Cemetery interment booking form

We have recently updated our online booking form. Please follow these steps:

Apply for an interment

Cemetery interment online booking form

Conditions for natural burial and agreement form [PDF 177 KB]

For help, see our cemeteries online user guide [PDF 559 KB]

Apply to erect a plaque or monument form

Apply to erect a plaque or monument online form

If you need assistance with this or for other enquiries about cemeteries, contact Customer Services or email our Cemeteries team.
Funeral director or organiser: *

First NameLast Name
Organiser’s contact number: *
Format: (000) 000-0000.
Organiser's email*
example@example.com
Order number
Cemetery to be interred at:
BurialAshesNatural Burial
To apply for a natural burial:

Complete the natural burial conditions and agreement form [PDF 206 KB]

Send it to:
Kāpiti Coast District Council
Private Bag 60601
Paraparaumu 5254

Attention: Cemetery Sexton

Note: All documentation needs to be with Council at least 24 hours before the service.
YesNo
Plot number:*
Name of first person interred in plot:*

First NameLast Name
SingleDouble
YesNo
Pre-purchased plot number*
MonumentalRSA BurialCremation BeamLawn PlaqueRSA AshesCremation GardenNatural BurialAshes Wall
Casket size
Urn size
Name of deceased:

Given NamesLast Name
FemaleMaleOther
Date of birth:

DayMonthYear
Date
Date of death:

DayMonthYear
Date
Age:
Requested date of burial:

DayMonthYear
Date
Estimated time of arrival:
Place of birth:
Nationality:
Address of deceased:

Street Address

Street Address Line 2

CityProvince

Post CodeCountry
Deceased is out of district
Occupation:
Denomination:
Lowering deviceRopes and bearersGrass matsShovel (for back filling)
Any other requirements/instructions:
Should be Empty: