National Organization of Mothers of Twins Clubs, Inc.

A Support Group for Parents of Twins and Higher Order Multiples

To Place A Bereavement Notice In NOMOTC's Notebook

NOMOTC is always saddened to hear of the loss of a club member or of a club member's spouse or children. At these times, know that NOMOTC is here and ready to offer support.

It is the current policy of NOMOTC to acknowledge the loss of members, their spouses or children through publication of an "In Memory Of..." notice in NOMOTC's Notebook. Please submit the necessary information on the attached form, so that the Bereavement Support Coordinator can prepare the notice.

Notices can also be submitted by e-mail using the attached form as a guide. Once submitted, notices may be edited for clarity or for space needs. Also, please keep in mind that, like most newsmagazines, NOMOTC's Notebook works on a schedule that requires a copy deadline months in advance of publication. For this reason, expect an average of four months between the time of submission of a notice and publication in an issue of NOMOTC's Notebook.

Other resources you may want to consider as you or your club face this difficult time include:

  • NOMOTC's Bereavement Booklet - A guide of support for those who are facing the death of a loved one. Topics covered include: loss of a multiple, loss in early pregnancy, children's reactions to death, support groups, and more. A copy of this booklet should be available in your club's library. Additional copies can be purchased through our website or by contacting our Executive Office.
  • NOMOTC's Bereavement Brochure - A listing of referrals and resources to assist families who have experienced a loss of a loved one.
  • NOMOTC’s Support for a Grieving Spouse Brochure – Information on grief, recovery, support and healing. Also a listing of resources for those grieving the loss of a spouse.
  • NOMOTC’s Club Tips sheet for Bereavement Support - Specific tips on how clubs or individuals can offer support to those who have lost a loved one. A copy of the Club Tips sheet can be found in your club's green resource binder, available through your club's National Representative.

National Organization of Mothers of Twins Clubs, Inc.

A Support Group for Parents of Twins and Higher Order Multiples

BEREAVEMENT NOTICE

This notice is to be used by member clubs to notify NOMOTC of the death of a member, spouse or child/children. The Bereavement Support Coordinator will immediately forward a card of condolence followed up by a personal letter and materials as applicable. It is important that ALL information be forwarded via email if at all possible.

NAME OF CLUB MEMBER:______

NAME OF CLUB:______

STATE OF CLUB:______

NAME OF DECEASED:______

RELATIONSHIP TO CLUB MEMBER:______

______

AGE or DATE OF BIRTH (IF A CHILD):______

DATE OF DEATH:______

IMMEDIATE SURVIVING FAMILY MEMBERS (i.e. parents, siblings):______

______

MAILING ADDRESS OF FAMILY:______

______

RELIGIOUS PREFERENCE, IF KNOWN: ______

A brief paragraph may also be added, no more than 50 words. Share further personal information concerning the deceased and/or activities in local, state, national organization, as applicable:

______

______

______

RETURN FORM TO:NATIONAL ORGANIZATION OF MOTHERS OF TWINS CLUBS, Inc.

Executive Office / Attn: Bereavement Support Coordinator

2000 Mallory Lane, Suite 130-600

Franklin, TN37067

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