Page 2 - Funeral Planning Guide
P. 2
My Personal History
Your family will be consoled knowing they are fulfilling your final requests.
Responsibility to Those I Love...
A will is typically read after the funeral and is not the best place to indicate your funeral wishes.
PERSONAL INFORMATION
Date: Social Security Number
First Name Middle Last
Date Of Birth Birthplace (City, County, State)
Current Address City State Zip
Phone Number Cell Number Email Address
Marital Status (Check One): Single Married Widowed Divorced Race/Nationality
Y N
Spouse’s Full Maiden Name Father’s Name Deceased (Check One)
Y N
Marriage Date Mother’s Maiden Name Deceased (Check One)
Place
Primary Family Contact (DECISION MAKER) Phone Number Secondary Family Contact Phone Number
PROFESSIONAL INFORMATION
EDUCATION COMMUNITY AFFILIATIONS
Education Level Completed Lodges, Memberships & Public Offices Held
High School Attended Awards & Certifications
City, State, Year Graduated Hobbies & Interests
College Attended Church (Name, Denomination, Involvement)
City, State, Year Graduated
Degree(s) Received Charities/Volunteerism
Awards Received
