Information for Arranging My Funeral
Make
copies of this completed form and give them
to individuals who will be involved with arranging your
funeral. Provide one copy to St. John Lutheran Chrrch
A. Your Personal Information
Name _________________________________________________Phone___________________
Home address___________________________________________________________________
City_____________________________ State____________ Zip code___________________
Date of birth_____________________Place of birth_____________________________________
B. Contact Information. Family members to be contacted at time of your death.
Name_________________________________ Relationship______________________
Phone numbers___________________________________ City__________________ State______
Name_________________________________ Relationship______________________
Phone numbers___________________________________ City__________________ State______
C. Arrangements.
If you would like your body, or parts of it, to be used for medical purposes, indicate the location of necessary documents providing for your donation.
Location of documents____________________________________________________________
What funeral home do you wish to handle your funeral?
Name__________________________________________________________________________
City and State___________________________________________________________________
If you live in
______________________________________________________________________________
Check one of the following
___ I want to be cremated with ashes to be buried at
Place ____________________________ City and state__________________________
___ I want to be cremated with ashes placed or disposed of (according to any state laws)
Place___________________________________ City and state_________________________
Specific disposal directions_______________________________________________________
____ I want burial in a casket
Cemetery or mausoleum____________________City and state________________________
Have you purchased a plot in a
If you have a cemetery plot, indicate the name of the cemetery _______________________________
Casket cost: ____ low ____ moderate ___ high Comments__________________________
________________________________________________________________________________
Do you wish to have your body viewed? ___ Yes, at funeral home ___ Yes, at church ___ No
I prefer memorials designated to the following organizations: ______________________________
_______________________________________________________________________________
__________________________________________________________________________
D. The Funeral
Where do you want your funeral held? Check one.
City
(if away from
____ Funeral Home _____________________________________________________________
City (if away from
Do you desire a family/prayer service the evening before the funeral? ___ Yes ___ No
If yes, is it to be private (family and close friends only) or public? ____ Private ___ Public
Do you desire a reception following the funeral? _____ Yes _____ No
E. Participants in the funeral
Clergy __________________________________ Eulogist(s) ______________________________
Lectors or assisting ministers _______________________________________________________
Cross bearer and/or paschal candle bearer _____________________________________________
Organist or pianist_________________________________________________________________
Soloist(s)/other musicians___________________________________________________________
Pallbearers (casket bearers and honorary, if desired):_____________________________________
_______________________________________________________________________________
_______________________________________________________________________________
F. The Funeral Service. (See the following pages for suggested Biblical texts and hymns)
Biblical texts
Old Testament_____________________________ Psalm ____________________________
Epistle _________________________________Gospel ______________________________
Other readings ___________________________________________________________
Congregational hymns ______________________________________________________
_________________________________________________________________________
Other music ____________________________________________________________
___________________________________________________________________________
Communion at the funeral _____ Yes ____ No
I have these additional requests _________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
F. Obituary Information
List family members_________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Provide background information about yourself that you want included in an obituary. This may include education, work, organizations, accomplishments, etc.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
The following newspapers should receive my obituary___________________________________
__________________________________________________________________________________
G. These Arrangements
I have provided a copy of these plans to the following people, church, and/or funeral home
Name ___________________________________________________________________
Name ___________________________________________________________________
Name ____________________________________________________________________
(Do not put this form in your safety deposit box. This is information needed by your church and
your family immediately at the time of your death.)
SUGGESTED SCRIPTURE
In addition to a reading from the gospel, other texts may include a reading from the Old Testament, the Psalms and/or the New Testament.
