Appendix-8

ARCHDIOCESE OF BALTIMORE _________________________________________________________________________________________________________________________________________________ DIVISION OF CLERGY PERSONNEL 320 Cathedral Street Baltimore, MD 21201-4419 410 547-5427         Fax: 410 234-2953           E-mail: clgypers@archbalt.org

            PRIEST FUNERAL AND BURIAL INSTRUCTIONS
                                   

The following information concerning funeral and burial instructions reflects my preferences and desires with regard to the actions to be taken upon my death.  This information has been discussed with my family members and/ or power of attorney.  This information is intended to assist my family and the Archdiocese of Baltimore to carry out their responsibilities for making the necessary arrangements upon my death.

DATE:                                    

I.          GENERAL INFORMATION

1.   NAME:                                                                                                                                                    
(First)                                                      (Middle)                                 (Last)

2.  ADDRESS:                                                                                                                                              

3.   PHONE:               (        )                                                  4. FAX:  (         )                                            

5.    EMAIL:                                                                                                                                                  

6.   NEXT OF KIN/PERSONAL REPRESENTATIVE (2 persons): those who will make final decisions

NAME:                                                                                                                                              

ADDRESS:                                                                                                                                       

PHONE:                                                           RELATIONSHIP:                                                   

NAME:                                                                                                                                              
ADDRESS:                                                                                                                                       

PHONE:                                                            RELATIONSHIP:                                                  

7.   DISPOSITION OF THE BODY:                            Burial                           Cremation

8.   CASKET: For Viewing                                           Open                            Closed

9.   CHURCH OF FUNERAL RITES:
             Wherever assigned at time
              Pastor Emeritus
              Home Parish
              Other                                                                        
10.   PALL BEARERS:
                                                                                                                       

11.   OBITUARY INSTRUCTIONS:
               in lieu of flowers                                                                                         

               charitable donation                                                                                    

II.        LITURGICAL ARRANGEMENT PREFERENCES
1.  Vigil Service:
Presider:          1st Choice                                                                                                                   

2nd Choice                                                                                                                  

Homilist:         1st Choice                                                                                                                   

2nd Choice                                                                                                                  

Scripture Readings:
                                                                                                                       

Other Notes:                                                                                                                                       

• Mass of Christian Burial:

Presider:          1st Choice                                                                                                       

2nd Choice                                                                                                      

Homilist:         1st Choice                                                                                                       

2nd Choice                                                                                                      

Major Concelebrants:
Rev.                                                                                                                

Rev.                                                                                                                

Rev.                                                                                                                

Assisting Deacons:
Deacon:                                                                                                          

Deacon:                                                                                                          

Readers:
1st Reading:                                                                                                    

2nd Reading:                                                                                                   

Intercessions:                                                                                                 

Gift Bearers:                                                                                                                          

Presider – Final Commendation:                                                                                                       

Scripture Readings:
1st Reading:                                                                                                                            
(Scripture Passage)                                                             (Lectionary No.)

2nd Reading:                                                                                                                           
(Scripture Passage)                                                             (Lectionary No.)

Gospel:                                                                                                                                   
(Scripture Passage)                                                             (Lectionary No.)

Liturgical Music:
Prelude                                                                                                                                   

Opening                                                                                                                                 

Responsorial Psalm                                                                                                               

Gospel Acclamation                                                                                                              

Preparation of Gifts                                                                                                               

Eucharistic Acclamations
Holy, Holy                                                                                                                 
Memorial                                                                                                                   
Great Amen                                                                                                               
Lamb of God                                                                                                             

Communion                                                                                                                           

Song of Farewell                                                                                                                    
Closing                                                                                                                                   
Postlude                                                                                                                                 

Other Requests:                                                                                                                      

3.   GRAVESIDE:
Presider:                                                                                                                                 

Reader:                                                                                                                                   

* Note:  Are those who would exercise a particular role or function aware of your desires?                  

III        FUNERAL ARRANGEMENTS

1.  FUNERAL DIRECTOR:

Name:                                                                                                                                     

Address:                                                                                                                                 

Phone:             (      )                                                                                                              

Have you made pre-arrangements?                                                                                        

If so, have they been pre-paid?                                                                                              

2.  CEMETERY

Name:                                                                                                                                     

Address:                                                                                                                                 

Phone:                                                                                                                                    

Grave Site:                                                                                                                             

                                    Copy of Deed Enclosed:                                                                                                        

IV.    GENERAL COMMENTS
                                                                                                                                                       
                                                                                                                                                       
                                                                                                                                                       
                                                                                                                                                       
PLEASE NOTE:

• • Copies of this information should be shared with your family members, personal representative, funeral director, and others.
  • It will be helpful if a family member or personal representative contact the Chancery Office at 410 547-5446 and/or the Office of Clergy Personnel as soon as possible at the time of death so that assistance with arrangements and communication of information can be taken care of promptly.
  • An updated copy of your will, signed and dated, must be furnished to the                                                   Chancery Office in a sealed envelope.