Information for a Service of Burial of the Dead
General Information for Church Records
Below we will ask questions regarding the deceased for our church records. Please answer them to the best of your ability.
First, middle, and last
Date of Birth
Date of Death
Cause of Death
Was the deceased:
Select all that apply
None of the Above
Last Address of the Deceased
Family Contact Person
Contact Person's Phone Number
Contact Person's Email Address
Information for the Funeral Home
Name of the Funeral Home
Florist for the Altar Flower
Altar flowers are the only flowers allowed in the church. The family is responsible for ordering and paying for the altar flowers.
Alternate Address for Altar Flower Delivery
Flower given by family and friends cannot be delivered to the church. Please list where these flowers, should they be sent, are to be delivered.
Alternatives to Altar Flowers
If family and friends would like an alternative way to memorialize the deceased in lieu of flowers, the following are suggested:
Organ Restoration Fund
Will the body be present for the funeral?
If needed, please choose 6 people
Name of the Cemetary
Will the body be cremated?
If cremated, will the cremains be present at the funeral?
Information for the Liturgy
What type of service would you like?
Traditional (Rite I)
Contemporary (Rite II)
Will the service include communion?
If no communion is desired is there a pastoral reason why not?
Bulletins are provided. How many do you expect to need?
Who will be the Eucharistic Ministers?
Please pick two people
Would you like music at the funeral?
Music can include organ ($250), Carillonneur ($50), and/or a Soloist (fee negotiated)
What type of music?
Please choose all desiered
Organ & Congregational Singing
Please choose between 3 and 5 hymns, and any other music you might desire
Who will read the scripture?
Please pick two people
Please select an Old Testament Reading
Isaiah 25:6-9 - "He will swallow up death forever..."
Isaiah 61:1-3 - "To comfort those who mourn..."
Lamentations 3:22-26, 31-33 - "The Lord is Good to those who wait for Him..."
Job 19:21-27a - "I know that my Redeemer lives..."
Wisdom 3:1-5,9 - "The souls of the righteous are in the hands of God..."
Please select a Psalm
Psalm 23 - Traditional
Psalm 23 - Contemporary
Please select a New Testament Reading
Roman 6:3-11 - "So we might walk in the newness of life..."
Roman 8:31b-35, 37-39 - "Nothing can separate us from the love of God..."
1 Corinthians 15:20-26 - "The last enemy is death..."
1 Corinthians 15:51-58 - "Death has been swallowed up..."
2 Corinthians 4:16-5:9 - "We walk by faith, not by sight..."
1 Peter 1:3-9 - "He has given us a new birth..."
1 John 3:1-2 - "We shall be like him..."
Revelation 7:9-17 - "God will wipe away every tear..."
Revelation 21:2-7 - "Behold, I make all things new..."
Please select a Gospel Reading
Matthew 11:25-30 - "Come to me, all you that are weary..."
John 5:24-27 - "He who believes has everlasting life..."
John 6:37-40 - "I will raise them up in the last day..."
John 10:11-16 - "I am the good shepherd..."
John 11:21-27 - "I am the resurrection and the life..."
John 14:1-7 - "In my father's house..." & "I am the way, the truth, and the life..."
John 20:11-18 - Mary encounters the risen Christ
Information for Reception
St. Alban's does not provide a reception, but if you would like the space for family and friends to gather, we will provide coffee, water, and tea. If you would like, sandwich trays can be ordered, but the family is responsible for payment of the order.
Will you be hosting a reception in the parish hall?
If you will be hosting a reception, will you need food?
Approximately how many people are you expecting at the reception?
Will you need audio/visual equipment at the reception?
For music, slideshows, etc.
If AV equipment is needed, please describe need:
Please be as specific as possible
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of St. Alban's Episcopal Church.
Terms of Service