Interment Request

Requesting Interment Services

Please complete the request form to begin arranging interment services. Kindly note that requested dates and times are not guaranteed and will be confirmed based on availability.

NOTE** We do not provide tents, chairs, lowering devices, or vaults; these items should be coordinated directly with a vault company.

Questions? Contact our office

"*" indicates required fields

Deceased Information

Deceased Name*

First Middle Last Suffix

Maiden Name (if applicable)

Home Address*

Street Address City State ZIP Code

Gender*

Race*

Place of Birth*

Date of Birth*

Place of Death*

Date of Death*

Is the deceased a veteran?*

Yes

Please specify which branch (and war if applicable)*

Is the deceased the grave owner?*

Yes

Next of Kin Information

Name*

First Middle Last Suffix

Phone Number*

Address*

Street Address City State ZIP Code

Funeral Home Information

Name of Funeral Home*

Phone Number*

Date of Funeral*

Time*

Date of Burial*

Arrival Time*

Please note that additional fees will be incurred for weekend and holiday interments,
as well as any arrivals after 2:30 PM.

Cemetery/Interment Information

Grave Owner*

First Last

Grave Owner Phone Number*

Do you have permission from the grave owner?*

Yes - Written

Yes - Verbal

I am the Grave Owner

If you have been given written permission, please forward a copy to office@germantowncemetery.com or mail it to PO Box 337, Germantown, OH 45327.

Permission of the owner is required. Interment in a space is not possible until we receive permission from the grave owner. Once permission has been received please forward a copy to office@germantowncemetery.com or mail it to PO Box 337, Germantown, OH 45327.

Vault Company*

Vault Type*

Vault Size*

If other, please specify*

Section

Lot

Row

Grave*

Special Instructions

Request Completed By:*

First Last

Your Phone Number*

Your Email*

We'll use this information in order to confirm your request.

Germantown Union Cemetery

Germantown Union Cemetery

Interment Request

Requesting Interment Services

Deceased Information

Next of Kin Information

Funeral Home Information

Cemetery/Interment Information

Visiting Hours

Contact Us

937-855-3011

Office Hours

Please Be Advised