Part 5 Instructions About – Funeral and Burial Arrangements This section is optional. Fill out this part only if you wish to give special instructions about your funeral or burial arrangements here. I hope that my family will follow my wishes after I die as noted below. choose to have custody and control of my body after my death with the right to decide everything about my funeral and burial. OR want my family to know these are my wishes about: burial, cremation, funeral, or memorial service. (Fill in) If you plan to die at home, talk with your physician and funeral director about your plans. When you die, your family or agent should call your physician and the funeral home you have chosen. The funeral home staff will pick up your body from your home. Page 11 of 14 Revised February 2008
Part 5 – Instructions About Funeral and Burial Arrangements This section is optional. Fill out this part only if you wish to give special instructions about your funeral or burial arrangements here. I hope that my family will follow my wishes after I die as noted below. choose to have custody and control of my body after my death with the right to decide everything about my funeral and burial. OR want my family to know these are my wishes about: burial, cremation, funeral, or memorial service. (Fill in) If you plan to die at home, talk with your physician and funeral director about your plans. When you die, your family or agent should call your physician and the funeral home you have chosen. The funeral home staff will pick up your body from your home. Page 11 of 14 Revised February 2008