New Chapel Hill Baptist Church Cemetery

Use this form to ask the Cemetery Committee to authorize a burial. Each plot allows up to 3 interments. A burial is not scheduled until the Cemetery Committee approves this request. After you send it, the funeral home or family should call the church office at (318) 396-2433 to confirm.

Your request is sent privately to the Cemetery Committee. It is not shown on the public directory. Sending this form does not mark a plot buried and does not schedule the service.

Request sent

Thank you. Your burial request has been sent to the Cemetery Committee. A burial is not scheduled until the committee approves it. Please have the funeral home or family call the church office at (318) 396-2433 to confirm.

The deceased

Full name of the deceased

Date of birth (optional)

Date of death

Funeral home and service

Funeral home

Licensed Funeral Director's name

Funeral home phone

Planned service or burial date (optional)

Planned time (optional)

Graveside service location

Use the church gazebo in the center of the cemetery Funeral home will set up its own graveside tent at the grave

A date and time on this form is a request only. Burial is not scheduled until the Cemetery Committee approves, and the funeral home or family should call the church office to confirm.

Plot

Section

Plot number

Plot holder name (if different)

Leave blank if you or the deceased hold the plot.

I understand this plot's status and still want to send the request.

Interment

Interment type

Casket Cremation urn

Each plot allows up to 3 interments.

Vault or liner (optional)

Notes

Anything the committee should know (optional)