Submit an Obituary

Relatives and friends of the deceased can complete this form to submit alumni obituary information to the BAM.

Submit an Obituary

Deceased's Information

Name

Name

First

First

Last

Last

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Graduation Year

Date of Death

Cause of Death

City of Residence

State of Residence

Name of Funeral Home

Most recent job and employer, including dates in that position

Retirement Year

Prior Employment

Military Service

Memberships

Awards or Honors

Hobbies

Survivors (please note any Brown alumni)

Notes

Your Information

Name

Name

First

First

Last

Last

Email

Phone

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Graduation Year

Degree

Relationship to the Deceased

Include mailing address in the obituary?

Yes

No

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