List of Survivors
This form is available to help with gathering all the names of survivors to be listed in a neath notice. This death notice is included with no cost to you. Please fill out the form below.
Was the deceased married? If so please list the name of spouse bellow. Please state whether or not the spouse is living or not?
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Deceased's Parents names. Specify if living or deceased.
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Did the Deceased have any children? If so please list their names below. If any are deceased please write deceased after their name.
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Grand Children
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Nieces and Nephews
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Anyone else that you would like mentioned?
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