After Death Arrangements - Funeral Consumers Alliance Of Minnesota

Funeral Consumers Alliance of Minnesota

AFTER DEATH ARRANGEMENTS

(If you have accessed this 2-page form electronically, print on both sides of one sheet.)

Full name (print) __________________________________________________________________________

Last

First

Middle

Information and instructions for my survivors

Flowers at ceremony  Yes  No

Preference for disposition of my body

 Memorial donations to:



Cremation

___________________________________________

 In a basic cremation container

___________________________________________

 In a wooden cremation casket

 Ashes to be given to my survivors

Location of Funeral

eremony if somewhere

 to be scattered

(place / location)__________

other than funeral home / crematory

______________________________________

 to be interred in grave or columbarium

____________________________________________

 Green (non-flame) cremation

____________________________________________



Burial

 Immediate Burial



Home Funeral

 Green burial

If possible, I would like my body prepared by family

 Conventional funeral with visitation

and or friends, and a visitation and viewing held in the

 Embalming  No embalming

home. For assistance with a home funeral, contact:

Casket made of  wood  metal

_____________________________________________

 Graveside ceremony

For disposition of my body, see above.

 I own a cemetery lot or columbarium niche

(name, location, telephone)____________________

Obituary notice

______________________________________ ___

 Yes  No

 I do not own a cemetery lot /niche. Preferred

Notice to be placed in

(name of newspaper/s)

cemetery______________________________

____________________________________________



Donation of my body

to medical school or tissue

bank

(name, location, telephone)

Funeral home / Crematory

____________________________________________

I have made arrangements with or have signed an

____________________________________________

agreement with a funeral home / crematory.

 I carry a signed Uniform Donor Card offering my

 Yes  No

body or any of its parts for medical purposes.

The funeral home / crematory has a copy.

If my body is cremated after medical use, remains

 Yes  No

are to be returned to survivors.  Yes  No

(Funeral home / Crematory name, location, telephone no.)

____________________________________________

Funeral

eremony

____________________________________________

 None

I have prepaid for my funeral / cremation, and a copy

 Before burial  Before cremation

of my contract is attached.  Yes  No

 Body present  Casket open

 After burial or cremation  Ashes present

I have a funeral savings account, and account access

 I want my funeral to include the prescribed

information is attached.  Yes  No

rituals of my spiritual/faith community.

(name,

location, contact info of spiritual/faith community)

 I hereby consent to an autopsy if requested by

_________________________________________

medical authorities.

(In some circumstances, an autopsy

_________________________________________

is required.)

(Continued on reverse side)

After Death Arrangements - Funeral Consumers Alliance Of Minnesota - 2014

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