NOTICE OF INTERMENT FULL BURIAL OR CREMATED REMAINS
I /We hereby apply to the Council for an interment to take place in respect of which the following
particulars are true, and to the best of my/our knowledge no material particulars have been omitted.
PARTICULARS OF DECEASED
Full Names ……………………………………………………………………………………… Age ………..
Address ……………………………………………………………………………………………………………
Died at …………………………………………………….. Date of Death …………………………………….
PARTICULARS OF INTERMENT
Day and Date of Interment ……………………………………………………… Time of Arrival ……………
Name of Minister and Denomination ……………………………………………………….…………………..
PARTICULARS OF GRAVE SPACE
A copy of the Grave Deed or an Indemnity Form must accompany this notice. For cremations a
copy of the Cremation Certificate is required.
Grave No …………..
Section ……………
To be purchased
Reopening
Common Grave
Is there any headstone erected thereon YES
Proposed depth of Grave (if new purchase)
NO
1
2
3
Cremated Plot
If the grave were to be full after the above interment would you still wish this burial to take place
YES
NO
Outside measurement of coffin overall (with end rings) Length ………….. Width…………….
Are End Rings attached? YES
NO
Name & Address of Funeral Director ………………………………………………………………………….
…………………………………………………………………………………………………………………….
Signed by Funeral Director ……………………………………………………………………………………
Full Names of Owner …………………………………………………………………………………………..
Signature of Owner …………………………………………………………………………………………….
Address ………………………………………………………………………………………………………….
Please ensure that any memorial work to be undertaken is carried out by an approved mason. A list
can be obtained from Bereavement Services or on our website www.knowsley.gov.uk
For Office Use Only
Fees Received £………….………... Receipt No……….……… Date…………..…………. By…………………………………..
Grave Allocated …………....
Reference
OP65/4
Section………………. Deed No……………………..
Issue No.
001
Issue Date
01/04/11
Page 1 of 3
REGULATIONS FOR LAWN SECTIONS IN BURIAL GROUNDS
1. All new areas within the Cemetery are designated as Lawned Sections.
2. Within these areas concrete plinths are provided by the Council for the erection of an approved
memorial. It is an absolute requirement that no item shall be placed upon the actual grave
space. Such items include bedding plants, glass vases, marble fonts, wooden crosses, kerbing
or any other item that may denote the grave boundary or restrict the maintenance of the area. If
any such item is placed upon the grave it will be removed by the Council without notice.
3. No memorial shall be erected or placed on any grave within the Cemetery or any inscription or
subsequent or additional inscription made without the Council’s written approval.
4. All applications must be made to the Council on the appropriate memorial application form. This
must indicate to the Council the exact dimensions of the memorial and the proposed inscription.
Any subsequent inscription(s) must also be submitted for approval to the Council. All memorial
applications will incur a memorial fee payable to the Council.
5. Forms of application for approval of all memorial work may be obtained free of charge from
Bereavement Services and must include the name and address of the person for whom the work
is to be undertaken. After approval, a permit will be issued by the Council and no memorial or
inscription will be allowed to be erected or placed within the Cemetery until a permit has been
issued in respect thereof. Any memorial erected of any work executed without such permission or
which does not comply fully with the terms of the permit may be removed by the Council at its
discretion at the expense of the owner.
6. Unless the Cemetery Manager otherwise agrees, all foundations for memorials shall be furnished
by the Council at the expense of the owner of the grave.
7. All memorial devices will be subject to the approval of the Council and particulars of any proposed
memorial must give:
 A plan of the memorial containing all dimensions;
 The inscription to be inscribed on the material;
 The number as indicated in the plan of the Cemetery of the private grave on which the
memorial is to be placed;
 The materials to be used in the execution of the work.
8.
All stone memorials must be properly secured and for that purpose
only a minimum of two non-ferrous alloy dowels and other fastenings of approved form and
strength and of not less than ½ of an inch in thickness and 1 inch long shall be used to every foot
of height in both the headstone and the base and the same shall be countersunk to the surface of
the stone.
9.
No memorial shall be altered or interfered with after it has been
erected in the Cemetery according to the design submitted to and approved by the Cemetery
Manager, nor shall any additional inscription be cut thereon without the permit of the Cemetery
Manager first being obtained.
Reference
OP65/4
Issue No.
001
Issue Date
01/04/11
Page 2 of 3
10.
All new memorials to be erected in the Cemetery must not exceed
the following maximum sizes:
Headstone
Height (including all plinths and concrete foundations)
3’3” (991mm)
Width of memorial
2’8” (813mm)
Depth of base (front to back)
1’4”
(410mm)
The Council provides concrete plinths for the erection of a headstone. The overall size of the
plinth is 900mm. The graves are in rows back to back. Each grave space is entitled to 410mm
(maximum) on the plinth for the erections of a memorial. It is an absolute requirement that the
back edge of the memorial base is positioned set to the front of the plinth.
11.
It should be acknowledged that all the above requirements must be
conformed to. The Council will recall the stonemason to rectify any works as necessary.
12.
All floral arrangements will be removed two weeks after a funeral
has taken place in order to keep the Cemetery in a tidy condition. No shrubs must be planted on
any grave space.
Reference
OP65/4
Issue No.
001
Issue Date
01/04/11
Page 3 of 3