Lifetime Legacy Package Signup

Your First Name

Your Last Name

Your Loved One's Full Legal Name

Loved One's Date of Birth

Loved One's Date of Passing

Upload a copy of the death certificate (not required but recommended)

Type of Provider

Name of Provider

City

State

Phone Number

Your relationship to the person that passed

Acknowlegement

We may use this information to verify the death of your loved one. Incomplete or invalid information may result in the obituary being rejected or deleted.