Required fields are marked with asterisks (*)

Grave Allocation Form

PURSUANT TO the Funeral, Burial and Cremation Services Act, 2002 and Ontario Regulation 31/11 s.161(1) and all amendments thereto, no cemetery operator shall be permitted to inter human remains in a lot, other than the remains of the Rights Holder(s), without the written consent of the Rights Holder(s).

Interment Rights Holder Information

First Name

Last Name

First Name

Last Name

Unit Number

Street Number

Street Name

P.O. Box Number/ RR Number

Town

Postal Code/ ZIP Code

Email address

Section/Row

Plot(s)

Grave(s)