1005 Grand Ave, West Des Moines, IA 50265

info@imsda.org

+1 (515) 223 1197

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1005 Grand Ave • PO Box 65665 •

West Des Moines, IA 50265 • 515.223.1197

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Death Report

Death Report

This is for pastors (or lay leaders) to report a member's death

Our Church information & Event Details

Your Name

The ACTUAL date of death is needed. Try funeral home/newspaper obits online or www.legacy.com, tributes.com, findagrave.com or other search sites.

 

Deceased Person's Information

Deceased Person's Information

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File a Auto Claim

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Church-Insured Vehicle Information

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Church Attendance Form

Attendance Report

This Report Should be Completed Each Month Following the Final Sabbath.

Number of Sabbaths in the Month?

Below, Slide the Slider to Select the number of Sabbaths in the Month.

4

1st Sabbath

2nd Sabbath

3rd Sabbath

4th Sabbath

5th Sabbath