Forms | St. Francis Xavier Catholic Church

Funeral Form

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1 Start 2 Family Contact

Name of Deceased *

Residence *

Country *

City *

State *

Date of Birth *

Month

Day

Year

Date of Death *

Month

Day

Year

Parents/Wife or Husband *

Please list the names of parents or wife/husband of the deceased.

Sacraments *

Please select the Sacraments that the deceased individual has received:

Loved one's remains will be in: *

a casket

an urn (cremated)

already buried (Memorial Mass)

Leave this field blank