Fevin Nature Reserve Burial Ground Westcombe Application for Burial
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Email *
Full name of deceased *
Last address of deceased
*
Place of death
*
Cause of death
*
Date of birth of deceased
*
MM
/
DD
/
YYYY
Date of death of deceased
*
MM
/
DD
/
YYYY
National Insurance number of deceased (if known)
Requested date of funeral
MM
/
DD
/
YYYY
Requested time of funeral
Name and address of person authorised to request burial
*
Contact number for above
*
Name of officiant at burial (if any)
Your Order *
Required
Total Amount enclosed *
Remittance sent by
(Please put the deceased name as reference)
*
Certificate of burial or cremation (Green Form) Please note the funeral can not take place without this.
*
Submit
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