Funeral Arrangement

Bereavement Care Form

Please complete the form below. The information will be sent to the Administrative Office's Family Care Coordinator and you will be contacted about your request. All information is kept confidential. On behalf of Friendly and Bishop Michael F. Jones, Sr., we send our condolences and will continue to keep you and your family in our prayers during this time of sorrow.
Date*

MonthDayYear
Today's Date
Name of Deceased*

First NameLast Name
Date of Death*

MonthDayYear
Date
Member of Church*

YesNo
Ministry Affiliation*
Member Status
- 5-Active member working in a ministry, tithing & contributor
- 4-Active member attends a teaching ministry, contributor but not tithing
- 3-Active member serving on no ministry, contributor & tithing
- 2-Active member serving on a ministry, non-contributor
- 1-Joined church not attending regularly, non-contributor, inactive due to illness/nursing home
- 0-Inactive due to unknown reasons, out of state
Member Status
Relationship to the Deceased*
Spouse of, Child of, Mother of, etc.
Immediate Contact Person*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*

Area CodePhone Number
Alternate Phone*

Area CodePhone Number
Funeral Home/Director*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Visitation Arrangements
Date*

MonthDayYear
Date
Time*

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Location*
Funeral/Memorial Arrangements

(Copy of Program/Obituary required prior to printing subject for approval)
Date (1st Preference)*

MonthDayYear
Tuesdays, Wednesdays and Thursdays preferred
Date (2nd Preference)*

MonthDayYear
Tuesdays, Wednesdays and Thursdays preferred
Time*

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Location*
Burial Location*
Complete the following if services are being held at Friendly.
The body will be brought to the church on (date)*

MonthDayYear
Date
The body will be brought to the church at (time)*

:HourMinutesAM/PM Option
Special music requests?*
Additional requests?*
Repast services requested? (Active Members Only)*

YesNo
Number to be served (Max. 75-100)*
Contact the Administrative Office regarding price information.

Additional Comments or Notes:

Entrance & Parking for the family
- Entrance & exit through front of the FLC
- Seating the second section on the east side
Entrance & Parking for the team
- Team will park on the east parking lot (Belt Side)
- Enter & exit through the North & South Doubled doors (Belt Side)
- The team will set in the first east section
Secure/Block
- Belt side parking lot
- The small west parking lot
- Front of FLC
Repast
- Youth Worship Center Fellowship Hall/Gym
- Set-up of Fellowship Hall/Cafe (Friendly's Maintanance Staff)
- Catering Company - Family Request
Friendly Temple Bereavement Brochure

Feel free to download our Bereavement Brochure
Should be Empty:

Bereavement Care Form

Friendly Temple Bereavement Brochure