INDIANA KNIGHTS OF COLUMBUS,  IN-DB1 DECEASED BROTHERS REPORT
In order for the deceased Knights to be remembered at the Convention Memorial Mass, this report must be submitted at least one week prior.  The IN-DB1 does not update Supreme's records of member status.
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Email *
Form submitter's full name? *
Form submitter's council number? *
Deceased brother's information.
NOTE: 
  • Please cross-check info from Members Management and our brother's obituary.
  • Update the deceased status in their Members Management profile.
  • Inform your Knights of Columbus insurance agent.
Brother's first name? *
Brother's last name? *
Brother's council number? *
Brother's district? *
Brother's date of birth *
Example: MM/DD/YYYY
MM
/
DD
/
YYYY
Brother's date of death? *
Example: MM/DD/YYYY
MM
/
DD
/
YYYY
Do you know our brother's next of kin? *
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