Cemetery

Select for Downloadable / Printable PDF Version

Sutton Bridge & Wingland Parish Council Cemetery Application Form

This notice must be delivered together with the certificate for disposal to the Parish Clerk, Sutton Bridge Parish Council, The Curlew Centre, Sutton Bridge, Lincs, PE12 9SA, not later than five clear working days before the pre-arranged time for the burial.

Deceased’s Details

Full Name of Deceased: (Mr/Mrs/Ms/Miss) .........................................................................................................................

Address: .............................................................................................................................................................................

…………………………………………………………………………………………… Post Code: .................................... 

Age: ......................... Sex: ……………….….… Date of Death: .....................................

Date of Cremation: .................................. at ................................................................................ …….    crematorium.

Service Details: (Do not leave any fields unanswered – please tick the relevant box where appropriate)

Day and date of service:...............................................................................................

Time of service:...............................................................................................................

Parishioner ☐    Non-Parishioner ☐       

Plot and Casket Details
☐ Purchased Plot
☐ Public Plot 
☐ New Plot 
☐ Reopen 

If new plot, type required:
☐ Garden of Rest
☐ Cremated Remains

Plot Number:
☐ Single
☐ Double 

Will the plot be consecrated? 
☐ Yes
☐ No

Grave Coffin Dimensions:                                   Cremated Remains Casket Dimensions :

Length  _______________                                  Length ______________

Width   _______________                                   Width ______________

Height _______________                                   Height _____________

(from base to lid)                                                (from base to lid)

Locking Handles?  Yes / No (delete which doesn’t apply)

Please provide actual maximum measurements                                     

Funeral Director

Name…………………………………………………………………

Address............................................................................................

Postcode ........................................................................................

Telephone Number ........................................................................

Grave Digger 

Name…………………………………………………………………

Address............................................................................................

Postcode ........................................................................................

Telephone Number ........................................................................

New Plots

For new plots, one or more persons may be registered as the owner(s):

Full Name of Purchaser (1) …………………………………………………………………………………………………………………..………….

Address: …………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………. Post Code: …………………………………..………….

Telephone: ………………………………………….….. Email: ………………………………………………………………………………….

Full Name of Purchaser (2)…………………………………………………………………………………………………………………………….

Address: …………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………. Post Code: ……………………………………………….

Telephone: ………………………………………….….. Email: ……………………………………….………………………………………….

Note: The person(s) named above will be registered as the plot owner(s) with the deed being made in his/her/their name(s). No memorial may be arranged, and no further interment may take place without the signed consent of the plot owner(s)

Purchased Graves Conditions Covering Burial

1. For full terms and conditions please see the Sutton Bridge Parish Council Rules and Regulations.

2. Please note that Memorial Kerbs are not allowed

The person applying for the burial must agree to having read and agreed these terms:

Signed: …………………………………………………………………………………   Date: …………………………

Previously Purchased Graves

The Registered Owner of the Exclusive Right of Burial must give permission for the burial by signing below. If the owner is deceased, the person arranging the funeral should complete this section.

I consent to grave number ………………………….……………… being opened for the burial of the late

……………………………………………………………………………………………………………………………………………………………………

Signed: ……………………………………………………………………………………  Date:  ...……………………………………………………….

Please contact the Parish Office for any queries regarding transferring ownership of the Exclusive Right of Burial

Public Graves
(To be completed in the case of a burial in a Public grave)

I fully understand that the burial of the late …………………………………………………………………………………………………………...

will be in a plot in which other unrelated persons are or may be buried.

Full Name of Applicant: …………………………………………………………………………………………………………………………………………

Address: …………………………………………………………………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………

Post Code: ……………………………………………….

Signed: ……………………………………………………………………………………  Date………………………………………….