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Homeless Memorial 2024 Names of the Departed
Help us honor all of those who have passed while experiencing homelessness. 
Please use this form to submit names of constituents who have passed from Jan 2023 to present day.

Please include as much information as you have and feel comfortable sharing about each individual. We are requesting this information only to verify identity; only the names will be publicized at the event.
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Email *
Name of Person who passed away: *
Nicknames of person who passed away
Date of Birth (If known)
MM
/
DD
/
YYYY
Date of Death (If known)
MM
/
DD
/
YYYY
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