To take care of things when you're gone, your survivors will need a lot of details about your life. You can make it easier for them by preparing this document.

What Your Survivors Will Need to Know

Gathering this information and telling where documentation is located is a gift to your survivors. Use this outline to prepare your document, “Information for My Survivors.”

Identifying information for death certificate

Your full name 
(Date of death)
Birth date
If ever served in the armed forces, see Military Service, below
(Place of death)
(Street address of place of death)
(County of death)
Father’s name, Mother’s maiden name
Race of decedent
Of Hispanic origin? Specifiy Cuban, Mexican, Puerto Rican, etc.
State or country of birth
Marital status
Name of spouse (if ever married)  
Social Security number
Last occupation
Kind of business or industry

Your Immediate Survivors - relationships, names and contact information

Others to be Notified of Your Death

Church or other religious institution – name, address, phone, and religious official’s name
Doctor’s name and contact information
Attorney’s name and contact information 
Close friends and relatives
Veterans Administration if a veteran
Utility companies
Passwords for accounts and social media so they can be closed


Dates of active duty, rank attained, honorable discharge? 
Location of discharge and other relevant documents
Registered with the Veterans Administration? 
 [For information about burial arrangements at Arlington or other national cemeteries, consult and your selected funeral home. Such arrangements are contingent upon eligibility of the decedent for burial in a national cemetery. ]


Documents - Location of your will and other financial documents, such as titles, deeds, certificates of ownership, birth certificate, marriage license, Social Security card, tax returns

Real Estate - Address and legal description of each piece of property owned, with name of co-owner if jointly owned, along with financial status

Cars, Boats, etc. - Year, make, model, and VIN no. of each automobile owned, with name of co-owner if jointly owned, and current approx.value

Bank Accounts – Name and address of banks, with account numbers and other access data, name of co-owner if joint account, and current approx.value

Mortgages, Home Loans and other Debts - Name, address and other contact information along with amount owed and payments being made on a regular basis

Pensions and Other Payments Being Received - Name, addresses and other contact information for organizations providing monthly payments - such as pensions, social security payments, veterans benefits, and minimum required distributions – along with current amounts of these payments 

Insurance – Issuing agency and contact information for all policies, including homeowner’s, automobile, health, and long-term care

Credit Cards to be cancelled or changed - Type (such as Visa) card number, and issuing agency

Safe Deposit Box


Advance Directive 

Location of your Advance Directive and registration number if stored in Virginia Advance Directives Registry. (This document deals primarily with medical care when dying, but also includes your wishes regarding disposition of your body.)
Name of your Agent designated in your Advance Directive

Disposition of Your Body

Tell what is to be done with your body when you die: whether you want burial, cremation, or whole-body donation. 
If you wish to be cremated, tell whether you want your ashes to be buried, deposited in a columbarium, scattered, or otherwise disposed of. Include your preference for a container. 
If your body is to be buried, express any preferences regarding direct burial or standard funeral, including type of casket, embalming, autopsy, viewing of the body, purification rites, committal services, etc. 
Indicate whether you wish to donate your eyes and other organs and if so, whether you have registered that intention (usually shown on Virginia driver’s license).  
If you have made advance arrangements, give names and contact information of the agency or agencies (such as funeral home, crematorium, or medical school) to be informed immediately. 

Religious or Other Services and Provisions for Memorial 

Names and contact information of institutions where you would like funeral or memorial services to be held.
Arrangements you may have made for memorial plaques, markers or monuments.

Aug 2016 rsb