APPLICATION FOR MEMORIAL PERMIT - TO ERECT A NEW MEMORIAL OR REPAIR AN EXISTING MEMORIAL
IMAGE: The form includes the Orkney Islands Council crest and logo, with the word “ORKNEY” and “ISLANDS COUNCIL”.
To: Orkney Islands Council, Burial Grounds Officer, Infrastructure & Organisational Development, School Place, Kirkwall, Orkney, KW15 1NY
Telephone: 01856 873535
Email: burialgroundsofficer@orkney.gov.uk
A memorial permit application fee must be paid if the application is for a new memorial. There is no charge for repairing existing memorials. Payment can be made over the phone with Customer Services (01856 873535) or online at https://orkney-self.achieveservice.com/service/Memorial_Permit_Payment
Memorials are inspected on a rolling programme. Orkney Islands Council reserves the right to take whatever action is necessary to ensure the memorial is maintained in a safe condition and will not be liable for any damage that occurs in this process.
| Cemetery | Section | Lair No |
|---|---|---|
I, below, being the person entitled to Exclusive Right of Burial in the above lair understand that the safe erection and maintenance of this memorial is my responsibility.
| Applicant Name (Please Print) | Signature |
|---|---|
| Address (Inc. Postcode) | |
|---|---|
| Email Address | |
|---|---|
| Relationship to Deceased | Contact No |
|---|---|
- ERECTING A NEW MEMORIAL
- REPAIRING AN EXISTING MEMORIAL
Memorial details
| Size of Memorial (cm) | Depth | Width | Height |
|---|---|---|---|
| Memorial Material | Memorial Shape |
|---|---|
| Name of Deceased or Proposed Inscription |
|---|
I, below, have been instructed to carry out the memorial work, a full description is submitted with this form, the applicant has seen and approved these. An approved permit will be in my possession before works begin. I confirm this memorial will be installed to meet BS 8415:2018 standard.
Name and address of Council approved stonemason:
| Signature of stonemason | Planned date of completion |
|---|---|
| Date | Actual date of completion |
|---|---|
USE REVERSE FOR ANY ADDITIONAL REMARKS
OFFICE USE ONLY
| Field | |
|---|---|
| Date Received | |
| Permit Approved By | |
| Reference Number |
| Check | Status |
|---|---|
| Permit details added to register | |
| Correct lair identified | |
| Permit paid | |
| Approval sent | |
| Notified work complete | |
| Inspected by OIC | |
| Inspection records updated | |
| Memorial added to plot plan |
ANY ADDITIONAL REMARKS:
IMAGE: The reverse of the form contains instructions, a privacy statement, and a large blank area headed “ANY ADDITIONAL REMARKS:”.
Process for submitting, approval and payment of permits
Customer agrees memorial design and proposed inscription with stonemason.
Customer ensures lair and contact details are correct on permit form, signs and passes to stonemason.
Stonemason fills out remainder of permit form, signs and submits to Council. If the memorial is of a non-standard design, an accompanying sketch must be submitted.
Council processes permit form and contacts customer to inform that payment can be made over the phone with Customer Services (01856 873535) or online at https://orkney-self.achieveservice.com/service/Memorial_Permit_Payment.
Once payment received, permit issued to stonemason to carry out work.
Once work complete, stonemason must inform the Council. Memorial will then be inspected after 28 days.
Privacy Statement
The personal information provided on this form will only be used as a means of contacting the lair owner/next of kin to discuss the application or inform of any irregularities or damage that may have occurred to their memorial - or if the memorial has failed a safety inspection.
The information will not be shared with any third party organisations, other than the stone masons responsible for erecting the memorial. It will be retained as part of the Council's memorial installation and inspection records.
Version 10/2025