[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280198-105":53,"doc-detail-280198-en":126},{"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":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","final-wishes-form-fire-department-final-request","Final Wishes Form - Fire Department Final Request","","Final Wishes Form for fire department personnel to document guidance for the Fire Chief regarding wishes to be carried out upon death. The form collects general information, family contact details, funeral plan preferences, and religious and service-location preferences. It also defines firefighter funeral ceremony levels, notification preferences for next of kin, and requests related to chaplain, honor guard, bell ceremony, pallbearers, eulogy, and participation by assigned personnel and apparatus. Includes options for social gatherings, last alarm notifications, and additional detailed requests.",{"@graph":63,"@context":118},[64,80,101],{"@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":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/final-wishes-form-fire-department-final-request/280198/",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/final-wishes-form-fire-department-final-request/280198.png","ImageObject",442,249,{"name":88,"@type":89},"Tawan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":20},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the purpose of this Final Wishes Form?","Question",{"text":108,"@type":109},"It provides guidance to the Fire Chief about the wishes to be carried out upon the individual’s death.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How often should the form be updated?",{"text":113,"@type":109},"The form should be updated annually.",{"name":115,"@type":106,"acceptedAnswer":116},"What ceremony levels does the form include for firefighter funerals?",{"text":117,"@type":109},"It includes Level One (highest ceremony, line-of-duty related), Level Two (active member, not job/duty related), and Level Three (inactive or affiliate member, not job/duty related).","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},280198,1790453161,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":20,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"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":76},2336475104042,"https://ap-avatar.wpscdn.com/avatar/22000c4c32af1715be0?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786537525561427321","FINAL WISHES FORM  \nPurpose of this Form: The information in this form provides guidance to the (  ) Fire Chief regarding your wishes to be carried out upon your death.  \nPrivacy Statement: This information may be protected by the current laws, rules, regulations, and policies regarding privacy and confidentiality as mandated by the (  ) Fire Department and Rescue Squad, City of (  ) and the State of Nebraska or any other agency or branch of government.  \nInstruction for completing this Final Request Form: It is suggested this form be completed together with your spouse or domestic partner. This form should be updated annually. If the item does not apply or you prefer not to provide the information, specify by writing “N/A” to the item. Please print or type.  \nGeneral Information Section:  \nYour legal name:  Today’s Date:   Your fire department EMS number at the time of completing this form:  Do you have a Funeral Plan other than this Final Wishes Form?   Yes   No  \nIf yes, list the name and address of the location of the funeral plan:    \nYour current home address at the time of completing this form:    \nSpouse or domestic partner’s name and address at the time of completing is form:  \nName(s) and address(s) of children (if the child’s address is your current address please write“current address”): Attach a separate sheet if you need additional space but note “see attached”.  \n______________________________________________________________________________  \nName, address, and telephone number of a family member not living in your household who may need to be notified and/or included in decisions regarding the Information on this Form:(Parent(s), siblings, etc.  \nList your religious preference:    \nProvide the name, address, and telephone number of any church, faith community, and the name of the Priest, Minister, Rabbi, Deacon, or other person from ( ):    \nWill the services be held in ( ) or surrounding community?  Yes  No  \nTown Name  \nIf no, list where the final services will be conducted:   \nIf the services will be conducted out-of-state, if reasonable, do you wish your department to be represented at the services?  Yes  No  \nFirefighter Funeral Section: See attached for allowed traditions for each level of service  \nLevel One ( 1 )  \nThis is the HIGHEST level of ceremony. It is reserved for firefighters who die as a result of a line of duty incident or direct job related event. This may include members whose death has stemmed from injuries or illness directly sustained during active duty. This may include heart attack, and stroke .  \nLevel Two ( 2 )  \nThis level of service is available to firefighters who die while an active member, but the death was not job or duty related.  \nLevel Three ( 3 )  \nThis level of service is available to inactive members that is not job or duty related or for the death of an affiliate member .  \nIF your death is a LODD whom do you want to notify your next of kin? Name:  Phone\\#:   2nd Contact:   Phone\\#:    \nList any fraternal organizations, which may request/require participation (e.g. rosary, prayer service, official organizational service, etc.) at the wake or funeral (e.g. Knights of Columbus, Mason, Veterans of Foreign War, American Legion, etc.):    \n\n| Check and enter the name, address or the location of the memorial services:\u003Cbr>  Funeral Home   Home   Chapel   Other   If other, list: \u003Cbr>Name: |\n| --- |\n| Location: |\n| ______\u003Cbr>Do you wish to have the (  ) Chaplain involved in the service?   Yes   No\u003Cbr>Department\u003Cbr>If yes, list any specific roles or responsibilities for the ( ) Chaplain:\u003Cbr>Department ______________ |\n\nDo you wish the ( ) Honor Guard to participate in the service?   Yes   No Department  \nIf yes, list any specific roles or responsibilities for the ( ) Honor Guard:    \nDepartment  \n______________________________________________________________________________  \nList your preferences for Pallbearers and/or Honorary Pallbearers:   \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n\nDo you","cbCaiv1otVSleY5N","https://ap.wps.com/l/cbCaiv1otVSleY5N","pdf",145814,7,"English","# Final Request Instructions\n## General Information\n## Funeral Planning and Religious Preferences\n## Firefighter Funeral Sections and Ceremony Levels\n## Chaplain, Honor Guard, and Service Participation\n## Pallbearers, Eulogy, and Family Notifications\n## Apparatus, Dispatch, and Procession Options\n## Post-Service Social Gathering and Additional Requests","[{\"question\":\"What is the purpose of this Final Wishes Form?\",\"answer\":\"It provides guidance to the Fire Chief about the wishes to be carried out upon the individual’s death.\"},{\"question\":\"How often should the form be updated?\",\"answer\":\"The form should be updated annually.\"},{\"question\":\"What ceremony levels does the form include for firefighter funerals?\",\"answer\":\"It includes Level One (highest ceremony, line-of-duty related), Level Two (active member, not job/duty related), and Level Three (inactive or affiliate member, not job/duty related).\"}]","Final Wishes Form - Fire Department Final Request | PDF",1789534915]