Burial Information Request Form

Home
About Us
Ministry
Become A Member
Contact
Cemetery

ST. MARGARET & ST. PATRICK CATHOLIC CEMETERIES

Office: 324 Nicolet Blvd., Menasha, WI 54952
(920) 725-8381

Cemetery Coordinator: Peter Krautkramer
email: pkrautkramer@smcatholicschools.org
(920) 460-2211

Burial First Call Sheet

Legal Name of Deceased.

Last Known Address of Deceased.

Date of Death

Date of Birth/Age

Birthplace (City & State)

U.S. Veteran

Yes

No

If yes, which Branch & Rank:

Funeral Time/Location

New Field:

Name of Person Authorizing the Burial (closet living relative)

Next of Kin Address

Next of Kin Phone

Next of Kin Email

Relationship of Said Person to Deceased.

Current Parish Member of

St. Gabriel

St. Margaret Mary

St. Patrick

Non-Member

Billing

Please Bill the Following:

Name

Address

Phone

Services Requested

Full-Body Burial

Cremains

Saturday

Winter Rate

Overtime

Burial Work Order

Date & Time of Ent./Int./Inurn

Grave Service

Yes

No

Clergy for Graveside Service

Will there be a Witness

No

Yes, from the family

Yes, the Funeral Director

Name of Witness

Burial Location

Cemetery Location

St. Margaret Cemetery

St. Patrick Cemetery

Casket or Urn?

Casket

Urn

For Cremains

Urn Vault

No Urn Vault

Location of Cremains on Plot, if known

Marker

Head

Mid

Foot

For Burials

Standard-Sized Burial Vault

Oversized Burial Vault

Burial Vault Type, if known

Location of Burial Plot, if known

Thank you for contacting us.
We will get back to you as soon as possible

Oops, there was an error sending your message.
Please try again later

Contact Us

320 Nicolet Boulevard,

Menasha, WI 54952

Office Hours

Parish Center

Monday - Thursday: 9:00 AM - 4:00 PM

Friday by Appointment

Connect with us

WeConnect | By LPi

Share by: