Required fields are marked with asterisks (*)

Interment Rights Application

Please complete all required answers. Also ensure your fillable PDF application has been uploaded. Only one application per person.

*Please contact Legislative Services at cemeteries@coldlake.com for plot availability prior to purchase submission.

Full Name

Phone #

Email Address

Is this plot for a Canadian Forces veteran or Indigent person?

Indigent Person

Veteran

N/A

To complete the Interment Rights Application Form, click here. (Fillable PDF)

Upload completed Interment Rights Application here

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please upload proof of military service/indigent person

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Information on this form is collected for the sole use of the City of Cold Lake and is protected under the authority of the Protection of Privacy Act, Sec. 4 (c), which regulates the collection, use, and disclosure of personal information.

If you have any questions or concerns, please contact the ATIA Coordinator by email (legislative@coldlake.com) or phone (780) 594-4494 ext. 7915.