Death Notice Submission

Please neatly print or type the information requested and return or mail the form to Obituaries, Leader-Telegram, 701 S. Farwell St., Eau Claire, WI 54701 or email to obits@ecpc.com. The Leader-Telegram is not responsible for errors caused by illegible handwriting or erroneous entries. Notices that do not include a daytime phone number will not be printed. Deadline is 4:30 p.m. Monday thru Thursday and 3:30 p.m. Friday and Saturday, for next day’s paper. Early deadlines may apply on Holidays. Only contact person listed may make changes. The Leader-Telegram has the right to edit information as to follow the notice format. Please call 715-833-9238 with questions, or e-mail obits@ecpc.com. After hours or weekends please call 715-833-9203.

Contact Name:
Contact Phone Number:

Decedent’s Information

First Name:
Middle Initial:
Last Name:
Age:
Current place of residence (city/state):
Formerly of (city/state):
Date Person Died:
Where Person Died:

Visitation Information

Time:
Date:
Location:

Service Information

Time:
Date:
Location:

Burial Information

Location:

Funeral Provider

Location: