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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.
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* Indicates required question
Email
*
Your email
Form submitter's full name?
*
Your answer
Form submitter's council number?
*
Your answer
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?
*
Your answer
Brother's last name?
*
Your answer
Brother's council number?
*
Your answer
Brother's district?
*
Your answer
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?
*
Yes
No
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