Mausoleum Burial Report

Cemetery Name(Required)

Cemetery City(Required)

Your Name(Required)

E-mail Address(Required)

Full Name(Required)

First Middle Last Suffix

Date of Death(Required)

Date of Birth(Required)

Age(Required)

Gender(Required)

Veteran?(Required)

Date of Burial(Required)

Disposition Type(Required)

Block(Required)

Section(Required)

Lot(Required)

Row(Required)

Grave(Required)

Depth(Required)

Are there any additional comments you would like to add to this burial record? If so, please check the box below

Yes

Please type your additional comments in the box below.(Required)

Is this burial a relocation of remains? If so, please click the box below

Yes, this burial is a relocation of remains

The remains are located in a(Required)

Previous location in this cemetery

Other location/cemetery

Phone

This field is for validation purposes and should be left unchanged.

Contact Us

Cemeteries must create an account and login to the site in order to access cemetery documents and burial registration forms.

If you have already created an account on cemeteries.dio.org, you do NOT have to re-register with the site.

To create an account today, please contact Brad Fisher 217.698.8500 x 193 or bfisher@dio.org.