Submit an Obit – Funeral Home

If your funeral home is handling the placement of the Permanent Memorial Website on BlackObits, please use the form below to submit the obituary.

After you successfully submit the obituary, you can come back to this page later and submit more or updated information.

Please complete the following: (items with an asterisk (*) are required).

Name of Deceased (How it is to appear):*
Family Contact Person:
Family Contact Email Address:
Funeral Home Name:
Funeral Director's Name:
Funeral Director's Email Address (If known):
Date of Birth:
Date Format: MM slash DD slash YYYY
Date of Death:
Date Format: MM slash DD slash YYYY
City/State of Residence:
Family Contact(s) Mobile Number (Used to text the obituary notification. Up to 5 mobile phone numbers may be submitted.):
Visitation?:
- Yes
- No
Visitation Day, Date & Time:
Visitation Location's Name & Address:
Service (Choose one):
- Funeral
- Memorial
- Mass
- Private
Service Day, Date & Time:
Service Location's Name & Address:
Interment (Choose one):
- Burial
- Cremation
- Private
Interment Day, Date & Time:
Interment Location's Name & Address:
Obituary (Life description, accomplishments, etc...):
Any Special Requests or Instructions:
Upload Pictures (The following image formats are allowed - JPG, JPEG, GIF, PNG, DOC, DOCX, PPT & PPTX):
Drop files here or

Accepted file types: jpg, jpeg, gif, png, doc, docx, ppt, pptx.
Upload funeral program (PDF is the only format allowed) or life summary (DOC or DOCX formats allowed):
Accepted file types: pdf, doc, docx.
Upload Videos (Up to 3 videos can be submitted. The following video formats are allowed - MPEG, MPG, MOV, WMV, MP3, MP4, AVI):
Drop files here or

Accepted file types: mpeg, mpg, mov, wmv, mp3, mp4, avi.
Obit Code:
(Leave blank if unknown)
Post on social media?:
- Yes
- No
Captcha

Would you like to be notified (no more than once per day) when new obits are posted? If so, please enter: