Notification of a Member Death Form

Please fill out the following form and an auto reply will be instantly e-mailed to you. The form results will go to the the TSDAR State Registrar, State Treasurer, and State Chaplain.


Chapter Computer Code:    

Chapter Officer's Name:    

Office Held:    

Chapter Officer's E-Mail Address:    

Please complete the following information regarding your deceased member:

Deceased Member's Full Name:    

Deceased Member's National Number:    

Deceased Member's Date of Death:    

Other Information (e.g. Chapter, State, or National Offices held):

NOTE: You must still notify the NSDAR Organizing Secretary's office via e-membership or mail - this form does NOT go to NSDAR!