To assist my survivors in making arrangements at the time of my death, I provide the following information:
1.NOTIFICATION. I desire that my clergyperson, ____________, of ______________be contacted immediately in order to offer assistance and comfort to my survivors.
2. FUNERAL HOME/DIRECTOR. I desire that ______________ of ________________
be consulted in making the arrangements requested in this document. The arrangements have been made and are attached to this document as Exhibit 1.
3. TREATMENT OF BODY. I desire that my body be buried in _________, Lot Number/Location: ______________. Arrangements have been made and are attached in Exhibit 2.
4.SERVICES. I desire that the following service(s) be held: ______________________
a. Visitation. A visitation at _______________________, for anyone desiring to attend. The body may be present.
Music. It is my desire to include the following music selection(s) at my visitation:
_____________________________.
Readings. It is my desire to include the following readings at my visitation:
________________________
b. Memorial Service. A memorial service at ___________________________
for anyone desiring to attend. The body may be present.
Music. It is my desire to include the following music selections at my memorial
service: _________________________________________.
Readings. It is my desire to include the following reading(s) at my memorial service: _________________________________________.
Speakers. I would like the following people to speak: ____________________.
c. Funeral Service. A funeral service at _________, for anyone desiring to attend. The body may be present.
Music. It is my desire to include the following music selections at my memorial
service: _________________________________________.
Readings. It is my desire to include the following reading(s) at my memorial service: _________________________________________.
Speakers. I would like the following people to speak: ____________________.
5. FLOWERS & MEMORIAL. I request that donations be made to the organizations listed below in lieu of flower: ___________________________-.
6. CASKET/CONTAINER. I have selected my casket/container on a prearranged basis with the funeral director named in #2 above.
7.PALLBEARERS. I would like the following persons to serve as pallbearers: _____________________________________________________________.
8.OTHER WISHES. I would like a marker placed on my gravesite as listed in the instructions left with the Funeral Director in #2 above. I would like an obituary notice similar to the one attached in Exhibit 3 used and sent to the following periodicals: _________________________________________________.
9. PERSON TO HANDLE THESE DETAILS. Given the other issues surrounding my death, I suggest that ___________ be appointed to handle the administration of the above events. This will remove pressure from the family and create a less stressful series of events.
I have given careful thought and consideration to these instructions. I understand that this declaration is not legally binding, and that the ultimate decision will be made by my survivors based on the circumstances at the time of my death. I hope that my desires will be fulfilled, to the extent possible.
Dated:
______________________
Signature:
Death Instructions
Review List
This review list is provided to inform you about this document and assist you in its preparation. Death instructions are a wise and useful tool to assist a family to transition through their grief. Especially important, I think, is to appoint one person to oversee the details so the family does not get into a major conflab about who is to do what, what the deceased would have really wanted, and so on and so on.
- Make multiple copies. Keep one with each copy of your will.
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