Roman Catholic Diocese of Orlando FUNERAL INSTRUCTIONS FOR A DEACON OF THE CHURCH

(Complete this information and leave it where it will be easily found upon your death.)

Final Directions and Instructions upon the Death of Print Deacon’s Name Please notify the following as soon as possible upon death: Diaconate Office - Deacon David Gray - [email protected] – (407) 246-4878 or (407) 694-4679 (Cell) Diaconate Assistant – Christine Shields – [email protected] – (407) 246-4898

Copies of this form have been given to: Office of the Diaconate Wife ______Name Address/Phone Relative ______Name Address/Phone Parish ______Name Address/Phone Information for death notice and documents: Deacon’s Full Name: Date of Ordination: Address: Place of Ordination:

Date of Birth: Place of Birth: Father’s Full Name Living: Deceased: Mother’s Full Name Living: Deceased: Wife’s Full Name Living: Deceased: (Including maiden name) Names, addresses and telephone numbers of other children, living brothers and sisters:

Occupation: Employer: Phone Number: Ministries / Interests in Life:

Military Service – Branch: Dates of Service: My funeral arrangements have been made at:(Name and Address):

Cemetery (Name and Address): INSTRUCTIONS FOR FUNERAL RITES FUNERAL VIGIL REQUESTS

Wake will be held at Funeral home Church Location Name Street Address City, State and Zip Phone Number Presiding Minister: Music Minister: Scripture Reading(s): Reader: Intercessions prepared by family or Church Reader:

Individual(s) offering eulogy:

FUNERAL MASS REQUESTS* Music and Scripture Entrance Song: Song at Preparation of Gifts: Communion Song: Recessional Song:

Old Testament Reading: Reader: Psalm: New Testament Reading: Reader: Gospel Acclamation: (will be sung) Gospel: Reader: (Priest or Deacon) Intercessions to be prepared by family Reader: or Church

Other Ministers of the Liturgy Presider – The Bishop usually presides: Deacons: of the Word: of the Eucharist: Music Minister Altar Servers: 1) 2) Gift Bearers: Bread Wine Extraordinary Ministers of Holy Communion: 1) 2) Optional: Those involved in the placing of Christian Symbols Pall: Book of the Gospels: Crucifix: Individual offering post-Communion reflection:

______Deacon Signature Wife Signature Date

REVIEW THIS FORM ANNUALLY – UPDATE AS NECESSARY – DISTRIBUTE UPDATES AS REQUIRED

1Additional sheets as necessary