FUNERAL PREPLANNING GUIDE
Rt.
No one knows when they will die and most of our families are unprepared and in a state of shock when it happens. To help them through this difficult time, this guide has been developed. It is merely a way to share with them your preferences concerning your own funeral. It is not a binding document, merely a statement of your preferences. Please take time to fill this out and give a copy to the church, your family and keep one for yourself. It may be revised at any time.
NAME: ___________________________________ Date of Birth: _______________
I. FUNERAL ARRANGEMENTS:
Funeral Home: ________________________________________________
Preachers: ____________________________________________________
Musicians: ____________________________________________________
Special Music: _________________________________________________
Hymns: _______________________________________________________
________________________________________________________
Favorite Scriptures/Poems: ________________________________________
________________________________________________________
________________________________________________________
Casket Bearers: 1. ________________________2. _____________________
3. __________________________4. ___________________________
5. __________________________6. ___________________________
Honorary Casket Bearers: 1. __________________2. ____________________
3. __________________________4. ___________________________
5. __________________________6. ___________________________
Alternates: ______________________________________________________
II. TYPE OF SERVICE:
Preferred Place of Service ______________________________________
_______ Casket Open beforehand and closed following the service
_______ Casket Closed at service
_______ Casket open both before and afterwards
_______ Cremation
_______ Family only service
_______ Graveside service only
_______ Location of service __________________________________
_______ Location of cemetery _________________________________
_______ I already own a burial plot at ___________________________
III. FLOWERS & MEMORIAL GIFTS:
_________ I prefer memorial gifts given to:
1. ___________________________________
2. ___________________________________
3. ___________________________________
_________ I wish the giver to select their own memorial
_________ I prefer both flowers & memorials
_________ I prefer only flowers
IV. LEGAL INFORMATION:
_________ I have a "Living Will" and a copy of it is found at:
_____________________________________________
_________ I am an "Organ Donor" and my preferences are found at:
_____________________________________________
_________ My "Will" is located at:
_____________________________________________
V. MISC.
You may use the following space to explain or detail any additional information you wish for your family to know at this time. You may also wish to write your own obituary below or attach it to this form.
SIGNATURE: ________________________________________________________
DATE: ______________________________________________________________
WITNESS: (if you wish) ________________________________________________
(You may revise this guide at any time by contacting the church)
7/2006
PERSONAL INFORMATION
The following information will be needed by the Funeral Home to fill out your Death Certificate for the State of
Place of Birth: ________________________________________
Father's Full Name: ____________________________________________
Mother's Full Name: ____________________________________________
Your Spouses Full Name: ________________________________________
Date & Place of Marriage: ________________________________________
Brothers & Sisters: _____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Your children's Names & Spouses:
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Total Number of Grandchildren: _______________________________
Total Number of Great Grandchildren: __________________________
Education: High School & Year of Graduation ______________________
College or Other school & Year _________________________
Military Service: Branch ______________________________________
Years of Service ______________________________
Place of Service ________________________________
Highest Rank __________________________________
Family Members Deceased:
Name Date of Death
________________________________________ ____________________
________________________________________ ____________________
________________________________________ ____________________
________________________________________ ____________________
________________________________________ ____________________
________________________________________ ___________________
