Form Center

2. Village of Hartland
   Interment Order
   Hartland Village Cemetery
   
4. Must be submitted 48 hours before burial. Contact the Village of Hartland at 262-367-2714 to make necessary arrangement for grave locates.
6. To the Village of Hartland:
8. The undersigned authorizes in Section*
9. Block*
10. Lot*
11. Grave*
13. The remains of:
15. First Name*
17. Middle Name*
19. Family (Last) Name*
21. Maiden Name - if available
23. Relationship*
25. Place and Date of Birth*
27. Place and Date of Death*
29. Date of Interment:
30. Month*
31. Date*
32. Year*
34. Type of Burial

    1. Full Burial
    2. Cremains
36. Married, Unmarried or Widowed*
    -- Select One --MarriedUnmarriedWidowed
38. Veteran

    1. Yes
    2. No
39. War
41. Last Place of Residence
43. Date*
45. Authorized Funeral Director*
47. Address of Funeral Home*
49. Phone Number*
51. Email Address*
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field