I wanted to spare you as much anxiety, doubt and confusion as possible at the time of my death, so in this document, I have shared my preference for arrangements in advance.
This document is confidential, and
I trust you with my personal information such as vital statistics, funeral service guidelines and cemetery requests, which are all important to the funeral director while assisting you to plan the details of my service. I am in good sound of mind and no one has persuaded me to make arrangements that I did not want.
I’ve also included some personal material for eulogies, obituaries and other remembrances. Please accept these arrangements in the spirit in which they are given; with love, hoping to give you comfort and helping you to remember the times we shared.
Vital Statistics About Me Race (select all that apply) Ethnicity - Hispanic Origin? Please select an option Not Spanish/Hispanic/Latino Yes Mexican, Mexican American, Chicano Yes Puerto Rican Yes Cuban Yes Other Spanish/Hispanic/Latino (please fill in next line) Marital Status Married Married, but separated Never Married Divorced Widow Widower Additional Family Members: Children Please identify those who are deceased Additional Family Members: Grandchildren / Great-Grandchildren Please identify those who are deceased Additional Family Members: Siblings Please identify those who are deceased Additional Family Members or Friends Anyone else you would like to list Special interests, hobbies, pets, clubs, community involvement: History of military service? If "Yes," is there a copy of the discharge papers (DD-214)? Funeral Or Cremation Preferences Embalming? In most cases, required for public viewing Final Disposition Preference Earth Burial Mausoleum Cremation and Cremains Returned to Family Cremation with Cremains Buried or Placed in Niche Cemetery Property Already Purchased? Place of Service Funeral Home Church Cemetery Other Personal Life Review for Ceremony and Eulogy Relationship Type **Next of Kin listed in order of Legality Personal Documents, Papers and Account Information Bank Account information: Retirement or Life Insurance Accounts: Location of legal papers: Birth Certificate, Marriage License, Will, Trust, Deeds, Titles, Social Security Card, Tax records, etc. Utility/Loan/Credit Card Account and Login Information: Additional instructions or requests that may be helpful: Emails to send information to: