Online Form - Application for a Memorial Seat

The Town of Bassendean facilitates the placement of memorial seats and other infrastructure, as per the Purchase and Placement of Memorial Seats and other Infrastructure Council Policy.

The Town of Bassendean will facilitate the placement of memorial seats as follows:

The whole of life cost of the seating will be at the applicant’s expense through an upfront fee.
The fees for this service will be updated in the annual fees and charges.
The memorial is approved only for people of good public standing in the community.
The Chief Executive Officer will approve the location and design of memorial seating.
The potential for public benefit will be a prime condition in choosing if a suitable location is available.
Memorial seats shall only commemorate a person who is no longer living.
The seat and plaque will be removed at the end of the assets life. The expected asset life of a seat is 10 years; however, this may change depending on the local environmental conditions.
The Chief Executive Officer may authorise the removal of a seat or plaque at any time.
Memorial seats may be moved as part of the management of a park.

Memorial Seat Implementation

Applications for the placement of memorial seats are to be in writing.
All memorial plaques will be to a standard size (no greater than 15cm x 8cm) and be purchased by the applicant through a bronze plaque foundry.
The memorial plaque is to be 3mm bronze or stainless steel or as otherwise approved by the Chief Executive Officer.
The plaque text is to be appropriate for a public setting.
Personal items are not to be fixed to the memorial seat or placed at the base of the seat.
No ashes are to be placed in or near the seat.
Additional plaques may be approved on memorial seats subject to approval from the original applicant or their immediate family.

The Council Policy provides further details regarding removal of memorials. The cost of a memorial seat is based on the Annual Fees and Charges. The cost of a memorial seat as per the 2023/24 Annual Fees and Charges is $3,010 including GST.

Applicant Details

Full name of applicant:*

Address:

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact phone number:*

Contact email:*

Individual Details

Name of person being memorialised:*

Date of passing:*

Relationship to applicant:*

Any information you'd like to share about the individual, demonstrating they meet the requirement of being of good public standing in the community:*

Memorial Details

Please select the preferred option:*

Memorial Seat (with plaque)
Other Infrastructure

Requests for contributions towards other infrastructure (such as playground or parks upgrades) are to be made in writing to [email protected]

Preferred location: (please note popular locations are limited)*

Is there a key date that the memorial is requested by? (if applicable):*

Plaque/ template wording:*

Memorial Plaque Example

Acceptance*

I hereby state that I have read, understood, and agree to the requirements as outlined in the Purchase and Placement of Memorial Seats and Other Infrastructure Council Policy, and that all information provided in this Application Form is true and accurate.

Purchase and Placement of Memorial Seats and Other Infrastructure Council Policy

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