Yarhzeit-Shloshim

Yahrzeit and Sh’loshim List

Please use this form to submit information on yarhzeit (anniversary of the passing of a loved one), and sh'loshim (passing of a loved one in the past 30 days).

* Indicates required field

Contact information:

Name *

Phone Number *

Email *

Street address *

City/State/Zip *

Name of departed:

English name *

Hebrew name *

Relationship of individual to you (father, mother, etc.) *

Parents of departed (English names) *

Parents of departed (Hebrew names) *

Date of
passing:

Month *

Day *

Year (xxxx) *

Please indicate time of passing *

Before sunset After sunset Not sure

Hebrew date, if known *

Submit

​Yahrzeit and Sh’loshim List

Yahrzeit and Sh’loshim List