I have made funeral and/or burial arrangements
I wish to have a funeral, and request that
The following person(s) make arrangements
The funeral will be held at
The following religious observances will be conducted
A viewing or wake will be held at
The casket should be placed at
The type of casket will be
My burial clothing will be
The following jewelry should be handled as follows
Flowers for my funeral will be
The pallbearers will be
I wish to have a burial, and for the burial request that
The following person(s) make arrangements
The following religious observances will be conducted
I will be buried at
Flowers for my burial will be
I wish to be cremated, and for the cremation I request that
The following person(s) make arrangements
My cremated remains be
Placed in a columbarium or mausoleum
Buried in a cemetery plot
Retained at the home of
Stored in a house of worship or religious shrine (if local zoning laws allow)
My ashes are scattered (in accordance with local laws)
The religious observances to be conducted will include
I wish to have a Memorial, Monument, and/or Marker
I wish that the following service(s) take place
The following person(s) make arrangements
Service(s) will be conducted by
Flowers for my service(s)
Instead of flowers, people donate to the following charities or causes
The following music be included in the service(s)
The following reading(s) or scripture(s) be included in the service(s)
The following person(s) speak publicly at the service(s)
The following person(s) not speak publicly at the service(s)
To be honored as a veteran by including
Transportation arrangements to the services will be
The content, style, length and timing of my service(s) will also include
I would like the following persons to be notified as soon as possible after I pass away
I have written my obituary, and it may be found at
I have not written my obituary, but hope that it includes reference to the following
I would like the following newspapers and organizations to receive notice of upcoming services as soon as possible after I pass away
Concerning the financial costs of my arrangements
Arrangements referred to in this document have been prepaid to
To pay for my arrangements, I have set up a joint or pay-on-death account at the following financial institution
Final Instructions
Written instructions concerning donation of my organs and tissues may be found at
The ethical will I have written that spells out my values and views about life may be found at
My additional wishes or thoughts are
I direct my chosen agents, family members and/or other responsible persons, to take all steps necessary to carry out the above instructions.