Waverly, NY · Tioga County
Cemetery Memorial or Headstone Application
A cemetery lot owner or heir uses this application to request permission to erect a memorial, headstone, or plaque and install its foundation.
What this form is
The application requests permission to erect a memorial, headstone, or flat plaque and install a foundation at a specified cemetery grave lot. It asks for lot and deceased details, memorial and base specifications, a drawing for review, and contact information for the installer and maintenance person. The form also includes approval and fee fields for village use.
Who needs it
A cemetery lot owner or heir seeking permission to install a memorial, headstone, plaque, or foundation at a Village of Waverly cemetery needs this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. Include a drawing for review; the form says applicable fees are the responsibility of the person requesting the application.
About notarization
This document is signed and dated without a notary; the form asks for a drawing for review but mentions no notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the Cemetery Memorial or Headstone Application PDF.
- 2
Complete the Application
Provide the lot, deceased, memorial, base, installer, and maintenance details requested on the form.
- 3
Gather the Drawing
Include a drawing of the memorial for review, as requested by the application.
- 4
Submit to the City
Submit the completed application and drawing to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Cemetery Memorial or Headstone Application?
- No. This document is signed and dated without a notary. It asks for a drawing for review but does not mention a notarized or sworn attachment.
- How do I submit the Cemetery Memorial or Headstone Application?
- Submit it to the city department named on the form; check the city website for current contact details. Include the drawing requested for review.
- What information does the application ask for?
- It asks for grave lot and deceased details, memorial and base specifications, a drawing, and contact information for the person installing and the person maintaining the memorial.
- Who is responsible for applicable fees?
- The form states that all applicable fees are the responsibility of the person or people requesting the application.
Need something notarized?
This Cemetery Memorial or Headstone Application doesn’t need a notary — but if you have another Waverly form that does, a commissioned online notary can help.