Grave Opening Request Form

Please call the cemetery BEFORE submitting this form. 802-862-1530

Deceased Summary
Name of Deceased*
First Last
Date of Birth*
MM slash DD slash YYYY
Date of Death*
MM slash DD slash YYYY
Age*
Type of Burial*
- Full Burial
- Cremation Burial
Military Service Veteran?*
- Yes
- No
If a veteran, please contact Resurrection Park for further information about this process. 802-862-1530
VA Marker Desired?
- Yes
- No
If yes, indicate:
- Bronze
- Granite
Lot Location Summary
Lot Owner*
First Last
Relationship to Deceased*
Section*
Lot #*
Location in Lot*
Funeral Service
Date
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Location
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Graveside Service Information
Date
MM slash DD slash YYYY
Time

: Hours

Minutes

AM/PM
Type of Vault
Name of Funeral Home
Phone Number
Information from Requesting Person
*
- I hereby request and authorize Resurrection Park Catholic Cemetery to open said grave. I certify that I have the right to make this request and hold the Diocese of Burlington, its agents and cemetery officials harmless from any and all iability based upon the information contained in this request.
Signature of Requesting Person*
First Last
Relationship to Lot Owner*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Today's Date*
MM slash DD slash YYYY

Deceased Summary