Obituary Form

Newspaper Choice *

Northern Plains Independent

Community News

Decedent's Name*

Date of Death*

Obituary*

Funeral/Visitation Information*

Optional Photo (10MB max size; JPG,GIF, or PNG format)

Contact Information- Your contact information below is solely for use by our staff and will not be published.

Submitter's Name:*

First

Last

Submitter's Phone:

Area Code

-

Phone Number

Submitter's Email:*

reCAPTCHA