Louisville, NY · St. Lawrence County

No notary required

Memorial Plaque Order Form

The Town of Louisville form lets donors order a memorial plaque and provide donor, decedent, and engraving information.

What this form is

Use this form to order a memorial plaque from the Town of Louisville; the form lists the plaque price as $600. It asks for donor and decedent information, details for the memorial engraving, and payment information for office use.

Who needs it

A donor who wants to order a $600 memorial plaque from the Town of Louisville should complete this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

No notary is required for this order form; it lists no notarized attachment or sworn step, and the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Town of Louisville Memorial Plaque Order Form.

  2. 2

    Complete The Form

    Fill in the donor and decedent information and the details for the memorial engraving.

  3. 3

    Gather Payment

    The form lists a $600 plaque price and payment information for office use.

  4. 4

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What is the Memorial Plaque Order Form for?
It is used to order a memorial plaque from the Town of Louisville and provide donor, decedent, and engraving information. The form lists the price as $600.
Who should complete this form?
A donor who wants to order a memorial plaque from the Town of Louisville should complete the form.
Do I need a notary for the Memorial Plaque Order Form?
No. The form lists no notarized attachment or sworn step; the signer just signs and dates it.
How do I submit the Memorial Plaque Order Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Memorial Plaque Order Form doesn’t need a notary — but if you have another Louisville form that does, a commissioned online notary can help.