
Funeral Planning
Additional Information Needed
The following personal information should be gathered as soon as possible and will be helpful for the church, the funeral home, and any others who will be assisting with the deceased funeral
Deceased full legal name (include nick names in parenthesis): ______________________________________________________________________________
Birth date (include city and state in which the person was born):_____________________
Death Date:____________________________________________________________________
Home Address:_________________________________________________________________
Family Names (always indicate if someone is deceased): ___________________________
______________________________________________________________________________
______________________________________________________________________________
The names of the parents of the deceased:____________________________________________
_____________________________________________________________________________
If deceased was married, what was the date of the marriage and where was the marriage (city & state)
Spouses name: _________________________________________________________________
Names of all children (include names of spouses):
Names of Grandchildren (including great grandchildren etc., if any):
Names of Siblings:
Church Membership:
Name of the congregation:
Location:
Is the family requesting a specific Memorial Fund? Yes____ No____
If yes, indicate the name of the organization and its address information ____________________
______________________________________________________________________________
Funeral/Memorial Service: Will the body be cremated: Yes____ No____
Name of Funeral Home: __________________________________________________________
Location of Funeral Home: ________________________________________________________
Contact information Name of Funeral Director: _______________________________________
Phone Number: __________________________________________________________________
Email Address: __________________________________________________________________
Time of Visitation (if offered): ______________________________________________________
Time of the funeral: ______________________________________________________________
Date of Funeral: _________________________________________________________________
Name of Pall Bearers (normally there should be six): _________________________________
________________________________________________________________________________
________________________________________________________________________________
Will there be a graveside service? Yes____ No___
Will there be a reception following the service? Yes____ No ____ Location _______________
_____________________________________________________________________________
If the reception is to be held at St. Stephen, we will need to know if a meal is desired or just cake and coffee. If a meal is to be offered, then the family will need to determine how many people the Care Team can expect for the dinner.