BURIAL INFORMATION FORM

The Islamic Center offers the Gusl, Shrouding and Janaza prayers for free but the Funeral Home and burial expenses are to be paid in full by the family of the deceased. The funeral home and burial expenses are not the responsibility of the Islamic Center.

You are more than welcome to make a donation in the name of the deceased to the various projects of the Islamic Center which include but are not limited to School Funds, Sunday School Funds, Saturday School Funds, Our Reach Programs, Dawah, Needy funds, Building and maintenance expenses. A receipt of the donation will be available upon request.

Name of the Deceased

First Name

Last Name

Age/Date of Birth

Cause of Death

Place of Death

Funeral Home being used for the burial (name and address)

Family Member's Information:

Name

Date of Birth

Driver's License

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Will the family member lead the janaza prayer?

Do you need help with leading the Janaza prayer?

ICOP relies on your donations to support two mosques and help the needy. Please donate generously by sending your checks to our mailing address below.

ICOP support two Islamic centers located at,