Report a Loss or Death
Please let us know about those who are sick and shut in or need prayer
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Name of Deceased (if known) *
Related to (Member name) if any
Name of Person Reporting the situation.
Date of Loss if Known
MM
/
DD
/
YYYY
Please Describe any details if Known *
Did you personally reach out to the member? *
Were you successful in making contact? *
Does the person need a church resolution? *
Name & Location of Funeral Home (if known)
Any Additional Comments or infomation
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