Please provide all relevant information that you would like included in your loved one’s obituary. Additionally, email a photo to be used for their obituary to [email protected], including your loved one’s name in the subject line. If you desire a paper copy of this form to fill out, please stop by the funeral home during office hours. We will compile the information provided and write up an obituary draft and email you for approval. If you desire to have specific wording, phrases, or formatting, please let us know.
Name/Announcement
Full Name of the deceased, including nickname, if any
Age at death
Residence (City, State) at death
Place of death (optional, ex. Hospital, Home, etc.)
Life
Date of birth (Month, Day, Year)
Place of birth (City, State)
Mother’s Name (including maiden name)
Father’s Name
Marriage(s): (date of, place, name of spouse)
Education: school, college, university and other
Designations, awards, and other recognition
Employment: jobs, activities, stories, colleagues, promotions, union activities
Military service
Hobbies, sports, interests, activities, and other enjoyment
Charitable, religious, fraternal, political, and other affiliations; positions held
How would they want to be remembered?
Family
Living Family Members (optional – include City, State of residence)
Spouse
Number of Children
Names of Children and their Spouses (in the order that you would like listed)
Number of Grandchildren
(list first names)
Number of Great-grandchildren
(list first names)
Great-great-grandchildren (list first names)
Parents
Grandparents
Siblings (in the order that you would like listed)
Others, such as nephews, nieces, cousins, in-laws
Friends
Deceased Family Members (in the order that you would like listed)Please list all family members that have passed away prior to the passing of your loved one
Service
Day, date, time, place
Name of officiant, pallbearers, honorary pallbearers, other information
Visitation information if applicable: day, date time, place
Reception information if applicable: day, date, time, place
Other memorial, vigil, or graveside service if applicable: day, date, time, place
End
Memorial funds established
Memorial donation suggestions, including addresses
Contact Information
Name
Email Address
Telephone
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