Biographical Record Form

The form is divided into 9 sections as above:

You can lick on "Next" or "Previous" to proceed to the next/previous section. After completing the info, you can click "Submit" at the end of the final step. You can also click on "Save & Continue Later" to save your progress and come back within the next 30 days to complete the form. Once you click the "Save & Continue", our system will provide a link for you to use. At the same time, you can enter your email to receive the link information. You can also give us a call at (401) 949-0180 for any questions.

Biographical Information Required

First Name

Middle Name

Last Name

Maiden Name

Social Security Number

US War Veteran

Residence Address

Years Residing

City

State

Zip

Mailing Address

City

State

Zip

Town of Former Residence

Years Residing

Date of Birth

Birthplace

Family Information

Father's First Name

Father's Middle Name

Father's Last Name

Father's Birthplace

Mother's Last Name

Mother's Middle Name

Mother's First Name

Mother's Maiden Name

Mother's Birthplace

Ethnic Origin

Hispanic

Race

Marital Status

Spouse's First Name

Spouse's Middle Name

Spouse's Last Name

Spouse's Maiden Name

Usual Occupation

Give kind of work done during most of working life. DO NOT use retired

Occupation

Employer

Years Employed

Other Places of Employment you may want included in newspaper notice

Education

Decedent's Education

Write in one of the following choices that corresponds to the highest level of education that the decedent completed.

Doctorate or Professional Degree

Master's Degree

Bachelor's Degree

Associate Degree

Some College, but no degree

High School Diploma

GED

If the decedent did not graduate high school, put the highest grade completed

Survivors

List

Name

Relationship

City & State of Residence

*Please click the + icon above to add more survivors

PREDECEASED FAMILY MEMBERS - Name only required

Clubs/Organizations/Hobbies

Veteran's Service Record

Veteran's service information can be obtained from the DD 214 (Discharge Papers). A DD 214 is a REQUIRED document for ANY military honors or burial.

Date & Place entered Service

Date & Place Discharged

Branch of Service

Rank at time of Discharge

Service Serial Number or Claim Number

Cemetery Information

Cemetery Name

Lot

Section Number

Date of Last Interment in Lot

Church & Clergy Name Information

Church

Clergy Name

Name of Charity/Charities or Organization/s

Memorial Contributions Requested

Address

City

State

Zip

Other Information

Picture

Max. file size: 1 GB.

A picture can be used in the newspaper with the obituary or it may be used for the hairdresser to reference

Next of Kin Name(Required)

Next of Kin contact number(Required)

Next of Kin email(Required)

Next of Kin Address(Required)

City(Required)

State(Required)

Zip(Required)

Sender's Name(Required)

Sender's contact number(Required)

Sender's e-mail(Required)

Comments

This field is for validation purposes and should be left unchanged.

Biographical Record Online Submission Form

Biographical Information Required

Family Information

Usual Occupation

Education

Survivors

Veteran's Service Record

Cemetery Information

Church & Clergy Name Information

Other Information

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