GWM Death Notice & Funeral Form

Peace and Blessings upon you during this time of bereavement. Please let us know the details of your situation below and we will be in touch within 24 hours to discuss how we can be of assistance.

**NOTE: This form is a request only, and a time and date must be confirmed by a designated staff person.

Family Contact Person FirstFamily Contact Person LastContact Phone Number for FamilyEmail of Contact personAre you a partner of GWM

UntitledWhat is the specific purpose of your completion of this form?

If you indicated "other" above, please indicate reason belowFirstLastBased on your understanding, which category best describes the deceased? Please be advises that THIS INFORMATION WILL BE REVIEW BASED ON GIVING AND ATTENDANCE RECORDS..Has the deceased had an extended illness that has impacted Active partner status? (If so, please describe below).Please list any family members that are active partners at GWMPlease indicate GWM ministry involvement/ affiliations below (if applicable and known)What is your relationship to the deceased?What date are you requesting?

Are you requesting a GWM minister to do any of the following at the service?

Has another location been designated for the funeral?If another location has been designated, what is the date of the funeral?What is the location name and address of the funeral?FirstLastAdditional Comments: