Funeral Wishes Form

FUNERAL WISHES FORM

HIBERNIAN FUNERALS
Name of the person who's Wishes are being outlined:*

First NameLast Name
Date of Birth

DayMonthYear
Date
Date of Creation of Wishes Document

DayMonthYear
Date
Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

Town / CityCounty

EirCode
Documents that you already have in place:

1. Will2. Funeral Plan (to pay for the cost of the Funeral)3. Funeral savings AC4. Pre-paid with Funeral DirectorOther
If Yes 1. then where is the will stored:
If Yes 2. /3. / 4. then where is the AC or what is your budget:
EXECUTOR (or NEXT OF KIN 'NOK' / NEAREST RELATIVE)

Note : The person/people named in the deceased's will as their executor/s (or if the deceased didn't make a will, their nearest relative) are primarily responsible for arranging the funeral.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Same address as Wishes above:

YesNo
Address (if No) to the above question

Street Address

Street Address Line 2

Town / CityCounty

EirCode
Relation to person who's wishes are listed :
BURIAL/CREMATION, REMAINS
For remains:

Cremated and BuriedCremated and scatteredBuriedOther
For Cremation:

Service before cremationService after cremation with Ashes (Direct Cremation)No Service after cremation with Ashes (Direct Cremation)
Do you / your family own or have access to a Grave / plot where you would like your remains to be buried*

Yes - plot with HeadstoneYes - plot without HeadstoneNo
Do you have permission from the owner of this Grave/plot

YesNo
Existing plot details within graveyard:
County of Graveyard / where you would like to be buried
Graveyard
FUNERAL SERVICE
Type of Funeral Ceremony / Service :

ReligiousNon ReligiousNo Funeral Service
If Religious
Non Religious
County where service will take place:
Location of Funeral Serice:
Funeral Director preferred:
Funeral celebrant:
Note here if more than one person involved.
Name of person you would like to give a eulogy:
Choice and order of songs or hymns:
Choice of any Bible passages, poems or readings:
CONSIDERATIONS
Environmentally aware ?

CoffinGraveFlowersEmbalming
Carried in & out of the church?

Yes family & friendsYes - Funeral DirectorNo (wheeled)
Coffin Type / Shroud:
Family Car / Limousine

YesNo
Instruction for no flowers?

YesNoOther
Food and/or Beverage to be provided after the service?

YesNo
What & where:
Notice ?

RIP.ieNewspapersRadioOther
Additional details for Notice:
PRE SERVICE:
Which of the following ?

ViewingWakeRemovalNone
Location:
Embalming:

YesNo
Clothing ?

Current clothesChange of clothesOther
CLOSE OUT
Re-read and confirmed?

YesNo
Email (where form should be sent)
example@example.com
Should be Empty:

FUNERAL WISHES FORM

EXECUTOR (or NEXT OF KIN 'NOK' / NEAREST RELATIVE)

BURIAL/CREMATION, REMAINS

FUNERAL SERVICE

CONSIDERATIONS

PRE SERVICE:

CLOSE OUT