Deceased Notification
Please accept our condolences for your loss and our appreciation for your assistance. We need as much of the Account Information below as you can provide, so that we can properly identify the account and note that the person we were attempting to reach is deceased. You may mail the supporting information (listed below) to us or submit it below. As soon as we have located the correct account, we will notate the account accordingly.
Account Information - Identifying the correct account is key, so please provide as much of the requested information as you can.
Along with submitting this form, please attach or mail the information below:
Deceased Information
- A copy of death certification, or
- Newspaper notification, or
- Power of Attorney
If you prefer, you may download a copy of this form and mail it to:
Harris and Harris
111 W. Jackson Blvd
P.O. Box 186
Chicago, IL 60604
If you require any additional information, you may contact Harris and Harris at 1-844-908-6300.
Deceased Notification Form