Staff Welfare
Information for Deceased
Name *
Location of Employment
(If OKCPS Employee)
Service Information
Location *
Address
Date *
Time *
Please check the box to authorize the above information is accurate and verify that you have permission to share this information. *
Submitted By *
If OKCPS Employee, please answer the following 2 items.
Location of Employment
Job Title
Relationship to Deceased *
Contact Email *
Contact Phone Number *
Cards and condolences may sent to: