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Funeral Plan (Step 1)
Please call parish before completing this form 714-525-2500
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Legal Name of Deceased at the time of Death
*
First
Last
Date of Birth
*
Date of Death
*
Do you have a preferred Priest?
Fr. Steve Correz
Fr. Mike Hanifin
Fr. Scott Allen
Fr. Sal Landa
Fr. Manuel Chavira, S.J.
Other Priest
(Fr. Sal = Not available on Tuesday English, Spanish) (Fr. Steve = Not available on Thursday English, Spanish, ASL) (Fr. Scott = Not available on Friday English, ASL) (Fr. Michael Hanifin = English & Spanish) (Fr. Manuel Chavira, S.J. = (English)
Type of Service Requested
Funeral Mass (Casket)
Funeral Mass (Cremation, Urn, Ashes)
Memorial Service (No Holy Communion)- Casket
Memorial Service (No Holy Communion)- Cremation (Urn / Ashes)
Memorial Mass (No body/No Ashes)
Preferred Language of the Service(s)?
*
ENGLISH
ESPANOL
BILINGUAL (English & Espanol)
ENGLISH & VIETNAMESE (Not Currently Offered-Under Construction)
ENGLISH & KOREAN (Not Currently Offered-Under Construction)
KOREAN (Not offered at this time)
VIETNAMESE (Not offered at this time)
Funeral – Date & Time
*
Date
Time
Memorial Service Clergy
Fr. Steve Correz
Fr. Salvador Landa
Fr. Scott Allen
Fr. Mike Hanifin
Fr. Manuel Chavira S.J.
Deacon Tony Mercado
Deacon Victor Valenzuela
Other
(Fr. Sal = Not available on Tuesday English, Spanish) (Fr. Steve = Not available on Thursday English, Spanish, ASL) (Fr. Scott = Not available on Friday English, ASL) (Fr. Michael Hanifin = English & Spanish) (Fr. Manuel Chavira, S.J. = (English)
Viewing – Date & Time
*
Name of the Location of Viewing / Vigil
*
Language of Viewing / Vigil Service
*
English
Espanol
Bi-Lingual: English & Spanish
Other Clergy: Deacon or Priest
*
Contact Person Name
*
Viewing – Address:
*
Mortuary:
*
Viewing / Vigil, the day before the Funeral?
*
Yes
No
Vigil or Viewings will only be held at Funeral Homes or Mortuaries.
Contact Person (ADDRESS)
Address Line 1
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Address of Deceased (at Death)
Address Line 1
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Cemetery Name
*
Name of Deacon Requested
*
Deacon Tony Mercado (English & Spanish)
Deacon Victor Valenzuela (English & Spanish)
Funeral Home or Mortuary to find a Deacon.
By selecting ‘Funeral Home or Mortuary to find a Deacon’ You understand that it is your responsibility to inform the Funeral Home or Mortuary that you would like them to find a Deacon to do the Vigil.
Age at Death of the Deceased
*
Cemetery Date & Time
Date
Time
Contact Person's Email Address
*
Funeral Arrangements by: (name & number)
*
Name of Parents, Wife, or Husband of the Deceased
*
Cemetery Priest or Deacon
*
Deacon Tony Mercado
Deacon Victor Valenzuela
Fr. Steve Correz
Fr. Scott Allen
Fr. Sal Landa
Would you like to have a Priest or Deacon go the cemetery to do the Graveside service? Usually a Deacon does this at St. Mary’s, but you can request the priest who is doing to the funeral to do it.
Contact Person (Telephone #)
*
Other Priest's First and Last Name
*
Other Time Person
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*
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