Submit your webform Obituary Submission Photos may be included and should be sent in a jpg format at a minimum of 225 dpi resolution. Black and white or color photos can be used, providing the picture is of good quality and not too small. Please include only the most outstanding or notable achievements (or "high points") in the life of the person for whom the obituary is being written since space is limited. Submitter's Name Your Email Name and Phone Number of Person Who May be Contacted in Case More Information is Needed: Deceased Information Name and Age of Deceased Residence of Deceased Place and Time of Death (Day, Date, Time) Place and Time of Death (Day, Date, Time): Date Place and Time of Death (Day, Date, Time): Time Services (fill out all that apply) Funeral Date/Time Funeral Date/Time: Date Funeral Date/Time: Time Funeral Location Memorial Date/Time Memorial Date/Time: Date Memorial Date/Time: Time Memorial Service Location Who Officiated? Organist Soloist Interment is Where: Vigil Services/Rosary Services: Officiated by Whom? Pallbearers: About the Deceased: Date of Birth Place of birth Father's Name Father Living or Deceased? Mother's Maiden Name: Mother Living or Deceased? Name of Spouse (include maiden name, if applicable) Spouse Living or Deceased? If Spouse is Deceased, Date of Death When and Where Married? Career Information: Give a BRIEF description of occupation, education, military or other special honors: Other Survivors? Children's Names, Names of Spouses and Where They Live, if Applicable: Brothers and Sisters (with spouses and where they live): Number of Grandchildren Number of Great-Grandchildren Number of Great-Great-Grandchildren Preceding in Death Memorials May Be Made To: Name of Funeral Home in Charge of Services: Leave this field blank
