Application for Right of Burial

Interments are permitted from Monday to Saturday between the hours of 10am and 4pm. Where possible the cemetery is to be clear by 4pm to enable the sexton to close the grave. Twenty-four working hours notice must be given prior to the time fixed for an interment.

This application is a request for a burial and is not a confirmed booking until you are contacted by Council to confirm your request. If you do not hear from us within one working day please phone us on (03) 347-2969.

Fees & Charges

Deceased Details

Gender

Next of Kin
Plot Details

Type of Burial

Pre-purchased

Interment Instructions
The cemetery is to be clear by 4 p.m. to enable the sexton to close the grave.

If known
(please put N/A here if ashes interment)

Casket

Lowering Device

Depth

Head to headstone

Backfill grave

(Required if Ashes: length, width, height)

Position in relation to beam *

Out of District Fee:

Out of District Fee, if also purchasing plot. Has the deceased ever resided in the Selwyn District?

Funeral Director:

Family Interment

Your Email
Please include an email address for you to receive a confirmation of this burial application. If you do not hear from us within one working day please phone us on (03) 347-2969.
Billing Instructions
Eg funeral director, family
Please include an email address if you wish to receive an invoice by email


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You can read the full policy at selwyn.govt.nz/privacy.

We will use the email address you provide to send communications directly related to this form or application. By submitting this form, you consent to receive those communications by email. If you require a hard copy, please email ContactUs@selwyn.govt.nz, visit our Service Desk Team or call 0800 SELWYN (735 996).