Notice of Direct Burial

This Notice of Burial is a confirmation of a provisional booking. Full details, including maximum outside coffin or casket measurements, must be provided to The Natural Burial Company within at least two full working days in advance of the burial. Documents can be scanned and emailed to .

Full Name of Deceased (Including Title) (required)

Address (required)

Postcode (required)

Age (required)

Date of Birth (required)

Date of Death (required)

Place of Death (required)

Full Name of Person Arranging Burial (The applicant)

Address (required)

Postcode (required)

Telephone Number(s) (required)

Your Email (required)

Relationship to Deceased

Funeral Director (if applicable)

Address

Postcode

Telephone Number

Email

I, being the applicant, have read, understood and agree to abide by the Regulations of The Natural Burial Grounds. I also confirm that if the burial plot has been pre-purchased that I am the legal owner of the grave (if acting on behalf of another, written explanation/consent must be provided).

I am legally authorised to arrange the burial.

I agree that the grave will not be personalised and understand that unauthorised items will be removed without notice in order to maintain the integrity of the natural burial ground.

Signature of Application (Required)

Date (Required)

Please draw your signature using the mouse or your fingers on a device.

Burial Details

Name of Burial Ground
Please Select BelowPrestwoldScraptoftWrottesley Park

Day and Date of Burial

Time of burial

Full Service or Committal Service
Please Select BelowFull ServiceCommittal Service

Plot Number (if known)

Type of Burial
Please Select BelowFull BurialCremated Remains

Shape and Construction of Coffin/Casket
Note: Coffins/Caskets must not have plastic furniture (handles etc)

Maximum external coffin/casket measurements (including handles)

Note: Coffins/Caskets 6'8"(80") Long or over and/or width of 28" or above will be subject to a surcharge:

For Cremated Remains

Please select which option you would like
Please Select BelowCasketUrnScatter TubeLoose interment

Dimensions Casket, Urn, Scatter Tube

Service Details

Name of person officiating

Denmination

Is a large congregation expected (over 25 people): Yes
If yes how many?

Is a Plaque required for fitting at the burial Service?: YesNo
Note: Minimum 5 working days notice are required

Other information and special requests?

I confirm that the construction of the coffin/casket, including handles, will comply with The Regulations of the Natural Burial Company

Signature of Funeral Director / Funeral Arranger

Date

Please draw your signature using the mouse or your fingers on a device.