Wish Book

1Your details

2After your passing

3Your farewell ceremony

4Documents

Naming your own funeral wishes is not easy. But thinking about your funeral can also provide peace of mind. It tells you that you have thoroughly considered all the important issues and helps your loved ones make the difficult choices after your passing.

After completing the form below, you will automatically receive your personal Wishbook via email. Would you rather write down your wishes with pen and paper? Click here to print out the blank Wishbook.

Gender:*

Male

Female

Last name**

First name(s)*

Phone number

Email address**

Address and city

Island

Other

Nationality

Date of birth

DD slash MM slash YYYY

Place of birth

Marital status

Faith

Funeral wishes

Check below which parts of your funeral you have specific requirements for.

Who will arrange your funeral

Presence of a will

Preferences for burial or cremation

Apparel, appearance, coffin and flowers

Condolence visits

Obituaries

Donations

Response or mass

Additional requests

My funeral should be arranged by:

A funeral director

My loved ones may decide about this

Other:

Funeral director details:

Name of the funeral director

Address and city of the funeral director

Email address of the funeral director

Phone number of the funeral director

Hidden

Section end

Details coordinator:

Enter details of the person or agency arranging the funeral.

I have a will

Yes

Will details

Enter below the details of the notary where the will can be requested.

Notary name

Notary address and city

Notary email address

Notary phone number

Hidden

Section end

It is my wish that I am:

Buried

Cremated

My loved ones may decide about this

Cemetery Location

It is my wish that I am buried

In silence

Presence of family and friends

My loved ones may decide about this

Crematory location:

It is my wish that I am cremated

In silence

Presence of family and friends

My loved ones may decide about this

Destination of my ashes:

With regard to the grave, I wish:

A new grave

A common grave

A family grave

My loved ones may decide about this

Placement of a memorial stone on the grave

Yes

My loved ones may decide about this

Text on the grave, I wish:

Personalized text, specify

My loved ones may decide about this

Text on the grave; specify

My wishes regarding clothes, appearance, coffin and flowers

Please indicate for which matters you would like to provide specific wishes.

Clothes

Make-up

Jewelry

Coffin

Items to be included in your coffin

Flowers

Your wishes regarding clothes:

Describe what clothing you would like to wear.

Wishes regarding make-up:

What kind of make-up (style) do you want? Do you want it done by a specific person?

Wishes regarding jewelry:

What jewelry do you want to wear?

Wishes regarding you coffin:

Describe the material and color, for example.

Items to be included in your coffin:

Describe which items you would like to have in the coffin.

Wishes regarding floral arrangements:

Describe what kind/color flowers you want.

Condolence visits at home:

Yes

My loved ones may decide about this

I wish for an ad:

In the newspaper

On the radio

In the newspaper and on the radio

None of the above

My loved ones may decide about this

Newspaper(s)

Preferred newspaper(s) for obituary

Radio station(s)

Preferred radio station(s) for obituary.

I wish for money to be donated:

Yes

My loved ones may decide about this

Charities/institutions:

Please enter below one or more causes or institutions to which money may be donated.

I wish for a response or mass:

Yes

My loved ones may decide about this

Location response or mass:

Other wishes:

Below you can specify your other wishes regarding your funeral.

Wishes regarding the farewell.

Check below which parts of your farewell ceremony you have specific requirements for.

Location of the farewell

Route of the funeral cars

The eulogists at the farewell

Funeral music

Pallbearers

Live streaming of your funeral

Reception after farewell

Gratitude

Prayer card

Thank you cards

Other wishes

Location of the farewell:

Driving past home prior to farewell:

Yes

My loved ones may decide about this

The eulogists at my farewell will be:

I want music to be played at my farewell:

Yes

My loved ones may decide about this

Funeral music wishes:

Artist

Title

The pallbearers will be:

I want my farewell to be live-streamed:

Yes

My loved ones may decide about this

I want a reception after my farewell:

Yes

My loved ones may decide about this

Do you have specific wishes regarding catering at the reception:

Yes

My loved ones may decide about this

My wishes regarding catering are:

Would you like a thank you ad in the newspaper(s):

Yes

My loved ones may decide about this

Newspapers:

In which newspaper(s) would you like a thank you ad? Do you have any other requirements?

I wish a prayer card at the reception:

Yes

My loved ones may decide about this

Specific wishes regarding the prayer card:

Please fill this out if you have specific requirements for the prayer card (such as your own text):

Would you like a thank you card?

Yes

My loved ones may decide about this

Specific wishes for the thank you card:

Please fill this out if you have specific requirements for the thank you card (such as your own text):

Other wishes:

Please enter any other wishes you have regarding your farewell:

Important documents and data:

Check the items below if you wish to convey the location, important documents and details of certain services/institutions to your next of kin.

Passport

Driving license

Sedula

Wedding booklet

Proof of pension

Insurance policies

Facebook

Instagram

Other

Passport

Please indicate where you have them stored or from whom they can be obtained.

Driving license

Please indicate where you have them stored or from whom they can be obtained.

Sedula

Please indicate where you have them stored or from whom they can be obtained.

Wedding Booklet

Please indicate where you have them stored or from whom they can be obtained.

Proof of pension

Please indicate where you have them stored or from whom they can be obtained.

Insurance policies

Enter the details of your insurance policies here.

Enter your login credentials here, or the credentials of the person who has access.

Facebook

Enter your login credentials here, or the credentials of the person who has access.

Instagram

Enter your login credentials here, or the credentials of the person who has access.

Other information:

Enter any other important information you wish to pass on below. You can click the plus sign to add a new row.

Item or institution

Data or location

Newsletter

Yes, I would like to subscribe to the Onderlingehulp newsletter!

Wish Book

Funeral director details:

Section end

Will details

Section end

Date of birth main insured person

Add Family member

Duration

Insured amount

Overview

Insured persons

Submit