Printable End-of-Life Checklist

[YOUR COMPANY NAME]
[YOUR COMPANY ADDRESS]
[YOUR COMPANY EMAIL] | [YOUR COMPANY NUMBER]

Personal Information

☐ Full Legal Name: Etha Lehner
☐ Date of Birth: July 15, 1980
☐ Social Security Number: 123-45-6789
☐ Contact Information:

• Phone: 222 555 7777

• Email: etha@you.mail

Legal and Financial Documents

☐ Will or Trust in Place (Location: Safe Deposit Box at BrandVibe Bank)
☐ Durable Power of Attorney for Healthcare: Dr. Dell Stokes, 222 555 7777
☐ Durable Power of Attorney for Finances: Carmel Ryan, CPA, 222 555 7777
☐ Life Insurance Policy Number: AX-567890123
☐ Digital Assets Log (Social Media, Emails, Passwords): Stored with LastPass Account

Medical Preferences

☐ Advanced Healthcare Directive (Date Signed: January 10, 2051)
☐ Organ Donation Preference: Yes, Donate to research or individuals
☐ Preferred Medical Facility: DynaFive Hospital, Baltimore, MD 21201
☐ Contact for Medical Decisions: Malcolm Raynor, 222 555 7777

Funeral Arrangements

☐ Preferred Funeral Home: MindStove Funeral Services, Jacksonville, FL 32099
☐ Burial or Cremation Preference: Burial at CastleBrand Park
☐ Music or Readings: "Amazing Grace," Psalm 23
☐ Obituary Instructions (Draft Prepared): Yes (Stored in Will Binder)

Communication Plan

☐ Notify the Following Individuals:

Call to Action

Take charge of your future today by completing this checklist and sharing it with your trusted contacts. For more guidance, contact [YOUR COMPANY NAME] at [YOUR COMPANY NUMBER] or email [YOUR COMPANY EMAIL].

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