BURIAL REQUEST FORM

As a nonprofit community cemetery, we are proud to work closely with funeral homes to honor the wishes of families memorializing their loved ones.

For questions about the sale or transfer of lots, or research on lots previously purchased,
please contact us directly at (931) 781-1052 or info@highlandsparta.com.

To schedule services or burials at Highland Cemetery,
please complete and submit the form below.

FUNERAL HOME BURIAL REQUEST FORM

Name of Funeral Home:

Name of Person Submitting Form:

First Name

Last Name

Email of Person Submitting Form:

Phone Number of Person Submitting Form:

Please enter the best number to reach you.

Country

(###)

###

####

DECEDANT INFORMATION

Name of the DECEASED:

Please include Maiden Name in the Last Name field if applicable

First Name

Last Name

Gender:

Date of BIRTH:

YYYY

Date of DEATH:

YYYY

Marital Status:

VETERAN STATUS

Veteran?

Yes

Branch of Service:

Highest Rank (if known):

Combat Service:

Military Honors (if known):

SURVIVING FAMILY INFORMATION

Primary Contact for Family:

First Name

Last Name

Address for Family Contact:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone for Family Contact:

(###)

###

####

Email for Family Contact:

Relationship to the Deceased:

Other Contacts:

BURIAL INFORMATION

Full Burial

Cremation

Grave Address (if known):

Certificate Number (if known):

Name(s) of Lot Owner(s):

Please note, some lots are registered under maiden names, previous marriages, names of earlier generations, etc.

Requested Date of Burial:

YYYY

Requested Time of Burial:

Hour

Minute

Second

NOTES:

BURIAL REQUEST FORM

FUNERAL HOME BURIAL REQUEST FORM

HIGHLAND CEMETERY