Planning Ahead - Florida Developmental Disabilities Council

Identification cards are with:Name Address Phone NumberPremiums are paid by:Name Address Phone NumberCopies of policy(ies) are with:Name Address Phone NumberFINAL ARRANGMENTSPersons to contact at time of death:NAMEADDRESSPHONENUMBERRELATIONSHIP (Personal,co-worker, neighbor,other)Funeral and burial arrangementshave been made:Burial plot purchased: Yes NoType of Marker preferred and epitaph:If prepaid, policies/contracts can be found:Yes No Prepaid: Yes NoHeadstone/MarkerYesNoCemetery/Mausoleum Name: Address Other:Preferred funeral company (if applicable):Name: Address Phone NumberCremation:Burial of ashesInternment of AshesAshes Given to: Name Address78 Section 2, The Personal Information Section