Mayfield, OH · Cuyahoga County
Memorial Bench Application
Mayfield Village uses this application for people purchasing a memorial plaque to honor a deceased loved one on an available existing village bench.
What this form is
The application lets eligible purchasers request a brass memorial plaque for an available existing bench in Mayfield Village; the program costs $500 and includes ten years of maintenance from installation. It asks for purchaser and additional contact details, information about the deceased, a personal message, dates of birth and death or substitute text, and payment information. A proof is sent for approval before fabrication.
Who needs it
Mayfield Village residents and people wishing to honor a deceased Village resident can submit this application to purchase a memorial plaque.
How to submit it
Return the application with a $500 check payable to Mayfield Village or completed credit card information to the Memorial Bench Program, c/o Mayfield Village Civic Center, 6622 Wilson Mills Road, Mayfield Village, OH 44143. You may also email it to [email protected].
About notarization
This application is signed without a notary; the purchaser signs the form, and no sworn or notarized attachment is listed.
How to submit this form
- 1
Download the Application
Download the Memorial Bench Application PDF.
- 2
Complete the Application
Enter purchaser and contact details, information about the deceased, and the requested plaque message and dates.
- 3
Prepare Payment
Include a $500 check payable to Mayfield Village or complete the credit card information on the form.
- 4
Submit to the Village
Return the application to the Civic Center address shown on the form or email it to [email protected].
Frequently asked questions
- Do I need a notary for the Memorial Bench Application?
- No. The application has a signature line but no notary block, and it lists no sworn or notarized attachment.
- How do I submit the Memorial Bench Application?
- Return it with a $500 check payable to Mayfield Village or completed credit card information to the Civic Center address on the form, or email it to [email protected].
- Who can apply for a memorial bench plaque?
- The program is limited to Mayfield Village residents or individuals wishing to honor a deceased Village resident.
- What happens after I submit the application?
- A Village representative will contact you with a current list of available bench locations. A plaque proof will be sent for approval before fabrication.
Need something notarized?
This Memorial Bench Application doesn’t need a notary — but if you have another Mayfield form that does, a commissioned online notary can help.