N.L. Bluitt Funeral Chapel Obituary Planning Form
Please fill out this form to plan an obituary.
Full Name of the Deceased
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Date of Death
-
Month
-
Day
Year
Date
Location of Death
What city and State?
Give any information you wish about the circumstance of your loved ones passing
Share names and relationships of your loved ones' survivors. Don't forget to include yourself.
Example: Sarah Johnson (sister), Tom Johnson (brother-in-law), and Rachel Lee (close friend)
Share any relatives you want mentioned who have passed away
Example: Susan Smith (mother), John Smith Sr. (father), and James Smith (brother)
Education-Would you like to share any notable facts, achievements, or stories about their time at these schools?
Example: Earned a Master's degree in Business Administration from XYZ University and received the Outstanding Academic Achievement award in 2010.
Career-Would you like to share any notable facts, achievements, or stories about their career or their places of work?
Example: Worked as a marketing manager for XYZ Corporation for 15 years, overseeing several successful product launches. Received the Marketing Achievement Award in 2015.
Veteran?
No
Yes
Military Service-Would you like to share any notable facts, achievements, or stories from their time in the military?
Example: Served in the United States Army for 20 years, reaching the rank of Colonel. Received the Bronze Star and Purple Heart for bravery in combat during the Gulf War.
Personality-How would you describe your loved one? What did people often say about them?
Example: Kind and welcoming, always making others feel at ease. Had a great sense of humor.
What are your favorite memories of them? What did you love most about them?
Example: Always loved spending time with family, especially during the holidays. Would make his famous apple pie every Thanksgiving.
What were some of your loved one’s proudest accomplishments?
Example: Volunteered regularly at a local homeless shelter, helping to provide meals and support to those in need. Received the Volunteer of the Year award for their efforts.
What were some of your loved one’s hobbies/favorite things?
Example: Enjoyed collecting rare books and spent hours scouring bookstores and auctions for new additions to their collection.
Share details not mentioned in fields previous.
Please share any additional details or information that you would like to include in the obituary but that have not been covered in previous fields. This may include personal anecdotes, achievements, interests, or any other details that you feel are important or relevant to the deceased person's life and legacy.
What is your name?
First Name
Last Name
What's a good phone number to reach you?
Please enter a valid phone number.
Submit
Should be Empty: