Lewis Funeral Chapel | Obituary Information

Obituary Information

Please provide all relevant information that you would like included in your loved one’s obituary. Additionally, email a photo to be used for their obituary to info@riverglenn.com, including your loved one's name in the subject line. If you desire a paper copy of this form to fill out, please stop by the funeral home during office hours. We will compile the information provided and write up an obituary draft and email you for approval. If you desire to have specific wording, phrases, or formatting, please let us know.

Name/Announcement

Full Name of the deceased, including nickname, if any

Age at death

Residence (City, State) at death

Place of death (optional, ex. Hospital, Home, etc.)

Life

Date of birth (Month, Day, Year)

Place of birth (City, State)

Mother's Name (including maiden name)

Father's Name

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

Education: school, college, university and other

Designations, awards, and other recognition

Employment: jobs, activities, stories, colleagues, promotions, union activities

Military service

Hobbies, sports, interests, activities, and other enjoyment

Charitable, religious, fraternal, political, and other affiliations; positions held

How would they want to be remembered?

Family

Living Family Members (optional - include City, State of residence)

Spouse

Number of Children

Names of Children and their Spouses (in the order that you would like listed)

Number of Grandchildren

(list first names)

Number of Great-grandchildren

(list first names)

Great-great-grandchildren (list first names)

Parents

Grandparents

Siblings (in the order that you would like listed)

Others, such as nephews, nieces, cousins, in-laws

Friends

Deceased Family Members (in the order that you would like listed)Please list all family members that have passed away prior to the passing of your loved one

Service

Day, date, time, place

Name of officiant, pallbearers, honorary pallbearers, other information

Visitation information if applicable: day, date time, place

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

Other memorial, vigil, or graveside service if applicable: day, date, time, place

End

Memorial funds established

Memorial donation suggestions, including addresses

Contact Information

Name

Email Address

Telephone

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