Burial Request Form Holy Family Cemetery requires A MINIMUM of a 72-hour notice to open a grave. Saturday burials must be scheduled by noon on Thursday. Notifications are not accepted on Saturdays, Sundays, or holidays. No grave will be opened until a Burial Request Form has been completed and received by Holy Family Cemetery. Burials are NOT permitted on Sundays under any circumstances. Please see the calendar at the bottom of this form for days in which Holiday rates will apply.SECTION 1: Decedent InformationFull Legal Name of Deceased(Required) First Middle Last Suffix Gender(Required) Male Female Military / Veteran(Required) Yes No Burial Type(Required) Casket Cremation Date of Birth(Required) MM slash DD slash YYYY Place of Birth City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Date of Death(Required) MM slash DD slash YYYY Place of Death City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Father's Name Dr.Mr.Prof.Rev.Deacon Prefix First Middle Last Suffix Mother's Name with Maiden Name Dr.MissMrs.Ms.Prof.Rev. Prefix First Middle Maiden Burial space InformationPlease provide the burial space information if availableBuildingBuildingSectionSectionBlock/Row/UnitBlock/Row/UnitLotLotIs the family in possession of the contract/deed?(Required) Yes No Burial Space OwnerWhose name is the burial space in (either on deed or contract)? This will help us locate the file quicker NOTE: If the decedent is not the listed owner of a burial space, the burial space owner MUST sign an interment order.Copy of Contract/DeedMax. file size: 128 MB.You may upload a copy pf the contract/deed if provided to you by the familySECTION 2: Burial InformationMonday – Friday: Interments are permitted between 8:00 a.m. and 3:00 p.m. Monday through Friday. Funeral directors should arrange the time for arrival at the Cemetery, so services conclude by 4:00 p.m. An overtime fee of $200 per hour will be assessed for processions entering the Cemetery after 3:00 p.m. Saturdays: Burials from 8:00 a.m. to 1:00 p.m. will incur a $350 overtime fee. After 1:00 p.m. until 3:00 p.m., the overtime fee will be $500. No processions are permitted to enter the Cemetery after 3:00 p.m. Holidays: Holidays officially observed by the Cemetery, including Memorial Day weekend, will only be scheduled on a case-by-case basis with the appropriate fee assessed. Under no circumstances will burials be permitted on New Year’s Day, Good Friday, Thanksgiving Day, or Christmas Day. No burials are permitted after 1 pm on days designated as holidays by the Cemetery. Name of Funeral Home(Required)Select a Funeral HomeCarney Funeral HomeDavis Family MortuaryEvangeline Funeral HomeFletcher Funeral HomeFrioux-David Funeral HomeJournet-Bolden Funeral HomeLouisiana Funeral Home and CremationPellerin Funeral HomeOtherFuneral Director(Required) First Last Funeral Director's Email Address(Required) Will there be a funeral service?(Required) Yes No Location of Funeral Service(Required)Time of Funeral Service(Required) Hours : Minutes AM PM AM/PM Priest/Deacon/Minister performing the Funeral Service(Required)Choose a Burial Appointment Date and Time(Required)SECTION 3: Contact Information for Next of KinName of Next of Kin(Required) First Middle Last Suffix Relationship to Deceased(Required)Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email SECTION 4: Billing PartyWho will be responsible for payment of fees?(Required) Funeral Home Family Mausoleum Interment Fee* - $850 Tomb Interment Fee* - $1,200 Ground Interment Fee* - $3,000 (includes vault) Cremation Niche Interment Fee* - $525 SATURDAY: (before 1 pm) add $350 (1 pm – 3 pm) add $500 HOLIDAYS: add $500 (must be before 1 pm) * Interment Fees are only applicable to contracts that do not include them as part of the agreement. Overtime fees apply to all agreements Burial Transit FormMax. file size: 128 MB.Please upload a copy of the Burial Transit Form with this application to expedite burialSECTION 6: Acknowledgement and ConsentAcknowledgment and Consent(Required) I agree to these termsI acknowledge the above information to be true and accurate and agree to abide by the Rules and Regulations of Holy Family Cemetery as well as the Laws of the State of Louisiana. I will submit a Burial Transit Permit the cemetery prior to interment. I also hereby agree to submit all of the required fees to Holy Family Cemetery as part of this interment.Date(Required) MM slash DD slash YYYY Signature(Required)By typing my name above, I agree that this will serve as my written signature to this requestCommentsThis field is for validation purposes and should be left unchanged.
