Funeral Planning Guide   copyright: Ben Lewis  

The following is a form that includes answers to the questions others will want to know after you die. It is designed to assist you to help others make the necessary arrangements according to your wishes. It can also be used to gather information to give to a funeral director following the death of a loved-one.

Complete the form, and 
print 
it when you are finished..

1. Your name :
LastFirstMiddle Former (or maiden) name(s):
If your first or last name has changed, indicate your former full name(s).
LastFirstMiddle

Marital status:
Single
Married
Widowed
Divorced Mailing address :
Number and Street
Apt.
City
County
Country (if other than U.S.)
StatePostal Code Your email address: Email addresses of people you would like us to send a copy to.
a.
b.
c.
d.
e.
g.

At the completion of my course of life here on earth, I would like my family and friends to use the following information, requests, and suggestions in the plans for my memorial or funeral service. would prefer:
Memorial Service, burial preceding
Funeral, burial following
Memorial Service, cremation preceding
Funeral, Cremation following Interment to be public
Interment to be private

Casket closed
Casket open prior to service, then closed
Casket open during service, then closed
Casket open following service

 

(Please give preference and location of Church, Funeral Home, Cemetery, Base Chapel, or other location.)
 
 
 
 

Memorial Service or Funeral Service Requests:

Burial Arrangements:

YesNo

Please specify names

YesNo

With whom?

YesNo

YesNo

Location:

YesNo

(give details):

 

Personal Information a.
b.
c.
d.
e.
g. a.
b.
c.
d.
e.
g.

YesNo
 
 

From time to time you may wish to revise this form. Often other friends or family members may also wish copies. Please refer them to this site, or feel free to make copies.

Please keep this form in a safe place, not in a safety deposit box. Your pastor, a friend or family member may be appropriate. (It is often helpful to give a copy to your pastor, as he will likely be able to better minister when needed.) You also may wish to give a copy to any funeral director with whom you have made advance arrangements.