Report the Passing of a Current, Former, or Retired Bureau of Land Management Employee Report a Death Use this form to report the passing of a current, former, or retired BLM employee. Name of Deceased(Required) First Last Enter the name of the deceased current, former, or retired Bureau of Land Management employeeDate of Passing MM slash DD slash YYYY Enter the date of passing, if knownLocation of Passing City State / Province / Region Provide the city and state of passingObituary Provide a link to the deceased's obituary hereUpload files Drop files here or Select files Accepted file types: jpg, pdf, docx, png, Max. file size: 50 MB, Max. files: 3. Upload a photo, obituary, or other information about the deceasedCareer InformationTell us about the deceased's career emphasizing his or her positions held, locations/offices worked at while with the BLM and Interior Department agenciesYour Name(Required) First Last Enter your name here.Your Email(Required) Enter Email Confirm Email Enter your email addressPhonePlease provide your phone number in case we have questions about the information providedCAPTCHA Δ
