Cemetery Burial Record to be Added
The following information is requested to be included in the DSGR Cemetery Records. Include as many of the fields as you are able.
Cemetery *
Which of the Cemeteries listed contains the burial plot?
Your answer
Surname? *
The surname of the deceased
Your answer
Given name? *
Your answer
Alias Name?
Name other than given name by which the deceased was known
Your answer
Maiden name?
Your answer
Age?
Age at time of death (years, months, days)
Your answer
Sex?
Ethnicity?
Your answer
Last Residence?
city, county, state, country
Your answer
Nearest Relative?
Your answer
Birth Information
Date of Birth?
Year / Month / Day
Your answer
City?
City in which the deceased was born
Your answer
County / Region ?
The county or region in which the deceased was born
Your answer
State / Province?
The state of province in which the deceased was born
Your answer
Country?
The country in which the deceased was born -- only leave blank if U.S.A.
Your answer
Military Service
Veteran?
Your answer
Military Branch?
The branch of the military in which the deceased served.
Your answer
Rank?
The deceased highest rank attained
Your answer
War?
The war or conflict in which the deceased participated.
Your answer
Death Information
Date of Death?
Year / Month / Day
Your answer
City?
City in which deceased died.
Your answer
County / Region?
The county of region in which they died.
Your answer
State / Province?
The state or province in which they died.
Your answer
Country?
The country in which they died -- leave blank for U.S.A. only.
Your answer
Cause of Death?
Your answer
Mortuary Name?
The name of the mortuary which handled the burial
Your answer
Interment Information
Date of Interment?
Year / Month / Day
Your answer
Plot Number?
Your answer
Grave Type
Section?
The section number / letter of the cemetery
Your answer
Block?
The block number within the section of the cemetery
Your answer
Quarter?
The quarter of the block.
Your answer
Lot?
Your answer
Tier Row?
Your answer
Tier Point?
Your answer
Grave?
Your answer
Grave Point?
Your answer
Marker?
If there is a marker, what is engraved upon it? Include notation of any symbols
Your answer
Notes / Comments?
Add any notes or comments that you feel would be appropriate.
Your answer
Member Number? *
Enter your member number
Your answer
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