Interment-Burial-rights-application-form-2023

Source page 1

Chard Town Council
THE GUILDHALL, FORE STREET, CHARD, SOMERSET TA20 1PP
Website: www.chard.gov.uk
To arrange an interment contact : 01460 239567

Email teresa.turnbull@chard.gov.uk

Interment and/or Burial rights purchase
request form

Plot Number:

Important Notice: No interment can proceed until:
a. This form has been fully completed and signed by the applicant and burial rights owner where
appropriate
b. Authority has been given in writing by the Cemetery Operative and Chard Town Council
Administrator
c. The signed form, including pages 1 to 3, has been returned to you.
Section 1 : Advance purchase of a plot
Please tick:
Advance Purchase of Grave plot

Advance Purchase of Ashes plot

If you are requesting a purchase only and are not arranging an interment at this time, please move
Straight to section 3 b)
Section 2 : Interment Request
Details of person to be interred
Full Name :
Age at time of death :

Date of Death :

Resident Address :

Address at which death occurred :

If the deceased resided outside of Chard for one year or
less immediately before their death due to care
requirements please provide details of their previous
resident address :

If a Minor, Name & Address of parents/Guardian

Details of the interment
Please tick:
Grave

Ashes

Requested Date of Interment:

Scattering of Ashes
Requested Time of Interment:

Page 1 of 5

Source page 2

Size 1

Size 2

It is essential that the correct measurements are provided prior to the commencement of the excavation of a grave as
once the grave is dug to full depth the shoring cannot be taken out until after the funeral has taken place. This is to
maintain compliance with the 1996 construction regulations (excavations).

If a request is made to alter the size after receipt of this application the date of interment will need to
be rearranged and a charge will be made.
For reopened plots: Full name and date of death of the person already interred :

Is Hire of the Chapel required (please tick):

Yes

No

Details of Person requesting interment
Full Name:

Address

Relationship to the Deceased

Email address:

Telephone Number:

Details of Funeral Directors

Details of Stone Mason (if appropriate)
Note: This is only for authorisation to remove a
memorial in order for an interment to take place.

Name

Name

Address

Address

Section 3: Authorisation and Signature(s)
By signing this form you have agreed that all the details provided are correct and you have read and accept all
Notes conditioning that an interment can proceed. You have also been made aware of and accept to pay all
charges that have been incurred as per this interment request.

Please tick a), b) or c) and sign in the adjacent box

a)

I/We do NOT wish to purchase the Exclusive Right of Burial
(and there is no existing Exclusive Right of Burial in respect of this plot)

Full Name
Relationship to the Deceased
Address
Signature …………………………………………
Note : We require the signature of the person requesting the Interment
Page 2 of 5

Source page 3

b)

I/We DO wish to purchase the Exclusive Right of Burial

Full Name

Address & email address

Signature …………………………………………
Note : We require the signature of the person/persons Purchasing the Exclusive Right of Burial.

c)

The plot has already been purchased
(please contact Chard Town Council for confirmation of the Burial Rights Number, date of purchase
and ownership)

Burial Rights Number:

Date Burial Rights Purchased:

Name and address of Burial Rights Owner:

Signature …………………………………………

Signature …………………………………………

Note: We require the signature of the present rightful owner of the Right of Burial of the grave for which this
application is Submitted or the person requesting the interment of the present rightful owner of the Right of Burial.
If the Exclusive Right of Burial is in joint ownership we will require the signature of ALL owners.
By signing you are giving permission for any memorial on the grave space to be removed from
Chard Cemetery by the authorised stone mason, if it is necessary to do so, in order for the interment to proceed.

Section 4: For office use only : No interment can proceed until the Cemetery operative and
Administrator have signed to give authorisation.
Cemetery operative
Date

Print Name

Signature

Print Name

Signature

Administrator
Date

Invoice number and account name:

Invoice number and account name for BR Transfer (If applicable):

Page 3 of 5

Source page 4

Additional notes for interments:
Wherever possible, please provide a minimum of 3 working days’ notice for any interment request.
Any change notified or incomplete information may result in a delay and additional charges. It is the
Council’s usual practice for interments to take place no later than 2:00 pm Monday to Thursday or
10:00 pm on Fridays.
Where Exclusive Right of Burial is in place 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 before an interment can be agreed.
It is possible that there may be previous or future interments of non-family members where Burial
Rights are not in existence. Remains will not be disturbed when preparing for a new interment.
Please email the completed form to teresa.turnbull@chard.gov.uk or post to Chard Town Council, The
Guildhall, Fore Street, Chard, 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.
Is the application for a plot for which the
Exlusive Right Of Burial
has been purchased/ is being purchased as part of the
request form

No

Yes

The person
requesting the
interment is to
sign section

Has the plot been
purchased prior
to this request
form?

3 a)
Yes

No,
the Rights are being
purchased as part of
this application

The person
purchasing the
rights is to sign
section 3 b)

Is the person to be
interred the owner
of the Exclusive
Right of Burial

No

Yes

The present rightful owner(s)
of the Right of Burial is/are to
sign section 3 c)

The person
requesting the
interment is to
sign section 3C)

Page 4 of 5

Source page 5

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.

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.
Page 5 of 5