Interment/Entombment Form - Gethsemane Cemetery

Please do not schedule services until a confirmation has been received from a cemetery representative.

"*" indicates required fields

Interment of*

Prefix First Middle Last Suffix

Date of Birth

Date of Death

Funeral Home*

Funeral Home/Funeral Hom Director Contact*

First Last

Funeral Home Contact Phone*

Cemetery Location*

Type of Burial*

Section

Lot Number

Grave Number

Deed Number

Vault/Urn Type

Double Depth

*available in limited areas

Lot Owner Name

First Last

Lot Owner Address

Street Address Address Line 2 City State ZIP Code

Other Burials on Lot

Next of Kin Name*

First Last

Next of Kin Address

Street Address Address Line 2 City State ZIP Code

Next of Kin Email

Next of Kin Cell Phone*

Next of Kin Home Phone

Relationship to Deceased*

Type of Service

Service Date

Service Location

Service Time

Arrival Time

Additional Comments/Requests

“We had just had a huge snowstorm and I thought the cemetery was well cleaned for the funeral… This was no easy task.”

“I have recommended Gethsemane to my neighbor. It appears to be well-managed, the manager Tim, capable, considerate and effective.”

“Every aspect was professional and everyone was very helpful. I cannot thank everyone enough for being so pleasant and accommodating.”

“The men that were present the day of my father’s funeral were caring and very courteous. I feel it takes a special person to do this.”

“Very high praise for Larry and all the ladies in the office! They were very nice when you walked in the office and sincere with their condolences.”

“The family and I appreciate how smoothly everything went, and the condition of the facilities. Courteous and professional personnel.”