DIARY OF PERSONAL WISHES An easy first step you can take is to complete the Diary of Personal Wishes.  This document will provide your family with vital information required at a time when they will be under great stress. Name______________________________________________________________________________________ Social Security Number________________________________________________________________________ Address____________________________________________________________________________________ City_________________________________________________ State_____________________________________________ Date of Birth___________________________________ Birthplace________________________________________________ U.S. Armed Forces Serial Number_________________________________________________________________ Occupation___________________________________________________________________________________ Name of Father_______________________________________________________________________________ Birthplace-City______________________________State____________________Country_____________________ Name of Mother (Maiden)________________________________________________________________________ Birthplace-City______________________________State____________________Country_____________________ RELATIVES AND FRIENDS TO BE CONTACTED: Name____________________________________________ Phone(          )________________________________ Name____________________________________________ Phone(          )_________________________________ Name____________________________________________ Phone(          )________________________________ Name____________________________________________ Phone(          )________________________________ Name____________________________________________ Phone(          )________________________________ Name____________________________________________ Phone(          )________________________________ FUNERAL PREFERENCES: Funeral Home________________________________________________________________________________________ Clergy_______________________________________________________________________________________ Where Funeral Is to Be Held_______________________________________________________________________________ What Type of Funeral_____________________________________________________________________________________ Casket Bearers________________________________________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________________________________________ Special Requests_______________________________________________________________________________ Music, Readings, Flowers, etc._____________________________________________________________________ Type of Casket_________________________________________________________________________________ Clothing, Jewelry, etc.____________________________________________________________________________ Type of Burial Vault_____________________________________________________________________________ Cemetery_____________________________________________________________________________________ Family Burial Plot: Location_______________________________________________________________________ Number of Graves__________________________  Which Space_________________________________________ Other Spaces in Plot Reserved for:_________________________________________________________________ If There Is No Burial Plot Arranged, Where Is Burial Preferred?____________________________________________________________________________________