Form Center

2. Village of Hartland
   Interment Order
   Village of Hartland 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 interment in:
10. Section*
11. Block*
12. Lot*
13. Grave*
15. Date of Interment:*
17. Full Burial or Cremains Only:*
    -- Select One --BurialCremains
19. Is a monument in place?*
    -- Select One --NoYes
23. The Remains of:
25. First Name*
27. Middle Name*
29. Last Name*
31. Maiden Name - if available
33. Place and Date of Birth*
35. Last Place of Residence*
37. Place and Date of Death*
39. Married, Unmarried or Widowed*
    -- Select One --MarriedUnmarriedWidowed
41. Veteran*
    -- Select One --NoYes
43. War
47. Authorized by:*
    -- Select One --Funeral DirectorFamily Member
49. Name and Title or Relationship:*
51. Address*
53. Address
55. City*
56. State*
57. Zip*
59. Phone Number*
61. Email Address*
63. Date*
65. Upload files, if applicable:
Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field