Funeral Liturgy

FOR USE BY PARISH STAFF ONLY

Information on Deceased

Type of Liturgy

	Funeral Mass
	Memorial Mass
	Internment ONLY

Name

First Name*

Last Name*

Address

Street 1

Street 2

City

State

Zip

Gender

	Male
	Female

Age

Date of Death

//

Cause of Death

Relative

First Name

Last Name

Phone

--

Relation to Deceased

Additional Family Info

Funeral Home Information

Funeral Home

Other

Phone

--

Contact

First Name

Last Name

Wake?

	Yes
	No

Date, Day, Time of Wake

Funeral Mass Information

Schedule M-F 10AM and Saturday 11AM

Date, Day, Time of Funeral

Cemetery

Cremation?

	Yes
	No

Additional Information

Call received by		Please include date call was received
Comments		Remind funeral home there will be no eulogy during the Mass.