benevolent notification

Please fill out the form below to notify the Jurisdiction of the Sick, Shut-In, and Deceased Loved Ones.

Name

First Name

Last Name

Title

SW3 Church Home

Notification Type

Loved One's Name

First Name

Last Name

Relationship to Loved One

Explain Other Relationship to Loved One or Provide Additional Comments

How Do You Want SW3 To Reach Out To You?

Check all that apply:

Cell Phone

Mail to My Home

Mail to the Funeral Home

All of the Above

Do Not Contact

Phone

(###)

###

####

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Funeral Home

Funeral Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Final Arrangements, If Known

If this is a Deceased Notification, please provide Final Arrangement information when available to SW3MIBenevolent@gmail.com. If you have questions, please contact SW3 Benevolent Coordinator, Assistant Secretary Josie Grice @ SW3MIBenevolent@gmail.com.

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