Planning My Funeral Service

PlanningMy Funeral Service

A resource for planning and makingyour wishes known to those you love.

Planning my Funeral:Getting Started

When families are in the midst of grieving a loved one’s death, it is oftendifficult to make decisions regardingfuneral arrangements. In addition tofiguring out practical matters, the familyusually wishes that they knew thedesires of the one who died.Take this opportunity to make plans for you funeral service. You may wish tocomplete this form on your own or together with your spouse or a relative or friend. After you havecompleted it, make copies and give it to someone you trust for safekeeping. In making these decisions now, you will be giving a giftto those who will grieve your death.

Name:___________________________________

(First, Middle, Last)

Address:_________________________________ _________________________________________ Telephone: __________ Email: ______________ Date of Birth: ____/____/____ Place of Birth:____________________________

(City, Province, Country)

I want to remembered for: _______________________________________________________ _______________________________________________________ _______________________________________________________ Surviving Relatives / Family information

List spouse, parents, siblings children, grandchildren other

_______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Proceeded in death by:

List family members, relationship to you, year they died

_______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________