Weekend Condolence Submission Form

Dear Colleagues and Community Members,

We are deeply sorry that you find yourself here to share news of a loss. This information allows us to honor and commemorate the lives of our members and their loved ones, and it enables us to fulfill the mitzvah of comforting the mourner.

If you have any condolence details to share, we invite you to either attach or fill out the information below. This will help us send out or update a condolence notice to our members and support our community during this difficult time.

YOUR INFORMATION

First Name

Last Name

Phone Number

Deceased's First Name

Deceased's Last Name

Attach a document (JPG, PDF, etc) with condolence information

Instead of filling out the information below, you may attach a document (or a screenshot of a document) here.

FUNERAL INFORMATION

Name of Funeral Location

(Enter name of funeral home, synagogue, or other here.)

Address

City/Town

State (USA Only)

ZIP/Postal Code

Country

Date of Funeral

Time of Funeral

SHIVAH INFORMATION

Name of Location

E.g. Home of "John Cohen" or Temple Beth El

Address

City/Town

State (USA Only)

Country

Please enter shivah/visitation dates & times in the grids (or fill out the textbox below):

VISITATION

Re-order	Date	Visitation Time of Day	Time Start	Time End	Weight	Operations
	Date	Visitation Time of Day	Time Start	Time End	Item weight

more items

SERVICES

Re-order	Date	Type of Services	Time Start	Weight	Operations
	Date	Type of Services	Time Start	Item weight

more items

If you'd prefer not to use the grid, please type shivah and service dates & times here:

CONDOLENCE MESSAGE INFORMATION

Full Name of the person to whom messages of condolence should be sent

Email address of condolence message recipient

Relationship of message recipient to the deceased

Please share any additional information here: