Janazah Prayer Request

Requestor Information:

Name

Phone

Relation to the deceased

Address

Name of the Deceased:

First Name

Last Name

Date of Death

Requested Janazah Date and time

Funeral Home Service Contact Name and Number

Burial Cemetery Location

Burial Cemetary Contact Name and Number

Request for Imam at Cemetery

Yes No

What is the gender of the deceased?

Female Male

Announcement to ICCP Community for the Janazah

Yes No

Note:
• Hadiya to the Imam is required to be paid to the Imam directly for the cemetery visit. Attendance is not guaranteed and based on availability of the Imam. Please contact us by phone in advance (301.983.0383).
• Requestor should contact ICCP Imam prior to Janazah to discuss Janazah prayer and any tributes.

Consent:

I agree to ICCP privacy policy, and that the above information is correct.

Signature Name

Janazah Prayer Request

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