Pennsylvania USGenWeb Archives Record Submission Forms

Record Submission Forms

***NOTE***
These forms are for genealogical and historical records only.
DO NOT ENTER ANY INFORMATION ON LIVING INDIVIDUALS.
Pennsylvania USGenWeb Archives Obituaries & Death Notices
Click here for information about these forms. (Opens a New Browser)
Use this form to automatically create and send your obituary to the Pennsylvania USGenWeb Archives
formatted for acceptance in the USGenWeb Archives Project Or you can send your file by email to the
Archives Manager for your county (Addresses below)
(All fields are required except Month and Day of Death, Year is required! Please double check this before you submit.)
If you do not have copyright permission, please only abstract the facts, names, dates, locations etc.
Do Not Copy Word for Word unless you have express permission.

Your Email Address:	*
Your First Name-Submitter:	*	Your Last Name-Submitter:	*
Deceased: (First,Middle,Maiden, title Jr. Sr. etc)	*	Deceased: (Last Name current surname only)	*

Date Of Death:	Month:	Day:	Year: *
Source and Date of Publication: *

Contents of Obituary: *
Enter Any Additional Comments: (Optional)

**County Where File is to be Posted:**
*Required*

If you want a copy of this sent to your email check here:

(Before you submit please note, we can not provide you with records, if you are looking for a record please click here.
These forms are for sharing records which you already have in your possession.)

USGenWeb Archives State File Manager: Mary Ann Lubinsky

USGenWeb Archives	PAGenWeb Project	USGenWeb Project

Record Submission Forms For Other States
Record Submission Forms For Other States Mirror Site