If you have knowledge of any homeless person who has died on the streets, and you would like to have them added to our memorials page, please complete the form below:

  1. What is the name of the individual who passed away?

     

  2. How old was the person?
     

  3. Where did the person die (City and State)?
     
     

  4. If you know the circumstances or how the person passed, please write about it?

     

  5. What made this person so special?

     

  6. Any other comments?

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 2065 Kittredge Street, Suite E Berkeley, CA 94704 | phone: (510) 649-1930 | fax: (510) 649-0627 | staff@createpeaceathome.org