***********NOTE*************

THIS FORM IS TO BE COMPLETED ONLY BY THE DESIGNATED FAMILY MEMBER OF THE DECEASED.

FUNERAL HOMES

DO NOT COMPLETE THIS FORM ON THE FAMILY'S BEHALF.

DESIGNATED FAMILY MEMBER OF THE DECEASED:

This form is for you. Planning a funeral is a difficult experience to go through for anyone but most especially for those grieving the loss of a loved one. Our Lady of the Visitation is here to walk with you every step of the way. But we want to communicate with you directly to make sure that your loved one's funeral goes as smoothly as possible. We will work with your funeral home of choice. We will contact them soon. But you come first. Your family comes first. Please fill out this form to the best of your ability so that we can assist you better.