Funeral Plan (Step 1)

by: (Telephone Vigil

Legal Name of Deceased at the time of Death

First

Last

Date of Birth

Date of Death

Do you have a preferred 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)

Contact Person Name

Mortuary:

Funeral Arrangements by: (name & number)

Contact Person (ADDRESS)

Address Line 1

City

State

Zip Code

Address of Deceased (at Death)

Address Line 1

City

State

Zip Code

Cemetery Name

Cemetery Priest or Deacon

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.

Age at Death of the Deceased

Cemetery Date & Time

Date

Time

Contact Person's Email Address

Contact Person (Telephone #)

Name of Parents, Wife, or Husband of the Deceased

Please complete step 2 after submitting this form.

Ok

Please call parish before completing this form 714-525-2500