Notification of Death

NAME OF DECEASED
FULL NAME


SUBMITTER INFORMATION
FULL NAME

PHONE NUMBER (902) 555-5555

EMAIL ADDRESS

RELATIONSHIP TO DECEASED


FUNERAL ARRANGMENT DETAILS
FUNERAL ARRANGMENTS

CHURCH/FUNERAL HOME

DATE OF FUNERAL SERVICE (YYYY-MM-DD)

TIME OF FUNERAL SERVICE (2:00pm)

CHURCH/FUNERAL HOME FAX NUMBER (902) 555-5555

CHURCH/FUNERAL HOME EMAIL ADDRESS


Is everything correct?