Family Preparedness Checklist
Employee Checklist
We recommend that you assemble, list and date the information noted below to ease the burden on your family in the event that you sustain a severe or fatal injury.
A description of your wishes for the final disposition of your body including the names and addresses of the recipients of your body, organs or tissues.
Your expected death benefits including the names of beneficiaries and policy numbers, if applicable. Examples of such benefits include the social security death benefit, the Veteran's Administration reimbursement for funeral and cemetery costs (you should retain a photocopy of your discharge papers to assist with your survivors’ claim), lump sum payment or cancellation payments on a pension, credit union, life insurance.
Insurance policies including policy numbers (e.g., fire, automobile, accident, and liability policies) and dates on which premiums are due.
Safe deposit boxes, strong boxes, safes, including their locations, combinations and/or the location of keys.
All important papers stored in your safe deposit box.
Important documents, valuable items not kept in safe deposit box, with their locations. For example, insurance policies, auto title slips, bank books, wills, trusts, federal and state income tax returns, birth, marriage and divorce certificates, discharge papers, jewelry and other notable valuables.
Active credit cards and charge accounts including account numbers, payment and expiration dates.
Bank, credit union, and stock brokerage/ 401K accounts including account numbers and passwords.
Outstanding mortgages and other outstanding loans including account numbers, payment dates and terms.
Securities, real and personal property you own.
Names and addresses of your lawyer, accountant and executor of your estate.
Complete a will and note of location of the original.
Names of individuals you wish to have notified of your death or injury.
Organizations, boards or committees to which you belong.
Recurrent monthly bills including account numbers, payment and expiration dates.
Details of care and transfer of ownership of your pets.
Note: the Family Checklist should be attached to this checklist
Family Preparedness Checklist
Family Checklist
Many, if not all, of these tasks may have to be completed after the death of a loved one.
Consult decedent’s written directions for funeral arrangements and disposition.
Obtain multiple copies of the death certificate for life insurance policies and similar benefits (10-15 copies).
Notify medical school, New Organ Transplant Bank, or similar organizations if arrangements have been made for donation of tissue, organs, or body.
Determine the time and place of funeral ceremony or memorial service, if any, in consultation with clergyman, reader, or other appropriate persons. Notify musicians, pallbearers, or others who may participate in the ceremony (Family Liaison may assist).
Notify family members, close friends and employer included on the decedent’s Family Preparedness Checklist
Notify lawyer, accountant, and executor of the estate.
Decide whether memorial gifts are to replace flowers. If so, include newspaper notice.
Prepare newspaper notice if desired. The paper is likely to require full name, age, place of birth and death, occupation, degrees, memberships, military service, outstanding work, survivors in immediate family, time and place of services, if any.
Keep list of calls, flowers, notes, and arrange for acknowledgment.
Make needed household arrangements, as for child care or hospitality for visiting relatives.
Notify all life insurance companies affected, Social Security Office and Veterans' Administration if eligible for benefits. (You may receive assistance from the funeral director with these notifications.)
Check for other death benefits, as from group insurance policies, credit union accounts, pensions, etc.
(BMF Human Resources may assist)
Notify credit card companies and stores where deceased had charge accounts.
Check for all installment payments coming due on merchandise, loans, or mortgages.
Notify Post Office of forwarding address to relative or executor.
Notify lodges, fraternities and other organizations of which the decedent was a member, and the schools and church that he/she attended.
Also notify banks, credit unions or stockbrokers where decedent had accounts.
Seek advice of accountant about filing decedent’s tax return for year of death.
Important Names, Addresses, and Phone Numbers
List the important names, addresses, phone numbers, and account or policy numbers that may help survivors in dealing with your affairs. Be sure to list an entry for each person or place noted on Your Checklist of Important Documents.
Location
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Name
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Address
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Phone / Fax
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Account / Policy Number
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Attorney - Medical
(Health Care Proxy)
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Attorney - Financial
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Auto Loan
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Bank A
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Bank B
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Bank C
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Credit Card
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Credit Card
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Credit Card
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Mortgage
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Other Credit /Loan
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Other Credit /Loan
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Credit Union
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Current File Cabinets
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Permanent Records (Locations)
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Lawyer’s Office
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Safety Deposit Box
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Stock Broker / Financial Advisor
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Individual Possessions (attached separate sheet)
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Relative A
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Relative B
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Relative C
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Friend A
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Friend B
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Primary Care Physician
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Dentist
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Executor / Executrix
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Funeral Home
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Insurance Agent A Type:
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Insurance Agent B Type:
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Insurance Agent C Type:
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Location Checklist of Important Documents
Document
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Recommended
Location Code
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Location
of Original
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Location
Code of Copy(s)
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Appraisals of Personal Possessions
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1
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Appraisals of Real Property
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1
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Automobile Title
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1
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Automobile Registration
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9 (Car)
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Bank Statements—Current Year
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2
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Bank Statements—Last 3 Years
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2
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Birth Certificates/Adoption Papers
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1
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Burial Plot Papers
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1
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Charge Account Records
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1
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Checkbook Records, Including Canceled Checks (for 3 years)
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2
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Credit Card Statements (for 3 years)
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2
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Debt Contracts (until expiration);
Payment in Full Notices (for life)
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1
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Deeds—Current Property/Closing Statements
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1
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Deeds—Sold Property
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2
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Divorce Papers
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1
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Durable Power of Attorney
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Original – 1, Copies – 3, 10, 11
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Educational Records/Diplomas/Transcripts
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2
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Employment Papers/Information
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2
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Funeral Plans
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Original – 2, Copy - 11
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Healthcare Power of Attorney
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Original – 1, Copies – 5, 7,10,11
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Household Inventory List/Video
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1
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Insurance Papers—Medical
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2
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Insurance Papers—Long-term Care
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2
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Insurance Papers—Home/Property
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2
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Insurance Papers—Automotive
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2
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Insurance Papers—Liability (Umbrella Policy)
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2
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Insurance Papers—Life
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2
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Insurance Papers—Disability
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2
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Investment Records—Bonds
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Original – 4 or 1
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Investment Records—Stocks
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Original – 4 or 1
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Investment Records—Others
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2
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Letter of Last Instructions
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Original – 2, Copies – 6, 11
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List of Medications
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5
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Living Will
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Original – 1, Copies – 2, 3, 7
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Marriage Certificates
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1
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Medical Records
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7
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Military/Discharge Papers
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1
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Naturalization or Residency Papers
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1
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Passport
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1
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Power of Attorney
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Original – 1, Copies – 2, 3, 11
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Prenuptial Agreements
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1
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Religious Records
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2
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Retirement/Pension Records
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2
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Safety Deposit Box Location
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2
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Safety Deposit Box Key
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Original – 1, Copy – 11
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Social Security Card
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Original 1, Copy – 10
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Tax Returns & Supporting Documents — Current Year
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2
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Tax Returns & Supporting Documents Previous 3 Years
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2
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Tax Returns & Supporting Documents – 3–6 Years Old
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2
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Trust Documents
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Original – 1, Copy – 2, 3, 9(trustee)
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Warranties, Guarantees
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1
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Wills
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Original – 1, Copies – 2, 3, 11
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Location Code List
1 - Bank Safety Deposit Box
2 - Home File Cabinet (preferably fireproof)
3 - Lawyer’s Office
4 - Broker/Bank
5 - Carry With You at All Times
6 - Relatives/Friends
7 - Primary Doctor’s Office
8 - Funeral Home
9 - Other
10 - Portable Fireproof Box
11 - Executor/Executrix or Attorney-In-Fact
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