Obituary Assistance Form

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DEATH ANNOUNCEMENT/NOTICE

Deceased’s full name, including well-known nickname, (if any) followed by a comma and age at death. (You do not need to say “age”.) For example, Mary Alma Miller, 82.

Residence (name of the city) at death: Do not use specific street address for the deceased.

Day and date of death:

Place of death (if appropriate): Some may wish to mention where the deceased died such as, EX. “at his family home in Plano, Texas”.

Cause of death (if appropriate, this is a personal choice):

Services Planned (Dates & Times if decided, or Private, or Services to be announced in future):

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Life Story

Date of Birth:

Place of Birth:

Name of Parents:

Childhood: siblings, stories, schools, friends:

Marriage(s): date of, place, name of spouse:

Education: school, university or other:

Designations, awards, and other recognition:

Employment: jobs, activities, promotions, union activities. Frequently used if the person held long-term employment with a company; or had a particular passion for his or her profession. List job function or title, name of company and number of years employed:

Activities: hobbies, sports, interests, charitable, fraternal, political, and other affiliations. List memberships, positions held; clubs, volunteer work or noteworthy accomplishments:

Religious Affiliation:

Military Services: List the dates and branches of service as well as number of years served:

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FAMILY

Survived by (and place of residence):

Spouse:

Children (in order of date of birth, and their spouses):

Grandchildren / Great-grandchildren / Great-great- grandchildren:

Parents/Grandparents:

Siblings (in order of date of birth):

Predeceased by (and date of death):

Spouse:

Children (in order of date of birth):

Grandchildren:

Siblings (in order of date of birth):

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FUNERAL/VISITATION/MEMORIAL CELEBRATION OF LIFE

Day, date, time, place (if applicable):

Reception information if applicable: day, date, time, place:

Place of Burial or Inurnment:

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Where to call for more information (even if no service planned): Lake Erie

Cremation & Funeral Services,

440-361-2273

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CLOSING

Memorial funds established:

Memorial donation suggestions, including addresses:

Thank you to people, groups, or institutions:

Please provide informant (next of kin) EMAIL ADDRESS:

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*The obituary paragraph will be emailed to the informant (next of kin)

after the funeral arrangement with instructions to forward onto the paper

of choice. The paper will contact you for placement details, payment

information and final proof reading.

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OBITUARY ASSISTANCE FORM

Obituary Assistance Form

Obituary Assistance Form

A Year of Grief Support