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Beaver Cemetery Burial Notification Form

  1. Township Letterhead
  2. Name of Deceased
  3. Gender*
  4. Veteran?*
  5. If Yes, did they serve in any conflicts/wars?*
  6. Military Salute?*
  7. Relationship Status*
  8. Mother of Deceased
  9. Father of Deceased
  10. Next of Kin
  11. Notice:

    Please provide the Township  two business days to complete preparations for burial.

  12. Cemetery Section
  13. Burial Type*
  14. Casket Type*
  15. If Oversized

  16. If Oversized

  17. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  18. Payment of Fees

    Fees may be paid via check, credit card, or E-Check (if paying by credit card, a convenience fee will be added to the total. If paying by E-Check, a flat rate of $1.75 will be added to the total).

  19. Traditional Open and Close Fees

    Monday through Friday before 3:00 p.m.

    $750.00 Residents and Non-Residents

    $500.00 Infants (0-12 months)

    $500.00 Cremations

  20. Price
    Total Due
  21. Non-Traditional Open and Close Fees

    After 3 p.m. on weekdays or on Saturday (no Sundays)

    $1,300.00 Residents and Non-Residents

    $700.00 Infants (0-12 months)

    $700.00 Cremations

  22. Price
    Total Due
  23. Disinterment

    $2,250.00 Disinterment Casket

    $1,000.00 Disinterment Cremains

  24. Price
    Total Due
  25. Other Fees

    $0.60 Footers per square inch

    $50.00 Transfer of lot

    $50.00 Preparation of deed

  26. Price
    Total Due
  27. Please attach the death certificate and any other information we need.

  28. Leave This Blank: