Membership - Death Notice Submitter Information Your Name * Your email address * Member Information Name * First Last Name * Last Middle Name Maiden Name Home Address * Home Address Home Address Home Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Date of Death * Please enter ACTUAL date of death. If unknown, check "Date of death unknown" below. Unknown Date of Death Date of death unknown City and State of Death Date of Birth * Please enter ACTUAL date of birth. If unknown, check "Date of birth unknown" below. Unknown Date of Birth Date of birth unknown City and State of Birth Church where membership was held * Church Offices Held at Death Other Church Offices Previously Held If the deceased was ever a denominational employee, enter any known details below. If the deceased ever served in the U.S. military, enter any known details below. Family Information Preceded in death by: For spouse(s) and children, include names and relation to deceased. For grandchildren and siblings, simply indicate a number. Survivors include: For spouse(s) and children, include names and relation to deceased. For grandchildren and siblings, simply indicate a number. Additional Information Funeral Home Interment/Burial (Include City/State) Link to online obituary If no online obituary exists, you may upload a scan of any newspaper listings. Drop a file here or click to upload Choose File Maximum file size: 268.44MB Additional Comments reCAPTCHA Submit
