Death/Obituary notice form

This form is setup to help you write a complete obituary.

If you just want a death notice ($12), the information that will be included will be items with an * and the service information.

If you wish to submit an Obituary ($50) you may format the information in your own words and include anything you desire. You may still use the form fields to submit the information or simply write the information in the Obit Information field.

: $12
: $50 for first 500 words, 10 cents for each additional word





Include first name, middle name or initial and last name.

If the deceased had a commonly known nickname you wish to be included please annotate it in quotations.

If you wish to include a maiden name please annotate that in parenthesis.

City and state. If the deceased had only resided their a short time, for example for medical reasons, you may put their previous residence if you prefer.
If you would like information regarding grade school, high school, trade school, colleges and any other training or education classes attended, include them in this field.
Include service dates and places if known. A graphic of a U.S. flag will be included at no additional charge for all United States military veterans.
Include dates of marriage and to whom.
Place and length of employment, company, position held. Brief information regarding exemplary performance or awards may also be included.
Name and relation to the deceased.
Name and relation to the deceased. List only the number of grandchildren, great-grandchildren and beyond. Do not list cousins, nephews or nieces unless they are the only survivors.





Include whether it will be interment or inurnment, where it will take place and when.

Interment = burial in a grave or tomb.

Inurnment = placement or burial of ashes (after cremation).

Will there be visitation? When and where?
Include information in regards to whom memorials have been established with or should be directed to.
Name of funeral home that was, or is, in charge of the arrangements and where they are located.

Use this field if you wish to submit an Obit, in your own words to be printed in the style you submit. Obits are $50 for the first 500 words and 10 cents for each additional word.

Also use this field for any additional comments or questions.

Use the button to select the image from your computer, JPEG format preferred, if available.
(We accept Visa and MasterCard)
(MM/YY)
(Please enter your billing address as shown on your credit card statements)
Please include City, State and Zip Code
The Gazette will publish death notices daily on the local page for $12 per publication date. Death notices include an announcement of the death, time and place of services, and representative in charge of the obituary. Obituaries include a photo and all information as submitted, formatted to AP style. A US flag for veterans will be run if that information is included in the obit. Deadline for submission is 10 a.m. daily, for publication on that days Local page, however all submissions are subject to space availability. All information will be formatted to the Gazette's style. All photos should be submitted at 300 dpi and no smaller than 3x4 inches.