HIC Janazah Announcement Information Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out the form below in order for Hillside Islamic Center to make a community announcement via texts and social media.

May Allah (SWT) forgive any shortcomings of the deceased and grant him/her the highest rank in Jannah. May he give the family patience in this time of loss. Ameen.

Email *

Name *

Phone Number *

Name of Deceased *

Date of Death *

YYYY

Relationship to survivors *

Salatul Janazah Date & Time *

Burial Location & Time *

Please include any other comments you would like included in the annoucement *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Hillside Islamic Center. Report Abuse

Forms