REQUEST FOR BURIAL

SCHEDULE

REQUEST FOR FUNERAL:

FOR FUNERAL DIRECTOR USE

This form is to be submitted ONLY by the funeral director for the requested funeral.

* Indicates required field

Full Name of Funeral Director *

Funeral Home Name *

Phone Number of Funeral Director *

Email of Funeral Director *

Confirm Email *

Full Name of Deceased *

Full Name of Representative (Family or Legal) of Deceased *

Relationship to Deceased *

Phone Number of Representative *

Email of Representative *

Confirm Email *

Preferred Date and Time *

Burial Type *

Full Casket Cremation

Does the deceased own interment rights? *

Yes No

If no, is the family looking for a specific location (i.e. to be close to family, etc.)? *

Additional Comment(s): *

Submit

FOR FAMILY (WITHOUT FUNERAL DIRECTOR) USE

This form is to be submitted by the (family or legal) representative of the deceased, if you are not working with a funeral director.

* Indicates required field

Full Name of Deceased *

Full Name of Representative (Family or Legal) of Deceased *

Relationship to Deceased *

Phone Number of Representative *

Email of Representative *

Confirm Email *

Preferred Date and Time *

Burial Type *

Full Casket Cremation

Burial Plan (i.e. full casket burial, cremation) *

Does the deceased own interment rights? *

Yes No

If no, is the family looking for a specific location (i.e. to be close to family, etc.)? *

Additional Comment(s): *

Submit

Stafford memorial park

office hours

154 Shelton Shop Road
Stafford, VA 22554

Please click here for see our updated statement regarding the COVID-19 epidemic and our office hours.

Phone: (540) 659-2191
Fax: (540) 288-1021

After hours funeral scheduling

To submit a funeral request for your preferred date and time, please click here. We will respond within 24 hours of your request or when our office reopens, whichever occurs first.

Location

directions

From Richmond, VA
95 N to Exit 140 for County Rd 630 towards Stafford
Turn left onto Courthouse Rd
Turn right onto Co Rd 648/Shelton Shop Rd

From Washington, DC
95 S to Exit 143B for County Rd 610W towards Garrisonville
Turn right onto County Rd 610W - Garrisonville Rd
Turn left onto Shelton Shop Road