In Memory

You may use the form below to notify us of the death of a UI alumnus or alumna, and we will include this information in a forthcoming issue of the Iowa Alumni Magazine. All submissions will be verified.

Please identify the deceased alumnus/alumna

First Name

Last Name

Maiden Name

UI Graduation Date

Date of Death

City/State deceased was living in at time of death

Please Tell Us Who You Are

First Name

Last Name

What Is Your Relationship to the Deceased?

Street Address

City

State

Zip

Home Phone

E-Mail Address

May we contact you if we need more information?
Yes   No


For Security Purposes
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June 2007

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