Death Notice

Thank you for taking the time to inform the Conference of the death of someone related to the Indiana Conference. Death notices are sent for clergy, clergy spouses and families.

Your contact information
*First Name
*Last Name
Information about the deceased
*Name of deceased
City and state where the deceased lived
Age of deceased
*Relationship to the Indiana Conference/Name of related person

How was this person or survivor related to the Indiana Conference? Active or retired? Clergy, spouse or family member? Status, Elder, Deacon or Local Pastor? Name of person related to the Indiana Conference.

*Day and date of death
Visitation information

Please include date(s), time(s) and location of visitation including address.

*Service information

Please include date(s), time(s) and location of service including address.


Please include names of spouse and children. Also, include the number of grandchildren/great-grandchildren.

Memorial contributions

Please include name and address, if included.


Who should condolences be sent to? (The name and address of the person with the connection to the Indiana Conference.)

Obituary link

If available, please include the link to the online obituary from the funeral home or newspaper.


For possible use in the journal

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

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