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2025 North Texas Giving Day: Support KCA & TTA

September 18 6:00 am

Grief Care Virtual Support Group

September 18 6:30 pm

Blood Pressure Check

September 21 9:30 am

Request Comfort & Care

Comfort & Care Service Request

We want to serve you in your time of need. Use the form below to let us know in what way we can help you.

Type of Service(s) Requested(Required)

Bereavement

Illness

New Birth

OCBF Member's Name(Required)

First Last Suffix

OCBF Member's Ministry(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Is there a phone number for the member?(Required)

Yes

No

Member Phone(Required)

Is there an email address for the member?(Required)

Yes

No

Member Email(Required)

Bereavement

Deceased Family Member Name(Required)

First Last

Relationship to OCBF Member(Required)

Name of Funeral Home(Required)

Funeral Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Funeral Home Phone Number(Required)

Cemetery(Required)

Date of Wake(Required)

MM slash DD slash YYYY

Time of Wake(Required)

Hours

:

Minutes

AM/PM

Wake Church/Facility Name(Required)

Wake Church/Facility Address

Street Address Address Line 2 City State ZIP Code

Date of Funeral(Required)

MM slash DD slash YYYY

Time of Funeral(Required)

Hours

:

Minutes

AM/PM

Funeral Church/Facility Name(Required)

Funeral Church/Facility Address(Required)

Street Address Address Line 2 City State ZIP Code

May we list the bereavement info in the bulletin?(Required)

Yes

No

May we contact you about the bereavement?(Required)

Yes

No

Illness

Select the type illness/medical issue(Required)

Sick

Surgery

Tests

Other

Sick Family Member Name(Required)

First Last Suffix

Relationship to OCBF Member(Required)

Status of the Patient(Required)

Home

Hospital

Nursing Home

Other

Name of Hospital/Facility(Required)

May we list the illness info in the bulletin?(Required)

Yes

No

May we visit?(Required)

Yes

No

New Birth

Baby's Name(Required)

First Last Suffix

Father's Name(Required)

First Last Suffix

Mother's Name(Required)

First Last Suffix

Status of Baby(Required)

Home

Hospital

Other

Name of Hospital/Facility(Required)

May we list the new birth in the bulletin?(Required)

Yes

No

May we come visit?(Required)

Yes

No

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