Obituary Online Form

Please fill in blanks and VERIFY all information.

Name of deceased

SURVIVING family members:

Give each man's given name, initial, and family name as he was known, and give each woman's name and initial, (maiden name), and married name. Separate the family members' names with commas.

DO NOT LIST DECEASED FAMILY MEMBERS.

The family member components listed below are the only family members we list due to space constraints. Aunts and uncles, nieces and nephews, and cousins are not listed. Also, space does not permit listing the city where each surviving member lives.

Son(s): First name (First name of spouse & maiden name if different) Last Name

Stepson(s): First name (First name of spouse & maiden name if different) Last Name

Daughter(s): First name, “maiden name if used” (First name of spouse) Last Name

Stepdaughter(s): First name, “maiden name if used” (First name of spouse) Last Name

Preceded in Death

Please list deceased immediate family members only.

Please select one

Funeral Memorial Private service No services held

Please select the type of service

Interment (Burial) Inurnment (Cremated) Other

Type of Service

Please select one of the following.

If people would like to send a card of sympathy or a gift in memoriam, please enter information here:

Photo and extended obituary may be added online free of charge.

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Having trouble or got a question?

If you have a question or are experiencing trouble submitting this form, please contact Katie Fellows at katie.fellows@lakeunion.org.