Can I request multiple intentions at once?

Yes. List each intention separately with the associated offering and preferred date. If a single offering covers multiple intentions, specify allocation so the parish can record and acknowledge each intention correctly.

Is an electronic submission legally valid?

Electronic submissions are generally legally acceptable under the ESIGN Act and UETA for record and bookkeeping purposes, provided intent, consent, attribution, and retention requirements are met.

What if the requested date is unavailable?

The parish will normally propose the nearest available date and notify the requester. Include alternate dates on the request to expedite scheduling and avoid delays.

Do I need to pay when I submit the request?

Payment policies vary by parish. Some accept offerings at submission; others permit payment at a later date. Note the parish’s stated payment timing on the form.

Are names read publicly during Mass?

Parishes manage public reading permissions individually. Use the privacy opt-in field to indicate whether the name may be announced or should remain private.

How long will the parish keep my request?

Retention depends on parish policy and applicable law. Keep requests for at least three years for accounting; if health information is included, retain for six years per HIPAA rules.

Electronic Signature
Templates
Miscellaneous
Mass Intention Request

Mass Intention Request

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

MASS INTENTION REQUEST

RECITALS

WHEREAS, the Requester seeks to place an intention for the celebration of Holy Mass to be offered for a specified person, persons, or intention; and

WHEREAS, the Parish (or designated ecclesiastical office) administers scheduling and acceptance of Mass intentions subject to liturgical schedule, diocesan norms, and the Parish's published policies.

REQUESTER INFORMATION

Requester Full Legal Name Address Primary Phone Email Preferred contact method

Phone Email Postal Mail

SCOPE OF SERVICE (INTENTION DETAILS)

Specify the intention to be offered at Mass. Provide the full name(s) of person(s) and the nature of the intention. The Parish will use this information to prepare the intercession and any printed parish materials where applicable.

Intention Type (check all that apply)

For the repose of the soul (Deceased)
For the health or special intention (Living)
Anniversary / Birthday
Special Intention
Other:

Name(s) of person(s) for whom the Mass is requested Relationship to Requester Requested Mass Date Alternate Date(s) (if any) Preferred Time Intention Text / Special Requests

PAYMENT TERMS

The customary offering for a Mass intention is a voluntary donation made in conjunction with the request. Acceptance of an intention is not contingent upon a specific amount, but scheduling priority may be affected by timely payment.

Suggested Donation Amount Payment Method

Cash Check Credit/Debit Card Other:

Payment is due by the date the intention is scheduled or as otherwise agreed in writing. Late payments may be assessed a service fee of . The Parish reserves the right to remove an intention from the schedule if payment is not received within days of acceptance.

TERM AND TERMINATION

This request takes effect upon receipt by the Parish. The Parish may accept, reschedule, combine with other intentions, or decline the request consistent with liturgical norms and scheduling constraints. The Requester may cancel this request by providing written notice to the Parish at least days prior to the scheduled Mass. If the Mass is cancelled or rescheduled by the Parish, the Parish will make reasonable efforts to notify the Requester and offer an alternate date or refund, at the Parish's discretion.

CONFIDENTIALITY AND PUBLICATION

The Parish treats personal data provided herein in accordance with applicable privacy practices. The Requester authorizes the Parish to include the intention name(s) in parish intercessions, printed materials, or electronic bulletins unless the Requester indicates otherwise by checking the box below.

Do not publish the name(s) of the intention in parish intercessions or bulletins

GOVERNING LAW

This request and any disputes arising from it shall be governed by the laws of the jurisdiction in which the Parish is located. Specify jurisdiction for record purposes:

ENTIRE AGREEMENT

This written request, together with any written Parish acceptance, constitutes the entire agreement between the Requester and the Parish regarding the Mass intention and supersedes all prior communications, representations, or agreements, whether oral or written.

OFFICE USE ONLY

Scheduled Date Scheduled Time Celebrant / Presider Accepted By (Staff) Parish Notes

CERTIFICATION AND SIGNATURE

By signing below, the Requester certifies that the information provided is true and accurate to the best of their knowledge, that they understand the Parish's scheduling and payment policies described above, and that they authorize the Parish to schedule, publish, or otherwise use the intention as indicated unless an explicit opt-out is provided. The Requester further acknowledges that acceptance of this request is subject to Parish approval and scheduling constraints.

Requester Printed Name:

Signature:

Date:

What a Mass Intention Request Is and When it’s Used

A Mass Intention Request is a written or electronic form used to schedule multiple liturgical intentions—such as prayers, memorial Masses, anniversary remembrances, or special thanksgiving services—at a parish or institutional chapel. The form collects requester contact details, preferred dates and times, the names to be remembered, the offering amount, and any pastoral notes. Parishes use this record to coordinate scheduling, ensure liturgical planning, and maintain an auditable history of requested intentions for accounting and pastoral follow-up.

Why a Standard Mass Intention Request Matters

A consistent Mass Intention Request reduces scheduling conflicts, ensures accurate recording of names and offerings, and supports financial tracking and pastoral continuity. Standardized requests help staff confirm availability, document fulfillment, and preserve a clear record for families and the parish.

Who Typically Completes and Processes These Requests

Parishes, chaplains, parish secretaries, funeral directors, and family members commonly prepare Mass Intention Requests to reserve liturgical times and record offerings.

