Burial Request

ISD As-Salaam Garden Funeral and Burial Request Form

To initiate a request for funeral and burial services through the Islamic Society of Delaware (ISD) As-Salaam Garden, the required information must be completed in accordance with Delaware state regulations. This information is essential for the processing of the death certificate, which will be submitted by a licensed funeral home director associated with ISD. We deeply understand the challenges you may be facing during this time, and we are here to support you with compassion and respect.

Disclaimer:
The grave site and the use of ISD washing room facilities were funded by ISD community members. Any external services will be subject to additional charges.

Please note:

We are unable to store the body for more than one day.
Non ISD members will be subject to extra charges paid to the funeral home service.
All burial arrangements are carried out with the assistance of our dedicated volunteers.
Have your deceased ID (digital copy) to submit with this form

Any questions about funeral and burial process and cost, please contact (302) 203-9552 or send email to sympathy@isdonline.org or visit our website URL https://www.isdonline.org or https://www.assalaamgarden.org

Deceased Information

Ensuring all fields are completed accurately is vital to prevent any delays and to facilitate smooth arrangements.

Deceased Full Name

Gender (Sex)

Male

Female

Social Security Number (SSN)

Date of Birth

Date of Death

Please Upload Deceased Current Driver License/Passport or Any other ID

Choose File

Place of Birth (City & State/Foreign Country)

Deceased Resident State

Most Recent Resident Address with ZIP Code

Most Recent County Name

Deceased's Last Employment Job Title

Deceased's Last Employment Job Industry

Resident Address Inside City Limits?

Yes

Was Ever in U.S Armed Forces?

Yes

Deceased's Highest Level of Education

Marital Status at the time of Death

Decedent's Race?

Spouse Name (First & Last Name)

Spouse Maiden Name

Father Name (First & Last Name)

Mother Name (First & Last Name)

Mother's Maiden Name

Cause of Death

Did the Deceased have a communicable Disease?

Yes

Approximate Weight of the Body

Name of the Place Where Death Occurred?

Address of the Place Where Death Occurred?

Current Location of the Deceased Body

Reporting Person/Family Contact Information

Legal Representative of the deceased, who can make decisions on behalf of deceased i.e., spouse, parent, child, or another next of kin and will sign authorization documents, if any. AsSalaam Garden officials only communicate with this person. This person must remain available on phone and email during the course of this process.

Person Reporting Death/Main Family Contact/Next to Kin

Relationship to the Deceased

Contact (Next to Kin) Phone #1

Mailing Address with ZIP Code

Contact (Next to Kin) Phone #2

Contact Email Address

Preferred Contact Method, Select one or both

Phone

What type of Service you are requesting?

Funeral Service

Burial Service

Both Funeral & Burial Services

How would you like to pay?

Pay online by credit card now (Recommended)

I will pay by check to ISD sympathy committee member (Consider donating additional amount towards the maintenance of As-Salaam Garden)

Signature (Enter your Name)

Date

ISD As-Salaam Garden Funeral and Burial Request Form

Deceased Information

Reporting Person/Family Contact Information

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