Register your star

If your partner, relative, colleague, friend or acquaintance has died from an illness or unfortunate accident as a result of doing their job, don’t hesitate to sign them up so we can create a digital memorial site.

They have invested much of their lives in caring, helping and supporting others. They have always been there for others, making the world a little nicer.

They deserve our eternal respect and should never be forgotten!

    DATA LAMENTED CARE WORKER

    Name

    Firstname

    Place of residence

    Date of Birth

    Date of Death

    Employer

    Job/function

    Cause of death

    Personal story

    Upload picture (only jpg, png, pdf or jpeg)

    SUBMITTER DETAILS

    Name of submitter

    Firstname of submitter

    Relationship to lamented healthcare worker

    E-mail address

    Phone