Parish office staff: Manage schedule, verify dates, and record offerings for accounting and reports.
Family or requester: Provide names, relation, preferred dates, and pastoral notes for the intention.
Funeral directors / coordinators: Submit requests tied to funeral liturgies or memorial services.

Clear roles and a completed request reduce follow-up calls and help the parish maintain accurate sacramental and financial records.

Step-by-Step: Submitting a Mass Intention Request

Complete these steps to submit a clear, processable request whether using paper or an online form.

01

Prepare details: Gather full names, dates, offering amount, and contact information.
02

Complete form: Enter all required fields and review for spelling accuracy.
03

Attach documents: Add supporting documents for funerals or burial permissions if required.
04

Submit: Return form to the parish office or submit electronically via the parish portal.

Typical Processing Flow for a Mass Intention Request

A standard workflow helps parishes confirm availability, accept offerings, and record fulfillment for sacramental and accounting records.

Receive Request: Staff logs the request and confirms receipt to the requester.
Confirm Availability: Scheduler checks Mass calendar and notes alternatives if needed.
Record Offering: Finance team records the offering for bookkeeping and donor records.
Fulfill Intention: Clergy offers the Mass and staff archives the completed request.

Configuring an Online Mass Intention Request Workflow

Key settings for an online form ensure consistent capture, notification, and archival of each intention.

Field \| Configuration	Setting name \| Value or option
Form Template	Mass Intention Request template with required fields
Signer Authentication	Email confirmation; optional SMS code for higher assurance
Payments/Offerings	Integrate payment gateway for online offerings
Notifications	Immediate email to parish office plus confirmation to requester

Technical Considerations for Electronic Submission

Use these platform requirements to choose or configure a secure online submission process.

Supported Formats: PDF, DOCX accepted
Integrations: Works with Google Workspace and Microsoft 365
Authentication: Email or SMS code verification

Confirm that your chosen platform supports secure storage, encryption in transit and at rest, and straightforward export for parish records and accounting.

Essential Elements to Include on a Professional Request Form

A complete request form balances clarity for staff with privacy protections and financial tracking needs.

Requester Details

Full name, preferred contact method, and relationship to the intended person so staff can confirm details and follow up if necessary.

Intention Details

Clear statement of the intention type (e.g., memorial, anniversary, private intention) including the exact name or names to be commemorated.

Scheduling Preferences

Primary and alternate dates and times to reduce rescheduling; indicate whether the requester is flexible for weekday or weekend Masses.

Offering and Payment

Declared offering amount and payment method; note whether payment accompanies submission or will be processed separately.

Privacy Opt-In

A short notice about whether names may be read publicly during announcements or kept confidential per requester preference.

Administrative Notes

Internal fields for parish use: assigned presider, confirmation status, archive entry, and accounting code for bookkeeping.

Data and Privacy Points to Protect Requester Information

Personal Data: Name and contact

Sensitive Notes: Pastoral details

Payment Info: Saved securely

Access Control: Role-based staff access

Encryption: TLS and AES-256

Audit Trail: Timestamped record

Common Risks and Administrative Consequences

Scheduling Conflicts: Double-booked Masses

Incorrect Names: Misspelled or wrong person

Unrecorded Offerings: Accounting discrepancies

Privacy Breach: Unauthorized disclosure

Missed Notifications: No confirmation to requester

Retention Noncompliance: Lost sacramental history

Timing Considerations and Typical Deadlines

Observe lead times and internal deadlines so intentions are listed and announced correctly.

Advance Notice Recommended:

Two to four weeks for weekend Mass scheduling is typical.

Funeral-Related Requests:

Submit as soon as arrangements are known to reserve service times.

Holiday Liturgies:

Special liturgies often require longer lead times and earlier submission.

Payment Timing:

Offerings may be required at submission or by a stated parish deadline.

Confirmation Period:

Parish should confirm scheduling within three to five business days.

eSignature Vendor Comparison for Processing Mass Intention Requests

Key vendor features relevant to form distribution, payment capture, and secure recordkeeping are shown below. signNow is listed first per vendor-comparison convention.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
Envelope Cap	No envelope cap	100 envelopes/user/year	Varies	Varies	Varies

Frequently Asked Questions About Mass Intention Requests

Answers to common questions about completing, submitting, and tracking Mass Intention Requests, including online and electronic submission scenarios.

Need help? Contact support

Can I request multiple intentions at once?
Yes. List each intention separately with the associated offering and preferred date. If a single offering covers multiple intentions, specify allocation so the parish can record and acknowledge each intention correctly.
Is an electronic submission legally valid?
Electronic submissions are generally legally acceptable under the ESIGN Act and UETA for record and bookkeeping purposes, provided intent, consent, attribution, and retention requirements are met.
What if the requested date is unavailable?
The parish will normally propose the nearest available date and notify the requester. Include alternate dates on the request to expedite scheduling and avoid delays.
Do I need to pay when I submit the request?
Payment policies vary by parish. Some accept offerings at submission; others permit payment at a later date. Note the parish’s stated payment timing on the form.
Are names read publicly during Mass?
Parishes manage public reading permissions individually. Use the privacy opt-in field to indicate whether the name may be announced or should remain private.
How long will the parish keep my request?
Retention depends on parish policy and applicable law. Keep requests for at least three years for accounting; if health information is included, retain for six years per HIPAA rules.

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