Funeral Worksheet

Given Name of Deceased REQUIRED Please fill out this field. Please enter valid data.

Name most commonly used Please enter valid data.

Address: REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

Date of Death REQUIRED Please fill out this field. Please enter valid data.

Gender REQUIRED Please fill out this field.

Next of Kin/Family Contact REQUIRED Please fill out this field. Please enter valid data.

Next of Kin/Family Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Relationship REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Date of Funeral Please enter valid data.

Funeral Home REQUIRED Please fill out this field. Please enter valid data.

Funeral Home Contact Please enter valid data.

Location of Funeral REQUIRED Please fill out this field.

For the funeral, there will be: REQUIRED Please fill out this field.

Visitation Date and Time Please enter valid data.

Vigil Service REQUIRED Please fill out this field.

Vigil Service Presider Please enter valid data.

Priest will visit with family before visitation REQUIRED Yes No Not Applicable Please fill out this field.

Time of Visit Please enter valid data.

Eulogy at Vigil Only (Please note Eulogies are not allowed within the Mass) REQUIRED Yes No Not Applicable Please fill out this field.

Name of Person giving Eulogy Please enter valid data.

Special Requests for Vigil Please enter valid data.

Time of Funeral Mass Please enter valid data.

Celebrant, Concelebrants, Deacons Please enter valid data.

Family will meet at REQUIRED Please fill out this field.

Family will be seated REQUIRED Please fill out this field.

Placing of the Pall by REQUIRED Please fill out this field.

Placing of a Crucifix on the casket or urn REQUIRED Yes No Not Applicable Please fill out this field.

If cremains, family will carry in the urn Yes No

Opening Hymn Please enter valid data.

First Reading Please enter valid data.

Read by Family Member Sacristan or Lector

Responsorial Psalm Please enter valid data.

Second Reading Please enter valid data.

Read by Family Member Sacristan

Gospel Please enter valid data.

Chosen by Family Priest

Proclaimed by Priest Deacon

Homily delivered by Priest Deacon

Universal Prayer read by Family Member Deacon Sacristan or Lector Priest

Special Intercessions to include, if any

Presentation of Gifts by family (no more than 4 people) Yes No

Preparation Hymn Please enter valid data.

Communion Hymn Please enter valid data.

Ave Maria Yes No

Announce Luncheon Yes No Not Applicable

Closing Hymn Please enter valid data.

If cremains, family will carry out the urn Yes No

Internment/Inurnment Yes No

Internment/Inurnment held REQUIRED Please fill out this field.

Location of Internment/Inurnment Please enter valid data.

Eulogy/Poem at Cemetery Only Yes No

Military Honors at Cemetery Yes No

If cremains, urn will be placed in the grave by Family Priest Funeral Director

Luncheon Yes No

Estimated number of luncheon guests Please enter valid data.

Special requests and homily notes

St. Joseph Catholic ParisH

220 CHURCH ST. ST. JOSEPH, MI 49085

Funeral Worksheet