Memorial Permit Application

Please ensure you have completed the Fillable PDF form to complete your online application. 

Applicant Information

Type of Memorial

Please select one

Statement of Applicant

I confirm that I have read section 9 of City of Cold Lake Bylaw No. 677-AD-20, Cemetery Management Bylaw and Schedule “C” of City of Cold Lake Policy No. 207-AD-19, Cemetery Management Policy which provides the Memorial Regulations.

I certify that the information I have provided on this application is true to the best of my knowledge.

To complete the memorial permit application, click here. (Fillable PDF)

Protection of Privacy Act, Sec. 33 (c), which regulates the collection, use, and disclosure of personal information. If you have any questions or concerns, please contact the FOIP Coordinator by email (legislative@coldlake.com) or phone (780) 594-4494 ext. 7915.

Ref Bylaw No. 677-AD-20 Policy No. 207-AD-19