Obituary Worksheet

Submitter Information

Name(Required)

Email(Required)

Phone(Required)

The Deceased

Name of Deceased(Required)

Age

City

Preceded in death by:

Names & Relationships

Survived by:

Husband / Wife

Children

Grandchildren

Great-grandchildren

Father & Mother

Father & Mother-in-law

Grandparents

Brothers

Sisters

Brothers & Sisters-in-law

Aunts / Uncles

Nieces / Nephews

Special Friends / Pets

Personal Information

Education

Military Service

Employment

Organizations

Hobbies

Other

Memorial Contributions

Organizations & Mailing Address / Website

Visitation

Date(s)

Times

Location

Vigil / Rosary Times

Vigil / Rosary Location

Service Information

Date

Times

Location

Clergy

Interment

Obituary Worksheet

Submitter Information

The Deceased

Preceded in death by:

Survived by:

Personal Information

Memorial Contributions

Visitation

Service Information

Stay Up-to-Date.

Grand Rapids

O’Brien-Eggebeen-Gerst Funeral Home

616-949-7350

Lowell

305 N. Hudson
Lowell, MI 49331

Roth-Gerst Funeral Home

616-897-7101

Questions?

Obituary Worksheet

Submitter Information

The Deceased

Preceded in death by:

Survived by:

Personal Information

Memorial Contributions

Visitation

Service Information

Stay Up-to-Date.

Grand Rapids

O’Brien-Eggebeen-Gerst Funeral Home

616-949-7350

Lowell

305 N. HudsonLowell, MI 49331

Roth-Gerst Funeral Home

616-897-7101

Questions?

305 N. Hudson
Lowell, MI 49331