Memorial Service Remembrance Form Instructions
This file contains an important form for the upcoming Service of Remembrance hosted by Hospice of St. Mary's. It provides essential details about the event while offering a method for participants to honor their loved ones. The form includes necessary information for participation in a meaningful memorial activity.
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How do I fill this out?
To fill out this form, please provide the requested information accurately. Make sure to include details about your loved one and your contact information. Once completed, return the form by the specified submission method to ensure recognition at the event.

How to fill out the Memorial Service Remembrance Form Instructions?
1
Complete the form with your loved one's name and details.
2
Provide your contact information for follow-up.
3
Indicate how you would like to receive the hospice newsletter.
4
Specify the number of participants expected.
5
Submit the completed form by the deadline.
Who needs the Memorial Service Remembrance Form Instructions?
1
Families of deceased individuals requiring funeral services.
2
Friends wishing to honor a loved one’s memory during the event.
3
Residents in the community interested in participating in remembrance activities.
4
Previous hospice patients' families who have received care.
5
Anyone seeking grief support and community connection.
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Use editing tools to modify text as needed.
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Once satisfied, click on the download button.
5
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What are the instructions for submitting this form?
To submit this form, please return it to Hospice of St. Mary's by November 1, 2021. You can fax the completed form to 301-994-3318 or email it to the Bereavement Coordinator at dawn.kelly@medstar.net. Ensure all details are filled accurately to facilitate the recognition of your loved one.
What are the important dates for this form in 2024 and 2025?
For 2024, please submit the form by November 1 to have your loved one recognized in the Service of Remembrance, which occurs on November 13. For 2025, exact deadlines will be communicated closer to the event date.

What is the purpose of this form?
The purpose of this form is to facilitate participation in the Hospice of St. Mary's Service of Remembrance event. It serves as a means for families and friends to honor and remember their loved ones through a meaningful ceremony. By filling out this form, participants ensure their loved ones are recognized in a reflective and supportive environment.

Tell me about this form and its components and fields line-by-line.

- 1. Loved One's Name: The full name of the individual being honored.
- 2. Date of Birth: The birth date of the loved one.
- 3. Date of Death: The death date of the loved one.
- 4. Was your loved one served through Hospice of St. Mary's?: Indicates if the deceased received hospice care.
- 5. Primary Contact Name: The name of the person filling out the form.
- 6. Relation to loved one: The relationship of the contact person to the deceased.
- 7. Phone Number: A contact number for further communication.
- 8. Number of Participants expected: Total number of attendees expected.
- 9. Email: An email address for future correspondence.
- 10. Home Address: The residential address of the primary contact.
- 11. City: The city of residence.
- 12. State: The state of residence.
- 13. Zip Code: The postal code.
What happens if I fail to submit this form?
If the form is not submitted, your loved one may not be recognized during the Service of Remembrance. This could prevent your family from participating in an important healing process. It is crucial to adhere to deadlines to ensure inclusion.
- Missing Recognition: Your loved one may not be acknowledged at the event.
- Lack of Participation: You may miss out on fulfilling a personal memorial wish.
- Communication Issues: You might miss important updates about the service or recipients of newsletters.
How do I know when to use this form?

- 1. To Honor a Deceased Loved One: This form allows you to formally acknowledge someone you have lost.
- 2. For Family Participation: It enables family members to participate together in the event.
- 3. For Community Engagement: Community members can join the remembrance activities through this form.
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What type of information is required on the form?
You will need to provide your loved one's name, birth and death dates, and your contact information.
How do I know if my submission is successful?
Make sure to save your submission details and follow up with the hospice for confirmation.
Will I receive reminders for important dates?
While filling the form, you can opt to receive newsletters that may provide updates about future events.
What if I have questions while filling out the form?
You can contact the Hospice directly at their provided phone numbers for assistance.
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