Public Memorial Request Application

Use this form to apply for a public memorial including a Memorial Tree, a Memorial Park Seat, a large Monument/ Memorial or the naming of a Public Place.

Prior to completing this application, read the Public Memorials Policy and Public Memorials Policy Guidelines for eligibility criteria for Public Memorials.

All information must be included before your request will be assessed and approvals given (including copies of plaque text, letters of support, supporting documentation, plans/specifications etc.).


Step 1.Complete the application details

Complete the required details in the online application form.  

Step 2.Processing time

Please allow 5 business days for us to process your application. The requested information will be returned to you via email to the address provided in the form. 

Request for a Public Memorial 

In Person

Step 1.Complete the form

Download, print and complete our Public Memorial Request Application(PDF, 312KB). Please make sure to bring this with you.

Step 2.Visit our offices

Visit our Civic Centre between 8.30am and 4.30pm weekdays to finalise your request.

By Mail

Step 1.Complete the form

Download, print and complete part A of our Public Memorial Request Application(PDF, 312KB).

Step 2.Send us your completed form

Email completed form and supporting documentation to:

Or send by post to:

Wingecarribee Shire Council, 
PO Box 141, 
Moss Vale NSW 2577