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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)
Enter the name of the deceased current, former, or retired Bureau of Land Management employee
MM slash DD slash YYYY
Enter the date of passing, if known
Location of Passing
Provide the city and state of passing
Provide a link to the deceased's obituary here
Drop files here or
Accepted file types: jpg, pdf, docx, png, Max. file size: 50 MB, Max. files: 3.
    Upload a photo, obituary, or other information about the deceased
    Tell us about the deceased's career emphasizing his or her positions held, locations/offices worked at while with the BLM and Interior Department agencies
    Your Name(Required)
    Enter your name here.
    Your Email(Required)
    Enter your email address
    Please provide your phone number in case we have questions about the information provided