OF VICTORIA AT [COURT LOCATION] Court Reference: Form 36 Form 36 Rules 58(3) and 59(4) Section 114 of the Coroners Act 2008 I, [name], *State Coroner/*Deputy State Coroner/*Coroner having received the application of [name in relation to the investigation into the: of applicant] *death of: Details of deceased: Surname: names: *Date of Birth/*Age: *fire at: Details of fire: Location of fire: Fire occurred *on/*between: order that [list thing(s)]: *be released to [name of [address]: of *be released to [specify of [address] as the owner cannot be person] identified or found *be destroyed by [specify by whom] *be disposed of in the following manner [outline manner to be disposed by [specify of] by whom]
OF VICTORIA AT [COURT LOCATION] Court Reference: Form 36 Form 36 Rules 58(3) and 59(4) Section 114 of the Coroners Act 2008 I, [name], *State Coroner/*Deputy State Coroner/*Coroner having received the application of [name of applicant] in relation to the investigation into the: *death of: Details of deceased: Surname: names: *Date of Birth/*Age: *fire at: Details of fire: Location of fire: Fire occurred *on/*between: order that [list thing(s)]: *be released to [name of of [address]: *be released to [specify person] of [address] as the owner cannot be identified or found *be destroyed by [specify by whom] *be disposed of in the following manner [outline manner to be disposed of] by [specify by whom]