Request for Work Form
You can choose whether you would like us to quote for works or to proceed with work already quoted for BEFORE you submit this form
Your Name
*
First Name
Last Name
Your Address
*
Street Address
Street Address Line 2
City
County
Postcode
Your Phone Number
*
-
Area Code
Phone Number
Your Email
example@example.com
Details of the Deceased
*
First Name
Last Name
Date of Death
Date of Burial
Age at date of death
Grave Number (if known)
Is there a memorial or any other markers on the grave?
If 'yes' please describe
In some circumstances, only the holder of the deed of right of burial to the grave can give permission for works to be carried out. To allow us to determine whether permission is required, please give us your status in relation to the grave by ticking one of the boxes below:
*
I am the holder of the deed of right of burial for the grave
I am NOT the holder of the deed of right of burial for the grave but I am able to contact them to arrange for them to give permission for the proposed works
I am NOT the holder of the deed of right of burial for the grave and I do not know who the holder is
The holder of the deed of right of burial to the grave is deceased
Description of work you would like Woodgrange Park Cemetery Ltd to quote for/carry out
*
What action would you like us to take (choose one of the options below):
*
Provide me with a quote for the work I have described (Woodgrange Park Cemetery will not go ahead until you authorise and pay for the work)
Carry out the work described as I have already been given a quote (Woodgrange Park Cemetery will invoice you and then carry out the work once payment is made)
if you have already received a quote, please insert the price quoted here
£
.
Signature
*
Submit
Should be Empty: