(360) 834-4563

On-line Obituary Form

We provide our On-line Obituary Information Form for the purpose of allowing you and your family to submit to us, the information about your loved one that you would like to appear in their obituary listing on our website, as well as, to be reported to local newspapers and/or periodicals for publication in their obituaries pages.

If you have any questions whatsoever, please contact Straub's Funeral Home at (360) 834-4563.

NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

Deceased Information

First Name*:

Middle Name:

Last Name*:

Sex:

Age:

Date of Death:

(e.g. MM/DD/YYYY)

Name of the Place of Death:

(home / hospital name / other)

Long / short Term Illness(es):

Residence Area:

(specific community / town / city)

Date of Birth:

(e.g. MM/DD/YYYY)

Place of Birth:

City, State & Country

Marital Status:

(if applicable)

Full Name of Surviving Spouse:

If Wife, Provide Maiden Name:

Date of Death of Spouse:

(if applicable)
(e.g. MM/DD/YYYY)

Usual Occupation:

(most of life)

Employer:

Job Title:

Dates of Employment:

Dates of Retirement:

Education:

Religious Affiliations:

Clubs / Organizations / Memberships / Hobbies:

Honors/Awards:

Veteran Information

Was Decendent Ever In the US Armed Forces?

Yes

Branch of Service:

Date Enlisted:

(e.g. MM/DD/YYYY)

Date Discharged:

(e.g. MM/DD/YYYY)

Honorable Discharge:

Yes

Rank at Discharge:

Military Serial Number:

Is A Copy of Discharge Papers Available?:

Yes

(if no, please bring for us to copy)

Location where Discharge Papers are On File:

Newspapers will only use names of the immediate family as listed below. The city or town and state of the survivors must be included - separate each piece of the individual's information with a comma and a space. If there is more than one person per each text area, then separate multiple individuals by hitting the 'enter' key so that they each appear on a new line in the text area.

Survivors

Daughters:

Sons:

Parents:

Sisters:

Brothers:

Grandparents:

Number Of Grandchildren:

Number Of Great Grandchildren:

Funeral Service Information

Church Information

Cemetery Information

Information about Informant / Person In Charge Regarding this Obituary

Please list any other instruction or information you would like us to have. You may also use this free-form text area to write exactly how you would like the obituary worded, and we will include it as you have entered:

Other Information & Instructions

Straub's Funeral Home

325 NE 3rd Avenue
Camas, Washington 98607

Phone: (360) 834-4563
Email: info@straubsfuneralhome.com

On-line Obituary Form