Funeral Information Form
This form should be used when we get a call about a funeral.
Email address *
Name of Deceased *
Your answer
Birth Date of Deceased *
MM
/
DD
/
YYYY
Death Date of Deceased *
MM
/
DD
/
YYYY
The Place of Death (city and state) *
Your answer
Age at the Time of Death *
Your answer
Is the Deceased a Parishioner? *
Name, Email, and Phone of the Person Calling/Coordinating *
Your answer
Relationship to the Deceased *
Type of Celebration *
Date of Service *
MM
/
DD
/
YYYY
Date of Burial *
MM
/
DD
/
YYYY
Location of Interment *
Your answer
Mortuary name and phone number *
Your answer
Priest *
Your answer
Reception - If so, where? *
Your answer
Submit
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