Deceasing Routing Form
NOTE: Before submitting, please 1) Confirm that the deceased individual has not been reported; 2) Mark the entity record "Inactive" with a comment of "[Current Date] [Your Initials] - Deceasing Process Underway;" and 3) Add an obit Note to the entity record. Thank you!
Requestor Name:
*
First Name
Last Name
Requestor Email:
*
example@example.com
Deceased's Name & ID:
*
Spouse's Name & ID:
Check all that Apply:
SIU Alumni Association Membership on File
Active Pledge or Estate Gift
Decedent is an Org Contact or has Covering Account
SIU Memorial Fund or Veteran in Obit
Decedent has an Active Prospect Record
Death Confirmed by Obit, Family Notification, SSDI, or Other Reliable Source:
*
Yes
No
Obituary Text (or Other Evidence of Death):
*
Attach Obit (Optional):
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