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Interment Order

Interments cannot be made without a burial permit or cremation certificate and the properly signed authorization. A minimum of two (2) business days notice of interment is required by the Municipality (with exception for religious beliefs.) For pricing information, please see the Cemetery Price List. Additional fees apply for Sunday, holiday and winter burials.

If you need to purchase a plot, please contact the Municipal Office at: (519) 762-2204 ext. 28 or email rbergsma@duttondunwich.on.ca

Interment Rights Holder

Name of Deceased:

Type of Interment:

Full Burial

Cremation

Requested Date of Interment:

Requested Time of Interment:

Plot Location (ex. Row Z, Plot 11 or Plot 111, E2.) If location is unknown please provide any known details (ex. grandfather John Doe's plot, buried in 1982)

Your Name:

Your Email Address:

Your Phone Number:

By checking "Yes" I am attesting that the information provided on this form is true and correct and submitting is equivalent to my authorized signature.

Yes

A municipal staff member will be in touch to confirm receipt of the interment order and advise of any outstanding fees and/or whether additional authorization is required prior to the interment.

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Interment Order