IN THE CONSISTORY COURT OF THE DIOCESE OF LICHFIELD
PETITION FOR EXHUMATION
His Honour Judge Stephen Eyre, Queen’s Counsel, Chancellor of the Diocese and Official Principal of the Right Reverend Michael Geoffrey Ipgrave, Bishop of Lichfield
1.I am:
Mrs/Mr/Miss/Ms......
of ...... …………………..
...... ………………………
Post Code...... ………….... Date of birth …………………. …….
Tel: ………………………………………….. Email …………………………………………
AND
I am (delete as necessary) (i) the spouse (ii) the nearest living relative
(iii) a personal representative of the deceased.
OR
I enclose a form of written consent of one of the above
AND
I have consulted the rest of the close family and they do not object to the proposed exhumation. A statement, signed by them, is enclosed.
2.On the ..... day of...... in the year ...... the (cremated) remains of
(full name)......
were interred in (state the name of the parish or cemetery )
......
in grave number ( if appropriate ) ...... ………….
3.The remains are contained in a casket/coffin (delete as necessary) made of
......
and the Undertaker to be retained for the exhumation has given a written opinion, attached hereto, as to the likely state of the casket/coffin (delete as necessary)
4.IT IS DESIRED that the said remains be exhumed (here state the reasons for the exhumation, stating in particular whether any error occurred in the original place of burial.
......
......
......
5.The written consent of the incumbent and PCC of the parish of
...... ………………………………has been obtained and is attached hereto
OR
The written consent of the Burial Authority of ...... ……………………... has been obtained and is attached hereto.
6.If the faculty is granted the remains will be reinterred in:-
The Churchyard of the parish of ......
OR
In the Civic Cemetery of ...... …... in consecrated/non-consecrated ground (the Burial Authority will advise you about this)
7.The written consent of the incumbent and PCC of the parish of
...... …………………………..
OR
The written consent of the Burial Authority of
...... ……
has been obtained and is attached hereto
8.(Only in the case of a coffin burial) I attach written confirmation from the Local Authority that this exhumation is not considered likely to cause any public health concern.
THE UNDERSIGNED PETITIONER(S) respectfully request(s) that you should authorise the grant of a Faculty enabling the purposes herein mentioned to be carried out
Signed ......
...... ,......
Dated the ...... of ...... 2017
Make sure you enclose with this petition:
- Written consent of the close relatives
- Undertaker's statement regarding the casket/coffin, if there is one
- Consent of incumbent and PCC (or Burial Authority) of place of burial
- Consent of the incumbent and PCC (or Burial Authority) of place of re-interment
- (If appropriate) Confirmation of the approval of the Local Authority
- Your cheques for £242.40 payable to ‘FBC ManbyBowdler LLP', andfor £49.00 (no VAT) payable to “Lichfield Diocesan Board of Finance”.