COVID-19 Restricted Funeral Planning Form
Deceased Information
Full Name
Date of Birth
Date of Passing
Contact Person Information
Contact Name
Relation to Deceased
Contact Phone
Contact Email
Funeral Details
Funeral Date
Funeral Time
Venue/Location
Officiant
Attendance (COVID-19 Restrictions)
Maximum Allowed Attendees
List of Attendees (Name & Contact Information)
Special Protocols / Instructions
Health/Safety Measures or Notes