Fillable AUTHORITY TO OPEN LAIR FOR INTERMENT (Renfrewshire Council)

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AUTHORITY TO OPEN LAIR FOR INTERMENT (Renfrewshire Council)

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I:\Cemetery\WordPro\MasterForms\AuthOpenLair
Environment & Infrastructure
Renfrewshire House
Cotton Street
Paisley
PA1 1UG
Tel: 0300 300 0380
Fax: 0141 618 7501
AUTHORITY TO OPEN LAIR FOR INTERMENT
I, (name) __________________________________________________________
of, (address) ____________________________________________________
certify that I am* *Delete as appropriate
(a) the Lairholder
(b) the Legal Heir of the Lairholder
(c) the Representative of the Lairholder
Relationship of representative to lairholder (must be filled in) ____________________
and I authorise that Lair No. _______ Section ______ in __________________ Cemetery
be opened for the interment of (name) ______________________________________
(address) ______________________________________
______________________________________
I understand that the council accepts the above declaration in good faith and does
not accept any liability for any loss, claim, damages or costs, which may occur as a
result of any actions undertaken on the reliance of this declaration. Any liability shall
be borne by me.
Data protection law changes on 25 May 2018. For more information on how the Council
handles your personal details, please read the Privacy Policy
on http://www.renfrewshire.gov.uk/privacypolicy
Signature: ________________________________ Date: _______________________
Witness: Signature: ___________________________________
Print Name: ___________________________________
Address: ___________________________________
___________________________________
FOR OFFICE USE ONLY
Date received: Checked:
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AUTHORITY TO OPEN LAIR FOR INTERMENT (Renfrewshire Council)

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Completed 10 February 2021

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