Funeral Intake Form Funeral Intake Form Name Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Suffix Parishioner Yes No Birth Date MM slash DD slash YYYY Date of Death MM slash DD slash YYYY Funeral Mass at The Cathedral Prayer Service at Funeral Home Graveside Only Funeral Date MM slash DD slash YYYY Time Hours : Minutes AM PM AM/PM Vigil or Prayers the evening before? Yes - require priest No Location of Burial/InternmentDate of Internment MM slash DD slash YYYY Receptable Casket Urn Next of KinName First Last Relationship to the DeceasedEmail PhoneFuneral Packet Emailed Yes No CelebrantPriest Celebrating Funeral Mass / Graveside ServiceVisiting Priest Celebrating Funeral MassLetter of Good Standing Yes No Funeral Home / Cemetery Contact InformationFuneral HomeFuneral Home Contact Name First Last Funeral Home Contact Email Funeral Home PhoneCemeteryCemetery Contact Name First Last Cemetery Contact Email Cemetery PhoneLink to Obituary Notifications - Cathedral Office UseNotes:Contacts: Organist Cantor Altar Servers Programs Printed Live Streaming PDS Updated School Notified Staff Member who completed Funeral Intake form:CAPTCHA
