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When Someone You Love Has Advanced Cancer: Support for Caregivers
    Posted: 11/10/2005    Updated: 09/23/2009
Personal Affairs Worksheet

By filling out this worksheet, you can help family members deal with your personal affairs after you're gone. Be sure to let your loved ones know about this list. It will help them cope with your death and find comfort in knowing your needs and wishes were met. Try to keep it updated and in a safe place. Make sure that only those you trust have access to it.

Banks, savings and loans
Contact Information





What Needs to be Done






Life insurance company
Contact Information





What Needs to be Done






Health insurance company
Contact Information





What Needs to be Done






Disability insurance company
Contact Information




What Needs to be Done






Homeowners' or renters' insurance company
Contact Information




What Needs to be Done






Burial insurance company
Contact Information




What Needs to be Done






Unions and fraternal organizations
Contact Information




What Needs to be Done






Attorney
Contact Information




What Needs to be Done






Accountant
Contact Information




What Needs to be Done






Executor of the estate
Contact Information




What Needs to be Done






Internal Revenue Service
Contact Information




What Needs to be Done






Social Security office
Contact Information




What Needs to be Done






Pension or retirement plans
Contact Information




What Needs to be Done






Department of Veterans Affairs
Contact Information




What Needs to be Done






Investment companies
Contact Information




What Needs to be Done






Mortgage companies
Contact Information




What Needs to be Done






Credit card companies
Contact Information




What Needs to be Done






All other lenders
Contact Information




What Needs to be Done






Employer
Contact Information




What Needs to be Done






Faith or spiritual leader/organization
Contact Information




What Needs to be Done






Safety deposit box keys and box location








Safe, lock combinations







Location of other important items (such as jewelry)