Obituary Request Form

Your contact information.

Your Name:
Address:
City: State: Zip:
Phone: email:

List the names and dates of those for whom you are requesting obituaries.
Use the comments box for additional names and dates.

Name of deceased: Date of death:
Name of deceased: Date of death:
Name of deceased: Date of death:
Name of deceased: Date of death:
Name of deceased: Date of death:
Include any comments or additional information in the space below

The minimum fee is $15.00 for one hour of research; you will be billed $9.00 for each additional hour of research required. Results will not be made available to you until payment is made in full.

State the maximum amount you are willing to pay: $

Print this completed form and send with payment to:
Olean Public Library
134 N. 2nd St.
Olean, NY 14760-2583

Or click below to email your form, then mail the minimum research fee of $15.00 to the library. Be sure to include your name with your remittance.

©Olean Public Library, 2005.