Bereavement Notification Form“Hear my cry, O God; listen to my prayer. From the end of the earth I call to You, when my heart is faint. Lead me to the rock that is higher than I.” – Psalm 61:1-2 (NIV)Please enable JavaScript in your browser to complete this form.Full Name of Decedent?Date of BirthGenderMaleFemaleMarital StatusSingleMarriedWidow/WidowerDate of Passing?Did loved one attend SMJC?YesNoName *FirstLastEmail *Phone NumberWhat is your relationship to the decedent?Have funeral arrangements been made?YesNoIn progressIf yes, please tell us the name and address of the organization in charge of arrangements. If a date/time has been set, please list it here as well. Do you need help with funeral arrangements?YesNoWould you like to receive a phone call?YesNoSubmit
