Free printable template
Your final wishes, in writing.
Fill this out online or print it as a PDF. It walks through everything a funeral professional will ask — personal details, service preferences, special instructions, and a cost estimate — so your family has it in writing, not in their memory.
Final Wishes
✦
A confidential record of personal arrangements
I ask the Funeral Home listed to archive this Memorial Guide document, which includes my detailed funeral arrangements, to be brought forward at my time of death.
I
Personal Information
Spouse Information
Parents
II
Persons Responsible for Final Arrangements
Primary Contact — Person 1
Secondary Contact — Person 2
III
Insurance Information
IV
Military Record
V
Emergency Contacts
Locals, other than family members — please notify
Emergency Contact 1
Emergency Contact 2
VI
Funeral Service & Gathering Preference
VII
Special Instructions
Flowers
Music
Casket & Honorary Bearers
Jewelry & Accessories
Item
Disposition
Return To
Wedding Band
Eyeglasses
Other
Clothing
VIII
Interment Preferences
Burial Type
Cremation Preference
IX
Funeral Cost Estimate
This document is a cost estimate only. Prices may be subject to change and do not constitute a contract.
A — Funeral Services
| Service | Person (1) | Person (2) |
|---|---|---|
| Basic Services of Funeral Directors & Staff | ||
| Embalming / Refrigeration | ||
| Other Preparation (cosmetics, casketing, dressing) | ||
| Visitation / Viewing | ||
| Funeral / Memorial Service | ||
| Graveside Service | ||
| Cremation Service | ||
| Transfer of Deceased | ||
| Hearse | ||
| Family Car / Limousine(s) | ||
| Total Services (A) | $0.00 | $0.00 |
B — Funeral Merchandise
| Item | Person (1) | Person (2) |
|---|---|---|
| Casket | ||
| Outer Burial Container | ||
| Urn | ||
| Total Merchandise (B) | $0.00 | $0.00 |
C — Cash Advance Items
| Item | Person (1) | Person (2) |
|---|---|---|
| Death Certificates | ||
| Obituary Notice(s) | ||
| Flowers | ||
| Clergy Honorarium | ||
| Musician / Vocalist | ||
| Cemetery Interment | ||
| Cemetery Space(s) | ||
| Monument / Marker Allowance | ||
| Family Allowance | ||
| Total Cash Advance Items (C) | $0.00 | $0.00 |
| Total Funeral Amount (A+B+C) | $0.00 | $0.00 |
X
Additional Notes
Service Notes
Merchandise Notes
Family Notes