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 Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 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 upload size: 516MB Additional Comments reCAPTCHA Submit
