Interment Request – Saint Francis Xavier Cemetery

Notice of Official Burial Policy

Communications Policy: Submission in itself of the interment request below does not constitute a scheduled or confirmed burial arrangement. Arrangements are only finalized upon the written acceptance of this specific Interment Request Form by an authorized cemetery representative.
Telephone calls, text messages, and in-person conversations are not binding.
Documentation: Funeral Homes should inquire if family has a copy of the deed or documentation showing a claim to the lot. If no documentation is forthcoming, the Funeral Home should contact the cemetery with identifying information (lot owner name, others buried in the lot, etc.) so we may assist in locating the grave and verifying rightful claim.
Opening of Graves: No grave will be opened, and no funeral service will be permitted to proceed, unless this form has been submitted and formal approval has been received.
Notice Requirements:
Tuesday–Friday Burials: Minimum 72 hours notice prior to the service time is required. Exceptions will be made only for required religious observances or verified extenuating circumstances.
Monday Burials: Requests must be submitted no later than 12:00 PM the prior Thursday. Exceptions will be made only for required religious observances or verified extenuating circumstances.

Casket or Cremains?

Decedent’s Name

Date of Death

Relationship to Lot Owner

Possession of original deed or other documentation may be required as proof of lot ownership.

Lot Owner’s Name

Requestor’s Name

Requestor’s Address

Requestor’s Phone Number

Section

Lot

Grave

Provide details of grave placement

Arrival at the cemetery

Funeral Home Name

Funeral Home Rep. Name

Funeral Home Phone Number

Your Email Address

By checking this box I hereby certify that I am the OWNER or REPRESENTATIVE of the owner of the above cemetery lot and that OWNER has given authority to make disposition of the remains of said decedent as above indicated. I agree to hold St. Francis Xavier Cemetery harmless from any liability on account of such authorization and interment.

SPAM TESTER: