Obituary Submission

Obituary Submission
- Only one obituary will be published for each deceased Shareholder. Once received, additional obituaries will not be accepted for publication. Obituaries must be submitted within six months of the date of death.
- Although each obituary notice is unique, CIRI requires the general format to be the same, which achieves a presentation that is respectful to all families. Due to space limitations, obituaries may not exceed 125 words.
- CIRI reserves the right to edit obituaries for clarity, available space and news style.
- Due to space and publication schedules, CIRI cannot guarantee placement in a particular newsletter edition.
- You may submit an obituary either online or by mail (please do not submit both).
- CIRI does not independently verify the information provided in obituary submissions prior to publication.
- CIRI, in its sole discretion, may provide a copy of this obituary submission form to interested parties.
Section 1: Information About the Deceased Shareholder
Title
First Name
Last Name
Middle (initial or nickname)
Suffix
Gender
Age at Time of Death
Shareholder’s Date/City of Death
Date of Death

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Place of Death
List where the deceased Shareholder died. For example, "Alaska Native Medical Center" or "Nursing Home" or "at home"; if unknown, type "unknown" or leave blank.)
State Shareholder Died

Street Address

Street Address Line 2

City

Zip Code
Shareholder’s Date/City of Birth
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
City of Birth
State of Birth

Street Address

Street Address Line 2

City

Zip Code
Section 2: Surviving Family Members of the Deceased Shareholder

List the name and relationship of surviving family members. Due to space constraints, do not include deceased family members.
Surviving Family Members of the Deceased Shareholder

Only insert the name(s) of surviving family members, including their relationship (for example, “Jane Abc, Mother; John Abc, Father; Jack Abc, Son; Jill Abc, Sister”)0/125
Section 3: Upload a Photo

Space permitting, obituaries may include a photo. The photo should show the Shareholder up close and in good focus. It must be in JPEG or PNG format.
Upload Photo(s)

You may upload multiple photos if needed.
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Section 4: Your Information

This section is information about YOU.
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
Your Relationship to the Deceased Shareholder
Husband/Wife; Significant Other; Brother/Sister; Father/Mother; Aunt/Uncle; Grandparent; Friend; etc.
Please verify that you are human
Should be Empty:

Obituary Submission

Section 1: Information About the Deceased Shareholder

Shareholder’s Date/City of Death

Shareholder’s Date/City of Birth

Section 2: Surviving Family Members of the Deceased Shareholder

Section 3: Upload a Photo

Section 4: Your Information