Baytown, TX · Harris County

Memorial Program Application

The Memorial Program Application lets an applicant request a Parks or Roadside memorial for a deceased person and is filed with the City of Baytown.

Detailed form~25 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Use this application to request a Parks Memorial or Roadside Memorial and provide details about the deceased, the requested location, and the memorial type. The applicant also confirms the application and attachments are true, has read the City’s Memorial Program Policy and Procedures, and is at least 18. If the applicant is not an immediate family member, the form requests written family approval; some roadside marker requests require proof of a DWI conviction.

Who needs it

A person requesting a Parks or Roadside memorial for someone deceased should complete this application, including written family approval if they are not a family member.

Why it needs a notary

The form carries a subscribed-and-sworn jurat; the applicant signs the truth-and-correctness statement before a notary, who completes the jurat.

How to get this notarized

  1. 1

    Download the Application

    Get the Memorial Program Application from the City of Baytown.

  2. 2

    Fill Out the Form

    Select Parks or Roadside, complete the applicant and deceased details, and gather any required attachments.

  3. 3

    Book an Online Notary

    Arrange a remote appointment with a commissioned online notary and have identification ready.

  4. 4

    Sign on Video

    Sign the applicant statement during the online notary session so the notary can complete the jurat.

  5. 5

    Submit to the City

    Submit the notarized application and any required attachments to the City of Baytown.

Preview the form

The blank PDF straight from Baytown. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete the Memorial Program Application?
Choose the Parks or Roadside program, provide the requested applicant and deceased information, and complete the truth-and-correctness statement. Sign before a notary, then submit the application and any required attachments to the City.
Do I need to sign this application before a notary?
Yes. The form includes a subscribed-and-sworn jurat stating that the applicant appeared before a notary. Wait to sign until you are with the notary.
Can I sign with an online notary?
Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. A commissioned online notary can notarize remotely; Texas also recognizes acknowledgments taken by notaries of other states under CPRC §121.001. Confirm with the city if unsure.
What attachments might the application require?
An applicant who is not a family member must attach written approval from the deceased’s immediate family. For a roadside marker indicating death resulted from intoxicated driving, attach proof of a DWI conviction.

Ready to notarize your Memorial Program Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.