Page 18 - Planning Your Legacy VA Survivors and Burial Benefits Kit - January 2018
P. 18

Wishes for Burial and Funeral Service Arrangements:


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               Name of resting place                       Phone

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               Hymns, psalms, scriptures, poetry, or special requests


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               Flowers / memorial (if in lieu of  owers)

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               Memorial and remembrances                              Indicate emblem choice for VA Form 40-1330


               Do you have a pre-paid burial/plot? Circle one:    Yes      No


               Pallbearers:

               ____________________________________________________________________

               ____________________________________________________________________

               _____________________________________________________________________



               Special instructions:

               ____________________________________________________________________


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               ____________________________________________________________________


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               Obituary Biography:


               ____________________________________________________________________

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