City of Orem Cemetery Burial Report

Burial notification number 801-229-7124

Return Fax # 801-229-7402

Or Email report to cemetery@orem.org

Please note that a phone call and this report must be received PRIOR to any burial. The City of Orem Cemetery requires A MINIMUM of a 24 HOUR WORK DAY NOTICE to open a grave. The Cemetery must be notified by 12 pm for a burial scheduled the following day. (Notifications are not accepted on Saturday, Sunday or any holiday) If the burial plot to be opened has an EXISTING HEADSTONE, removal arrangements MUST BE MADE PRIOR to the grave being opened.

Full Name of Deceased

Sex

Male

Female

Date of Birth - MM/DD/YYYY

City/State of Birth

Date of Death - MM/DD/YYYY

County/State of Death

Plot Status:

Family or Deceased Already Owns a Plot

Family or Deceased DOES NOT Own a Plot

Name on burial lot certificate?

Orem City Resident?

Yes

Family Contact Phone

Funeral Home

Funeral Home Phone

Funeral Director

Date & Time of Burial

Type of Service:

Graveside

Service

Veteran:

Yes

Vault Company/Type

Infant Vault/Tupe/OD Size

Existing Headstone

Yes

Headstone Company

Notified of the 4:00 pm overtime charge

Yes

Billing:

Mortuary

Family

Total Amount Due

**GRAVES MUST BE CLOSED BY CEMETERY CREW BEFORE 4:00 P.M. TO AVOID ANY OVERTIME FEES

Overtime rates are applied every half hour until closing of grave is completed by cemetery personnel.

View Rates