cremation 4 (Medical Certificate) (replaced form B)

Medical practitioners: guidance on completing cremation forms

The most frequently occurring errors in completing these forms are:

  • Failure to complete all questions in full
  • Deletion of questions
  • Incorrect completion of forms, and
  • Illegible handwriting.

Abbreviations for causes of death are unacceptable where the abbreviation is unclear, unusual or ambiguous; in such cases, the medical referee is likely to make further enquiries of you. You should sign the form with an electronic or full signature, not an abbreviation. You cannot use a stamp.

You must complete the form yourself. It must not be completed by another person on your behalf.

Medical referees will expect that the evidence offered on the certificate demonstrates sound clinical grounds for the cause of death given, and you should complete form Cremation 4 with this in mind.

Useful references

This guide covers the responsibilities of medical practitioners when completing medical certificates after a death and before a cremation.

It also covers the role of the medical referee and what medical practitioners can do to help the referee.

Completing a medical certificate of cause of death (MCCD) - Link

First Published
15 August 2023
Updated On
7 July 2025
Due to be Reviewed
15 August 2027
Not signed in.

Please Login or Register an account to access the ability to favourite this.
Share this article

You might also find this useful...

OpenSAFELY Expansion – Action Required
OpenSAFELY Expansion – Action Required
30 July 2025
The Data Provision Notice (DPN) for OpenSAFELY now permits expansion beyond COVID-19-related analyses. The opt-in functionality for EMIS was rolled out this week.  SystmOne already has this functionality in place.…
Cont. Reading
MMR vaccinations for practice staff 
MMR vaccinations for practice staff 
26 July 2025
Due to the recent measles outbreaks, GP practices are permitted to administer MMR vaccines to their eligible staff who are registered with another practice under INT (immediately necessary treatment).  This…
Cont. Reading
NHS 10-Year Plan
NHS 10-Year Plan
18 July 2025
The NHS 10-year plan was published last week. This plan will likely land well with the public promising same day access, genomic profiling and a single patient record while also…
Cont. Reading