Burial Request | Muslim Ummah Cemetery

Burial Status

Partner Workflow Status

Approval Link

DECEASED DETAILS

Name

First

Middle

Last

Gender

Gender of the deceased

Date of Birth

Date of Death

Estimated Weight (lbs)

Veteran

Yes
No

PROVIDE THE FOLLOWING CONTACT DETAILS OF THE FAMILY MEMBER TO PROCESS THE BURIAL PAPERWORK AND PAYMENT

Name of Blood Relative or Friend

First

Last

Name of the requestor for burial

Relation with Deceased

Email

Confirm Email

Mobile Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

If payment will be made by another individual, please provide their contact information. Leave blank if the contact person is the same as above.

Where is the deceased body located for the Funeral Home to pick up (Address)?

Family Mosque preference for Janazah Prayer? Leave blank if no specific preference.

IF THE DECEASED HAS NO PREVIOUS RESERVATION, BURIAL WILL BE IN THE NEXT AVAILABLE GRAVE

Does the deceased have a grave plot reserved? (Must provide MUC Reservation Contract and Grave Location)

Yes
No

Details of Reservation

Provide any details like reservee name, email, phone number, address, grave id, reservation id etc.

Do you prefer the burial to be in a specific masjid section?

Yes
No

Select the specific masjid from the drop-down.

IF YOU WANT TO RESERVE GRAVES NEXT TO THE DECEASED, YOU MUST DO SO BEFORE THE BURIAL. EACH RESERVATION HAS A CHARGE OF $1,000 DUE AT THE TIME OF THIS BURIAL.

Do you want to reserve any graves next to the deceased's grave?

Yes
No

Number of graves to reserve

Each grave will cost $1000 to reserve.

PLEASE READ TERMS AND CONDITIONS CAREFULLY

The cemetery is registered as a memorial park, and all headstones will be installed flush with the ground.
Per cemetery policy, inscription of Quran verses is not permitted on headstones.
To support maintenance operations, ensure visitor safety and minimize potential hazards, items placed on or around graves may be removed by staff.
By submitting the burial request form, I acknowledge and agree to the above and to all other cemetery policies that will be included in the burial contract.

Admin Fields

Assign Graves For Reservation

Assign a Grave For The Burial

Approval Request Sent

Yes

Request Approved

Yes

Masjid

Funeral Home

Grave Type

Grave Price ($)

Weekend Service

Weekend Service Price ($)

Grave Marker Required

Grave Marker Price ($)

Discount ($)

Burial Cost Total ($)

Reservation Cost ($)

Use Relative Email to Send Invoice

Yes

Email to Send Invoice

Assign Grave Digger

Date of Burial

Grave Ready Time

Affidavit Authority

Affidavit Issued

Yes

Contract Signed

Yes

Payment Received

Yes

Burial Permit Received

Yes

ILCOD Entry Completed

Yes

Hardcopy Printed

Yes

Reservation Contract Signed (if applicable)

Yes

Ready for Audit

Yes

Comments

Auditor Remarks

Audit Result

Passed
Failed