Cremation Burial Request

Please provide the following information when requesting an inurnment at Oak Grove Cemetery. An explanation of services is available on the Services section of this website. If you are unable to supply any of the required information on this form, please email the cemetery at oakgrove1863.org for assistance.

Name of Deceased

First Name

Last Name

Middle Initial/Name

Age of Deceased

Date of Death

YYYY

Date of Birth

Requested Date of Burial

YYYY

Requested Time of Burial

Hour

Minute

Second

Was the deceased a veteran?

If yes, please provide Service Branch and Conflict or Location of Service

Funeral Home

Type of Inurnment

Location of inurnment

Please indicate the Section, Lot and Grave # for an in-ground inurnment OR the Columbarium niche # for above-ground inurnment.

Will there be a graveside service?

If requesting an in-ground inurnment, do you want to purchase a vault?

If you want to purchase a vault for an in-ground inurnment, what type of vault do you want?

Information provided by (name):

Contact Email

Contact Phone

(###)

###

####

Contact Address

Lot/Niche Owner, if different from contact:

Contact's relationship to owner, if different

Message to Cemetery