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Writing an Obituary

Here is a template to help with information you may want to include in an obituary. When placing an obituary in a newspaper, we advice to NOT publish the EXACT date of birth of the deceased. We advise that you only put the MONTH AND YEAR. This is to protect the deceased from Identity theft. Once something is on the internet, it’s accessible to anyone, and any personal information such as someone’s name and date of birth can be stolen.  An additional tip:  If you are announcing a memorial or funeral service, you’re telling people that your house is empty for several hours, it’s a good idea to have someone who is not attending, to stay at the house, have the lights on, drapes open etc.. let people know the house isn’t empty.

 

Obituary Information Form

OBITUARY INFORMATION FORM

Last Name:____________________ First Name:___________________________

Middle Name: _________________ Age: _________________________________

Professional Title:___________________ Military Rank:________________

Date of Death:___________________ Place of Death:_____________________

Cause of Death:__________________________________________________________

Date of Birth: __________________ Birthplace:__________________________

Parent Names:____________________________________________________________

High School/College:_____________________ Graduation Year:____________

Spouse(s):___________________________ Marriage Date(s):______________

Occupation(s):________________________ Position(s):___________________

Awards:__________________________________________________________________

Accomplishments:_________________________________________________________

Membership(s):_________________________________ Dates:________________

Volunteer Position(s):_________________________ Dates:________________

Religious Affiliation:_________________________ Church:________________

Hobbies/Interests:_______________________________________________________

Survivor(s):_____________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Predeceased by:__________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Funeral Date & Time:___________________ Location:_____________________

Cremation/Interment:___________________ Officiant:_____________________

Visitation/Service:______________________________________________________

Special Thanks/Requests:_________________________________________________

Address for Flowers/Donations:___________________________________________

Contact Information:_____________________________________________________