Partney Cemetery

Partney Cemetery Application to erect a memorial

Memorial Application for Partney Cemetery

 

Please contact the Clerk for a paper copy

This application is to be completed and signed by the Owner of the Grant of Exclusive Right of Burial and the Memorial Mason for every kind of work proposed to be carried out in relation with a memorial at Partney Cemetery.

 

Please note this form constitutes an application only and no works should be undertaken until written permission is granted by Partney Parish Council. 

 

Please note an incomplete form cannot be accepted for processing

 

Section One : For Grant of Exclusive Right of Burial - Owners Use

 

Name of Deceased

 

Grave Plot Reference No

 

Date Of Burial

 

Full Name of Applicant

 

Status of Applicant

Please tick relevant box

Registered Owner of the Grant of Exclusive Right of Burial

 

Executor

 

Next Of Kin – please specify relationship  to the deceased (i.e. Son)

 

Request that 

(Please enter the name and address of the Memorial Mason who will be carrying out the work on your behalf)

 

 

 

 

 

be permitted to carry out the work as detailed overleaf. 

 

  • I understand that I am responsible for the costs of erecting and maintaining the memorial
  • I understand that the memorial remains my property and as the registered owner/executor/next of Kin/of the holder of the Grant of Exclusive Right of Burial I am responsible for keeping the memorial in good repair at all times to meet current and any future Health and Safety Regulations or Rules that may be applied. 
  • I understand that if I fail to do so after due notice the memorial may be laid flat/removed.  I agree to allow Partney Parish Council to authorise random testing of memorials to National Association of Memorial Mason standards (or any relevant Health and Safety standards) to ensure that I am complying with my obligations as the registered owner/executor/next of Kin/ of the holder of the Grant of Exclusive Right of Burial of this grave/plot. 
  • If the memorial is found to be in an unsafe condition, at any time, I accept that the memorial will be laid flat/removed and that I will be responsible for the cost of removal and renovation/repair cost if I choose to have the memorial reinstated.  I will ensure that I notify the current Parish Clerk in writing of any change of address to enable them to notify me of any change in rules or regulations that may affect the grave or memorial.

 

Signed

 

 

Date

 

 

Address including postcode

 

 

 

Daytime Telephone No.

 

Section Two:   

To be completed by the Memorial Mason who will be carrying out work, of any kind, on a

memorial, or erecting a memorial at Partney Cemetery

 

Description of work:         Please tick box as appropriate and provide details

  1. Additional Inscription
  2. Repair work
  3. Erection of Headstone (please list style of memorial)
  4. Placing of Cremation Stone

 

Description :

 

 

 

Memorial Material:

Type and colour of stone and details of fittings

e.g. granite, NAMM approved anchorage system etc) 

 

Type of decorative features if any

e.g. vase

 

Size

please give full dimensions of proposed memorial

 

 

  1. I enclose a sketch/photograph of the proposed memorial/inscription

Proposed Inscription – to be shown as it will be spaced and located on the memorial

I confirm that (please tick all relevant boxes):

  1. The memorial will be manufactured and erected to the current minimum National Association of Memorial Mason (NAMM) standards.  In the case of headstones this will include a NAMM approved anchor system.
  2. All work carried out on the memorial (e.g. removal for additional inscription or other repair work) will meet current minimum NAMM standards and in the case of a headstone will include a NAMM approved anchor system.
  3. I/we agree to be responsible for any damage caused to Council property or to surrounding memorials, turf etc. caused by the negligence of myself, my workmen and or/any subcontractor employed by me, and confirm we have appropriate public liability insurance in place.
  4. I/we agree to remove all unused materials / rubbish and to leave the area in a neat and tidy state.
  5. I/we agree not to carry out any work on site while a funeral is in progress.
  6. I / we confirm that the applicant has seen and approved the specifications as detailed in this application.
  7. I/we have explained to the owner of the Grant of Exclusive Right of Burial that the memorial remains their property and that they are responsible for keeping it in good and safe condition to current industry and general Health and Safety standards at all times.
  8. I/we have advised the owner to consider insuring the memorial against accidental damage and vandalism.

 

Signed

 

Full Name of Signatory

 

Date

 

Name & Address of Company

 

 

Please complete and return the signed form to: Parish Clerk, 4 Church Lane, Hundleby, Lincolnshire  Contact:  01790 752541 or clerk@partneyanddalby-pc.gov.uk

 

(Personal information will not be disclosed to third parties and will only be used for the purpose for which it has been collected).