Notice of Death - Marine Corps League
(1) A sympathy card will be sent if this notice is received within sixty (60) days from the date of death, unless otherwise requested.

(2) A replacement form will be sent to the individual submitting this form. Detach and retain bottom copy. Forward balance to Department Chaplain. Department Chaplain retain bottom copy and forward balance to National Headquarters. National Headquarters will forward form to National Chaplain.

Email address *
Leaguer's Name *
Your answer
Detachment Name *
Your answer
Date of Death *
MM
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DD
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YYYY
Survived by Name *
Your answer
Relationship to Deceased *
Your answer
Street *
Your answer
City *
Your answer
State
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Zip
Your answer
Member No.
Your answer
PLM No.
Your answer
Detachment No.
Your answer
Comments
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Submitted By *
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Date *
MM
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DD
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YYYY
Title
Your answer
Street *
Your answer
City *
Your answer
State *
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Zip *
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