1. Old Testament (First
Verses Theme
Job 19:23-27 My Redeemer lives
Proverbs 31:10-31 Portrait of a godly woman
Ecclesiastes 3:1-8 For everything there is a season
Isaiah 25:6-9 God will swallow up death forever
Isaiah 35:3-10 The ransomed shall return
Isaiah 40:1-11 He shall feed his flock
Isaiah 40:27-31 They who wait for the Lord
Isaiah 43:1-3, 18-19, 25 I am going to do a new thing
Isaiah 55:1-3,6-13 God’s gracious covenant
Isaiah 61:1-4,10-11 The Spirit of the Lord is upon me
Isaiah 65:17-25 A new heaven and a new earth
Jeremiah 31:31-34 Written on the heart
Zechariah 8:1-8 Children at play in God’s city
2. Psalms
Verses Theme
Psalm 23 The Lord is my shepherd
Psalm 34:1-8 Taste and see that the Lord is good
Psalm 42:1-6a As the deer longs for flowing streams
Psalm 46 God is our refuge and strength
Psalm 90:1-6,10,12-17 So teach us to number our days
Psalm 91:1-2,9-12,14-16 In the shadow of the Almighty
Psalm 103:1-5,10-18 God’s steadfast love
Psalm 116:1-9,12-15 Precious is the death of his saints
Psalm 121 The Lord will keep you
Psalm 130 Out of the depths
Psalm 139:1-12,23-24 Pursued by God
Psalm 143 Hear my prayer, O Lord
3. New Testament (Second
Verses Theme
Romans 5:1-11 While we were yet sinners
Romans 6:3-9 Baptized into Christ’s death.
Romans 8:14-23 Joint heirs with Christ
Romans 8:31-35,37-39 Who shall separate us?
1 Corinthians 13 But the greatest of these is love
1 Corinthians 15:12-19 Assurance of resurrection
1 Corinthians 15:51-58 O, death, where is thy sting?
2 Corinthians 4:7-14 Perplexed, but not in despair
2 Corinthians 5:1-10 A house not made with hands
Philippians 2:5-11 He emptied himself
Philippians 4:4-9 Rejoice in the Lord
1 Thessalonians 4:13-18 The comfort of his coming again
Hebrews 12:1-2 A cloud of witnesses
1 Peter 1:3-9 Born anew to a living hope
1 John 1:1-7 Walk in the light
Revelation 7:9-17 A great multitude in white robes
Revelation 21:22-27 The heavenly
Revelation 22:1-7 The Lamb of God and the Tree of Life
4. Gospel
Verses Theme
Matthew 5:1-10 Blessed are those who mourn
Matthew 11:25-30 Easy yoke, light burden
Matthew 18:1-5,10-14 Become like children
Matthew 25:31-40 You gave me food
Mark 10:13-16 Let the children come to me
Luke 23:32-43 Today
I will be with you in
Luke 24:1-5, 9-14 The resurrection of Christ
Luke 24:13-35 Known in the breaking of the bread
John 1:1-5, 9-14 The light shines in the darkness
John 3:16-21 God so loved the world
John 5:19-29 The Son gives life
John 6:37-40 The Bread of Life
John 10:7-16 The Good Shepherd
John 11:17-27 I am the Resurrection
John 14:1-7 The Way, the Truth, the Life
John 14:25-27 Peace I leave with you
SUGGESTED HYMNS FOR FUNERALS.
Generally a funeral will include four hymns and/or solos. The hymn numbers are from the Evangelical Lutheran Worship hymnal.
A Mighty
Fortress Is Our God #504
Abide with Me #629
All Hail the
Power of Jesus’ Name #634
Be Thou My
Vision #793
Beautiful Savior #838
Behold a Host #425
Blessed
Assurance #638
Borning Cry (I
Was There) #732
Children of the
Heavenly Father #781
Day by Day #790
For All the
Saints #422
Great Is Thy
Faithfulness #733
Guide Me, Great
Redeemer #618
How Great Thou
Art #856
I Know That My
Redeemer Lives #619
In Heaven Above #630
Jesus Savior,
Pilot Me #755
Jesus, the Very Thought of You #754
Lord, Take My
Hand and Lead Me #767
Love, Divine,
All Loves Excelling #631
My Faith Looks
Up to Thee #759
My Hope Is Built
on Nothing Less #597
O God, Our Help
in Ages Past #632
Precious Lord,
Take My Hand #773
Rock of Ages,
Cleft for Me #632
Shall We Gather
at the River #423
The Lord’s My Shepherd, I’ll Not Want #778
The Strife Is
O’er #366
Thine Is the
Glory #376
What a Friend We
Have in Jesus #742
When Peace, like
a River #785
Who Is This Host
Arrayed in White #425
You Who Dwell in the Shelter of
the Lord (On Eagle’s Wings) #787