Your Name *

First

Last

Please use one of the names associated with your membership.

Your Email *

Name of the Deceased *

First

Last

Relationship to Member *

Please specify the relationship of the deceased to your and/or your family member(s).

Date of Death *

Did the passing occur after sundown? *

Yes
No

Do you want to add this to your personal yahrzeit list? *

Yes
No

Calendar for Yahrzeit Observance *

Hebrew
Gregorian

Please specify which calendar you would like to use for observance and notifications.

If this date of passing is within the last 30 days, we will add them to our shiva/shloshim/yizkor lists as appropriate. If you do not want us to do that, please indicate it below. *

Yes, please add them.
No, please do not add them.

If this passing is recent, do you want us to send out a Sad News bulletin to the entire congregation to notify them? *

Yes
No

Additional Information for Sad News Bulletin *

Please let us know any additional information you would like included in the bulletin. For instance, you may want to give us funeral or memorial service details, more details about the family, or one or more email addresses/mailing addresses so we can direct people where to send notes of condolence, etc. By default, if you don’t include an address for notifications, we will use the one we have on file in the system. If you DON’T want to include any addresses, please indicate that in these comments as well.

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