[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-243306-105":53,"doc-detail-243306-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","a-statement-of-my-wishes","A Statement of My Wishes","","A legally oriented end-of-life planning form for documenting personal wishes regarding death arrangements, notifications, funeral preferences, burial or cremation choices, and memorial gifts. It collects contact information for the person(s) responsible and to be notified, personal and family details, and instructions on embalming, casket cost level, viewing, and cemetery location. The form also requests decisions on medical donation, hospice/terminal illness preference, post-mortem examination, children arrangements, and key legal and financial information.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/a-statement-of-my-wishes/243306/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/a-statement-of-my-wishes/243306.png","ImageObject",442,249,{"name":88,"@type":89},"River Wang","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-14","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who should be named as responsible for arrangements at the time of death?","Question",{"text":109,"@type":110},"The form provides a section to list first and second choice person(s), including telephone, address, and e-mail, to be in charge of arrangements.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What funeral and burial or cremation preferences can be recorded?",{"text":114,"@type":110},"You can choose whether burial or cremation is immediate or followed by a service, specify the service location (church or funeral home), select pallbearers, indicate whether embalming should be omitted, choose casket cost level, decide on whether a viewing is omitted, and enter cemetery details or ash disposition preferences.",{"name":116,"@type":107,"acceptedAnswer":117},"What legal and administrative information does the form request?",{"text":118,"@type":110},"It asks for the location of safe deposit box(es) and keys, the location of the Will and other important papers, details for the executor/executrix, and a list of important documents such as birth and marriage certificates, Social Security card, military discharge, insurance policies, stocks and bonds, property deeds, car title papers, bank accounts, and the Will.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},243306,1790205569,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","A STATEMENT OF MY WISHES IN THE EVENT OF MY DEATH  \nDate:    \nName:    \nfirst middle maiden last  \nAddress:  \n_______________________________________________________________  \n_______________________________________________________________  \nI. I would like the following person (s) to be in charge of the arrangements at the time of my death:  \n1st choice:   Telephone:   Address:   e-mail:   2nd choice:   Telephone:   Address:   e-mail:    \nII. I would like the following person (s) to be notified:  \nName:   Telephone:   Address:   e-mail:   Name:   Telephone:   Address:   e-mail:   Name:   Telephone:   Address:   e-mail:   Name:   Telephone:   Address:   e-mail:   Name:   Telephone:   Address:   e-mail:   Name:   Telephone:    \nAddress:   e-mail:    \nIII. Personal and family information:  \nDate ofbirth:   Place of Birth:   Citizenship:   Occupation:     never married   Married   Widowed   Divorced Full name of spouse:   Significant other:   Mother’s full name:   Father’s full name:    \nIV. My preference (if any) for a funeral director:    \nI would like:  \n  (a) a service with the casket present followed by a burial   (b) immediate burial followed by a service   (c) a service with the casket present followed by cremation   (d) immediate cremation followed by a service  \n  (e)    \nThe service to be held: at the church   at the funeral home    \nThe following persons to serve as pallbearers:  \nName:   Address:   Name:   Address:   Name:   Address:   Name:   Address:   Name:   Address:   Name:   Address:    \nEmbalming to be omitted if possible:   yes   no  \nThe casket to be:   inexpensive   modestly expensive   expensive  \nI wish to be buried in:    \nA viewing to be omitted: YES   NO    \nV. In lieu of flowers (yes   no   ) I would like memorial gifts to be made to:  \n  (a)    \n  (b)    \n  (c)    \nVI. In case of burial (of casket or ashes):  \nCemetery:   Location:    \nVII. In case of cremation, I would like my ashes to be:  \n  buried in the cemetery named above   disposed of by the crematory. Other:    \nVIII. My body or specified parts ofit is to be donated for medical purposes:  \n  Yes   No  \nPrimary Care Provider’s name:   Telephone:   Address:   Donations to be made:  \n(a)    \n(b)    \n(c)    \nIX. In case of terminal illness I request that I be allowed to die without extraordinary measures are taken to keep my body functioning: Yes   No    \nX. A post-mortem examination may be made if useful for medical knowledge and  \nrequested by the hospital or attending primary care provider. Yes   No    \nXI. Minor children for whom, in the event of their deaths, I wish arrangements similar tomy own.  \nName:    \nPlace of birth:   Date ofbirth:    \nName:   Place of birth:   Date ofbirth:   Name:   Place of birth:   Date ofbirth:   Name:   Place of birth:   Date ofbirth:    \nXII. Legal and financial information:  \nlocation of my safe deposit box (es) and keys:    \nlocation of my Will and other important papers:    \nMy Executor/ Executrix: Name:   Address:   Telephone:   Social Security \\#:   Location of card:   Military Serial \\#:   Location of discharge papers:    \nXIII. A brief biographical sketch which can be used for an obituary is enclosed. Yes   No    \nI HEREBY REQUEST MY SURVIVORS TO CARRY OUT THE WISHES I HAVE DESCRIBED IN THIS DOCUMENT.  \nSignature:   Date:    \nWitness:  \n______________________________________________________________  \nAddress:   Distribution:  \nA. Retain one copy, and give copies to persons named in paragraph I.  \nB. DO NOT PLACE IN SAFE DEPOSIT BOX; document must be readily accessible atthe time of death.  \nC. Give a copy to the funeral director, if one has been named.  \nLOCATION OF IMPORTANT PAPERS  \n1. Birth Certificate:     \n2. Marriage certificate:    \n3. Baptismal certificate:    \n4. Social Security Card:    \n5. Military Discharge:    \n6. Insurance Policies:   Account \\#:   Issued by:   Account \\#:   Issued by:   Account \\#:   Issued by:    \n7. Stocks & Bonds:    \n8. Deeds to Property:    \n9. Title Papers for car: ","cbCaimMPX1UVWY26","https://ap.wps.com/l/cbCaimMPX1UVWY26","pdf",37422,"English","# Arrangement and notification contacts\n## I. Responsible person(s)\n## II. Person(s) to be notified\n# Personal and funeral preferences\n## III. Personal and family information\n## IV. Preference for a funeral director and service details\n## V. Memorial gifts in lieu of flowers\n## VI. Burial location details\n## VII. Cremation ash disposition\n# Medical, legal, and family provisions\n## VIII. Donation of body or specified parts\n## IX. Terminal illness preference\n## X. Post-mortem examination request\n## XI. Arrangements for minor children\n## XII. Legal and financial information\n## XIII. Biographical sketch for an obituary\n# Signatures, distribution, and important papers","[{\"question\":\"Who should be named as responsible for arrangements at the time of death?\",\"answer\":\"The form provides a section to list first and second choice person(s), including telephone, address, and e-mail, to be in charge of arrangements.\"},{\"question\":\"What funeral and burial or cremation preferences can be recorded?\",\"answer\":\"You can choose whether burial or cremation is immediate or followed by a service, specify the service location (church or funeral home), select pallbearers, indicate whether embalming should be omitted, choose casket cost level, decide on whether a viewing is omitted, and enter cemetery details or ash disposition preferences.\"},{\"question\":\"What legal and administrative information does the form request?\",\"answer\":\"It asks for the location of safe deposit box(es) and keys, the location of the Will and other important papers, details for the executor/executrix, and a list of important documents such as birth and marriage certificates, Social Security card, military discharge, insurance policies, stocks and bonds, property deeds, car title papers, bank accounts, and the Will.\"}]","A Statement of My Wishes | PDF",1789202493]