Death report form To report a loved one’s passing, please complete the form below or call 404-447-8700 for immediate attention. We are praying for you and will work to assist you through this difficult grieving period and answer any questions you may have. Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeName Of Deceased *FirstMiddleLastMr, Ms, Mrs, DrDate Of Death *Was Deceased A Member? *YesNoAre You A Member? *YesNoRelationship To Deceased *Funeral Home NameFuneral Home Phone *Possible Funeral Date *Any Additional CommentSubmit