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FUNERAL PRE-PLANNING GUIDE

For

______________________________

TO MY FAMILY:

It is my wish to spare you as much anxiety, inconvenience and unnecessary expense as possible. The

instructions and information I have given in this book will make arrangements easier at the time of my

death. I realize that circumstances at the time may prevent you from following all of my wishes exactly,

but I am certain that you will still find my suggestions helpful.

When the need arises, present this booklet to our funeral director, who will assist you in completing the

final arrangements.

Signature _____________________________________________ Date_________________________________

PERSONAL INFORMATION

Full Name _______________________________________ Social Security Number _________________________

Date of Birth _______________________ Place of Birth ______________________________________________

Father’s Name _______________________________ Mother’s Maiden Name _____________________________

Education ____________________________________________________________________________________

____________________________________________________________________________________________

Marriage: To __________________________________________________ Date___________________________

Place _______________________________________________________________________________

Places Lived __________________________________________________________________________________

____________________________________________________________________________________________

Employment _________________________________________________________________________________

____________________________________________________________________________________________

Civic, Fraternal and Other Involvement ____________________________________________________________

____________________________________________________________________________________________

Illinois Funeral Directors Association

215 S. Grand Avenue West

Springfield, IL 62704

800-240-4332, Fax 217-525-8342

www.ifda.org

If a Veteran, complete this information or attach copy of discharge:

Veteran of which war?__________________________________________________________________________

Service Number ______________________________ VA Claim Number _________________________________

Branch of service ___________________________________ Rank _____________________________________

Place of Enlistment _____________________________________ Date of Enlistment ________________________

Place of Discharge _____________________________________ Date of Discharge/Retirement________________

County in which my discharge is on file with Clerk or Registrar of Deeds _________________________________

IMPORTANT PAPERS AND DOCUMENTS

Document Location

Military Discharge ________________________________________________________________

Will ________________________________________________________________

Attorney ________________________________________________________________

Insurance Policies ________________________________________________________________

________________________________________________________________

Mortgage ________________________________________________________________

Birth Certificate ________________________________________________________________

Bank Account(s) (list name of depository and account number) ___________________________

________________________________________________________________

Stocks/Bonds ________________________________________________________________

________________________________________________________________

Safe Deposit Box ________________________________________________________________

Cemetery Deed ________________________________________________________________

Other ________________________________________________________________

________________________________________________________________

FUNERAL SERVICE DETAILS

When arranging for my funeral service, I would prefer the following:

Funeral Home ________________________________________________________________________________

Services held at ___________________________ Funeral Home or ________________________________Church.

Clergy ______________________________________________________________________________________

Music _______________________________________________________________________________________

Suggested names for pallbearers __________________________________________________________________

____________________________________________________________________________________________

Other special requests __________________________________________________________________________

____________________________________________________________________________________________

I have a preneed funeral trust established with __________________________________________ Funeral Home.

I have a funeral insurance policy with _____________________________________________ Insurance Company.

I have looked at caskets and would prefer ___________________________________________________________

I have looked at burial vaults and would prefer_______________________________________________________

I have considered a marker or monument and would prefer _____________________________________________

CEMETERY INFORMATION

Name of Cemetery __________________________ Location___________________________________________

I already own a cemetery lot: Lot ________________ Block ________________ Grave Number ______________

OTHER CONCERNS OR WISHES

I would prefer to be cremated. Yes____ No____ Disposition of cremains? ______________________________

Donation of organs or body? Describe. ____________________________________________________________

Memorial(s) may be made to _____________________________________________________________________

Flowers _____________________________________________________________________________________

Other _______________________________________________________________________________________

____________________________________________________________________________________________

PERSONS TO BE NOTIFIED IMMEDIATELY

Name Relationship Address Phone

____________________________________________________________________________________________

OTHER INFORMATION YOU WISH TO PROVIDE

____________________________________________________________________________________________

YOUR FUNERAL DIRECTOR

Your funeral director should be consulted by your family immediately at time of death. He or she is a professional,

licensed by the State of Illinois. In order to obtain a state license as a funeral director, he or she had to meet the

educational requirements of the Illinois Funeral Directors and Embalmers Licensing Code. His or her professional

training and experience will be needed in order to carry out the service you have outlined in this Pre-Planning

Guide.

The funeral director will be consulted as to the time and place of service. He or she can assist in having the grave

opened, obtaining pallbearers and contacting clergy. He will arrange for newspaper notices to be published and can

help in procuring certified copies of the death certificate. He is also qualified to advise you about the Veterans

Burial Allowance and Social Security Benefits.

The funeral director will take care of the administrative work in the filing of the death certificate with the local

Registrar and obtaining copies of it, if needed, as well as obtaining a burial permit. If transfer is to be made to

another location for burial, he or she will arrange for transfer by auto, rail or air, and can advise your family as to the

most economical and best means of transfer. Your funeral director will be able to aid you in selection of a casket

and burial vault and can help in providing clothing if needed.