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City of Irvine Public Information Office

pio@cityofirvine.org

1 Civic Center Plaza Irvine, CA 92606

Irvine COVID-19 Remembrance

The City of Irvine is developing an online remembrance for residents to pay tribute to those we have lost to the COVID-19 virus. Please share your loved one's information below, which will be included in a memorial webpage.

Please provide your contact information for this project, so that we may contact you about the remembrance information provided.

Your Name:

Your Address**

Please provide the following details for the person you would like to memorialize. You can also upload photos of your loved one.

Name:

Address**

Please use the following link if you would like to add a photo:

Please use the following link if you would like to add a second photo:

Please use the following link if you would like to add a third photo:

** The City of Irvine takes your privacy seriously. This form asks you to provide the City with certain personal information. Such information is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence regarding the subject-matter of this form. Pursuant to Measure S, an initiative ordinance passed by City voters in 2008, all information provided on this form will be kept confidential. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals.