Agreement for Interment of Remains

The FY 2027 tentative budget includes a proposed tax rate increase. Details are available in the Property Tax Impact Schedule. Full budget documents can be found on the budget page. Public hearings will be held during City Council meetings on June 9, June 23, and Aug. 11.

Please fix the following:

Interment Details Block Lot Space

Deceased Information Full Name Date of Birth Place of Birth Date of Death Place of Death Age Interment Date Time Sex Marital Status Veteran

Yes No

War Served

Authorization Authorized Signature (typed) Relationship to Lot Owner/Deceased Date

Funeral Home Information Funeral Director Phone

The personal data being collected is included in a public record as defined under Utah Code 63G-2- 301 and may be available to the public as provided in Utah Code 63G-2-201. Prior to making a record available to the public, the City of West Jordan redacts private, protected, or controlled information as defined in Utah Code 63G-2-302, 304, and 305. For more information, please contact the city’s Data Privacy Officer: tangee.sloan@westjordan.utah.gov