Funerals Information Form
Please fill out as much information as possible.
Information About the Deceased
Full name of the deceased:
** Please respond with how you'd like this to appear in public materials, even if it's not going to be on a public platform.
Date of birth of the deceased:
-
Month
-
Day
Year
Date
Date of death of the deceased:
*
-
Month
-
Day
Year
Date
Was the deceased a member of St. Stephen's?
Member
Non-member
To your knowledge, was the deceased a member of the Legacy Society?
Yes
No
Point of Contact for Deceased
Is the family contact a member of St. Stephen's?:
Member
Non-member
Address of point of contact:
Email of point of contact:
example@example.com
Phone number of point of contact:
Please enter a valid phone number.
What funeral home will be helping with arrangements?
Other relevant comments or questions:
Clergy Point of Contact:
Assisting Clergy:
Information about the Service
Date of Service:
-
Month
-
Day
Year
Date
Time of Service:
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Will there be remains present?
Yes, there will be a casket
Yes, there will be cremated remains
No, there will be no remains present at all
No, there will be no remains present, but there was/will be at the committal
What space will be used?
Main Church (center)
Good Shepherd
Holy Spirit
Graveside only - Garden of Holy Spiirt
Graveside only - Offsite
Do you anticipate more than 50 people attending?
Information will be needed for bulletin printing, parking, and to determine number of servers
How many ushers and greeters will be needed?
Small services (under 100) usually have 2 ushers and 3 greeters; Services that expect over 150 folks people should have 4 ushers and 5-6 greeters
Number of family members expected:
To determine pews to reserve, etc.
Which space would you like to reserve for the family to gather before the service?:
Please Select
Small Fellowship Hall
Lounge
Library
Other
Who will be the crucifer?
What type of liturgy?
BCP
Celtic Service
Other
Will the service offer Communion?
Yes
No
If so, which altar is to be used?
Main/High altar
Forward altar
Good Shepherd altar
Holy Spirit altar
If so, will chalice bearers be needed?
Yes
No
If so, how many?:
What readings will be included in the service?
Please elaborate if possible:
Number of bulletins needed for the service:
Have you discussed with the family that green and white flowers will be provided for the altar?
Yes
No
If donations to an institution or cause are preferred in lieu of additional flowers, please specify here:
Any special instructions for the altar guild?
Would the family like the service to be livestreamed? (Note: if the service is livestreamed, it will also be recorded automatically. If the family wants a recording but no livestream, please check "Recorded only.")
*
Yes, livestreamed and recorded
Recorded only (not livestreamed)
No livestream or recording
Has the livestream link been given to the family for inclusion in the obituary? The link is ststephensRVA.org/memorial-stream
Yes
No
Have you shared with the family that St. Stephen’s emails a pastoral announcement to share with the congregation timely news of parishioner deaths and funeral arrangements and received the family’s permission for their loved one’s name and information about their funeral to be shared? (Note: if the deceased is not a member of St. Stephen's, we do not send this message.)
Yes, I have informed the family and they give permission for the email to be sent.
The family does NOT want an email sent.
The deceased was not a member of St. Stephen's (these are sent only when the deceased was a member)
The family would like an email sent about their loved one's death but it should not provide service details because the service will be private.
Has you asked the family's permission for the office to share their home address if folks ask to write a note to the family?
Yes
No
Did they provide it permission?
Yes
No
Related Events and Information
Will there be a reception held here at St. Stephen's?
Yes
No
Will alcohol be served? If so, please see alcohol policy below.
Yes
No
Has the preferred caterer list been given to the family?
Please remind the family to contact the office (David Ellis, Facilities Director) once they've chosen a caterer.
Will there be a committal?
Yes, here in the Memorial Garden
Yes, at another location
No
Date of Committal:
-
Month
-
Day
Year
Date
Time of Committal:
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Will it be in the Memorial Garden or offsite?
Will bulletins need to be made for the committal?
Yes
No
How many?
If in the Memorial Garden, has the family already made arrangements for a plot?
And if so, please confirm correct spelling of name and birth/death date for plaque.
Music for the Service
Will any additional (paid) musicians beyond an organist or pianist be required?
Yes
No
What sort of additional music staffing needs do you foresee (examples: vocalist, instrumentalist, paid staff singers)? And how many of each?
Please confirm with Music staff of relevant costs and indicate above
Hymns to be included in the service:
We understand this may not have been determined yet, or may change.
Any additional music requests:
Submit
Should be Empty: