Memorial-request-Form-2023

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Chard Town Council
THE GUILDHALL, FORE STREET, CHARD, SOMERSET TA20 1PP
Website: www.chard.gov.uk
For memorial requests contact: 01460 239567

Email teresa.turnbull@chard.gov.uk

Memorial request form
All memorials must be approved by Chard Town Council prior to their erection. Plans for
proposed memorials should be submitted before they are commissioned.
Permission must be given by Chard Town Council BEFORE any headstone is removed or
installed. Please contact 01460 239567 to arrange a mutually convenient date/time to
remove/install a memorial
Section 1: Details of Memorial Mason
Name:

Address:

Telephone Number:
Section 2: Type of request :
Please tick:
New memorial request

Additional inscription request

Section 3: Details of the applicant :
Full Name(s) and Address of applicant

Applicants Telephone number & email address:

Relationship of applicant to the Deceased:

Section 4: Details of the person interred :
Full Name:

Age at time of death:

Date of Death:

Section 5 : Details of proposed additional Inscription :

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Section 6 : Details of New Memorial :
Please tick :
Headstone

Footstone

Tablet

Flat Stone

Walled Grave (by arrangement only

Memorial in Children’s section

For New Memorials please provide :
a) a diagram and dimensions (to include the base and foundation slab)
b) details of the proposed inscription :

Section 7: Authorisation and Signatures
I solemnly and sincerely declare that I am the present rightful owner of the Right of
Burial of the grave for which this application is submitted and that I give permission for the
Memorial, as detailed in this application, to be erected on the said plot.
Print Name

Signature

Section 8: For office use only
Plot Number:

Burial Rights Number:
Date Burial Rights Purchased:

Name and Address of owner of burial rights:

Invoice Number and Account Name:
Invoice Number and Account Name for BR Transfer (if applicable):
Cemetery operative
Date

Print Name

Signature

Print Name

Signature

Administrator
Date

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Additional notes :
Any change notified or incomplete information may incur delay and additional charges. We must have
the signature of the owner of the burial rights as per the Local Authorities Cemeteries Order 1977. It may
be necessary to transfer the ownership of burial rights e.g. where the previous owner is deceased before
a memorial application can be agreed. (Please see Page 4 for full details)
Please email the completed form to teresa.turnbull@chard.gov.uk or deliver to Chard Town Council, The
Guildhall, Fore Street, Chard, Somerset, TA20 1PP
Please do not send payment until you have received an invoice from us.
Permission must be given by Chard Town Council BEFORE any headstone is removed or installed.
All memorials to be erected in accordance with current BRAMM Safety Standards
If a transfer of burial rights is required a charge of £58.00 will be made, we will require details
of the person to be invoiced. Please telephone Chard Town Council on 01460 239567 to
arrange an appointment, the following information/documents will be required before we can
proceed.

Using the correct materials is essential and it is the responsibility of a fixer mason to ensure
their work meets the industry standards as laid out in BS8415.(The British Standard for the
memorial masonry industry), this includes:
All lawn memorials over 625mm in height should be designed and installed in compliance
with BS8415. They are required to be constructed to withstand a force of 70kg applied at
the apex of
The memorial or at 1500mm from the ground, whichever is the lower.
Use of Dowels All steel used in the construction of a memorial must
Be made of stainless steel grade 304.
Bolting The resin used to secure bolts into plate must be as recommended
By manufacturer as suitable for use in the memorial industry or that it has a proven
suitability within the stone industry.

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Did the deceased owner
of the burial rights leave
a Will?

Yes
No

A copy of the will be
required

Is there a sealed grant
of letters of
administration?

Did the will go to
probate?

Yes

No

Yes

No

We can only accept sight
of a ‘sealed’ Grant i.e. it
must bear the embossed
seal of a Court.

A statutory declaration
will be produced
transferring the
exclusive right to burial
to the executor(s)

The burial rights will be
transferred to the
administrator(s) named
in the sealed grant of
administration

Please provide the
names and addresses of
all next of kin

The burial rights will be
transferred to the
executor(s) named in
the sealed grant of
probate

* Statutory declarations must be declared and signed before a Magistrate or Commissioner for Oaths and
returned to Chard Town Council in order for us to complete the transfer.

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