Your Green Burial Planning Guide-2

1 Copyright* *2015,* Green * Burial *Council,* !1" your Green Burial Planning guide "!"!Identify! your !Environmental!Aims!The "ranking"of"these"environmental"benefits "can"be"used"to"ensure" your "final"arrang ements"are"reflective"of"the"environment al"considerations"most"important"to"you. "Environmental"benefits"that"mean"the"mo st"to"me"in"order"of"importance"are:"(#1 $most$important,$#4$least$important)""#" Conservation"of"natural"resources""#"Red uction"of"carbon"emissions""#"Protection "of"worker"health""#"Preservation/restor ation"of"habitat""Identify! your !Economic !Aims!#"Forgo"viewing"#"Eliminate"the"va ult"#"Opportunity"to"put"a"second"body"i n"the"grave"#"Simple"casket"or"shroud""I dentify! your !Spiritual!Aims!#"Family"mem bers"at"graveside"to"view""#"Participati on"of"family/friends,"encouraging"ritual "#"Creating"an"authentic"religious"exper ience""#"Making"a"spiritual"connection"w ith"nature,"acknowledging"the"life"cycle ""Designate!a!Funeral!Service!Provider!M y"preference"is"to"have"my"funeral"coord inated"by:""A"funeral"establishment"belo nging"to"the" Green " Burial "Council s"network"of"approved"providers"prepared "to"conduct"my" Green " Burial *"Contact$inf ormation:$$$$$$$$$$$$$$$$$$$$$$$$$$$$"A" family"member/friend"whom"I"have"chosen" to"handle"my"arrangements**"Contact$info rmation:$$$$$$$$$$$$$$$$$$$$$$$$$$$$"Oth er"(Explain$relationship;$if$applicable, $indicate$location$of$ your $Designated$Ag ent$documentation)$Contact$information:$ $$$$$$$$$$$$$$$$$$$$$$$$$$$$Copyright* *2015,* Green * Burial *Council,* !

2 2"*If$you$have$prearrangements$with$a$fu neral$home$that$is$not$a$part$of$the$Gre en$ Burial $Council$list$of$approved$provi ders,$discuss$ your $intentions$with$ your $ funeral$director$to$determine$if$they$ca n$meet$ your $needs.$The$ Green $ Burial $Coun cil$is$happy$to$assist$the$funeral$home$ in$understanding$the$procedures$for$faci litating$a$ Green $ Burial .$$**$Please$chec k$to$ensure$that$ your $state$allows$for$a $funeral$to$be$facilitated$without$a$lic ensed$funeral$director.$As$of$2012$the$l ist$of$states$that$require$families$to$u se$a$licensed$funeral$director$are$as$fo llows:$CT,$IA,$IL,$IN,$LA,$MI,$NE,$NJ,$a nd$NY.$""How!I!Want!My!Body!Prepared!I"a pprove"of"the"following"practices/produc ts"to"temporarily"preserve"my"body"after "my"death:"""Dry"Ice"""TechniPice"or"ice "packs"""Refrigeration"""Topical"applica tion"( "sprays,"compounds)"using"nontoxic,"esse ntial"oils"""Topical"application"and/or" internal"injection"(excluding"arterial"i njection)"using"nontoxic,"essential"oils """Topical"application"and/or"internal"i njection"(including"arterial"injection)" using"nontoxic,"essential"oils"""Choosin g!

3 My! Burial !Container!My"preference"is"for "one"of"the"following"GBC"approved:"""Ca sket"""Shroud"""Urn""I"wish"to"have"my"b urial"container"obtained"from:"""Other"( Explain)""""""""""""""""""""""""""""""De signing!My!Funeral!Service!My"preference "is"for"a:"""Private"open"casket"funeral """Private"closed"casket"funeral"""Publi c"open"casket"funeral"""Public"closed"ca sket"funeral"""Public"closed"casket"fune ral"with"a"private"viewing"of"my"body"pr ior"to"the"funeral"""Public"closed"caske t"funeral"with"a"private"viewing"of"my"b ody"after"the"funeral"""Other"(Explain)" """"""""""""""""""""""""""""My"preferenc e"is"to"have:"""A"graveside"funeral"only ""Copyright* *2015,* Green * Burial *Council,* !3"""A"funeral"at"my"home"""A"funeral"at "the"funeral"home"handling"my"arrangemen ts"(identified$above)"""A"funeral"at"the "following"specified"location:"""Other"( Explain)""""""""""""""""""""""""""""""Wh ere!I!Wish!to!Be!Buried!""I"have"made"ar rangements"for" Burial "at"""""""""""Conta ct$information$$$$$$$$$$$$$$""I"have"not "made"arrangements"for" Burial "at"a"cemet ery""""I"would"like"to"be"buried"on"my"p roperty"(at$the$location$identified$on$t he$map$attached$to$this$document)"and"ha ve"verified"with"my"local" Planning /zonin g"board"that" Burial "is"allowed"to"take"p lace"on"this"property"Other"(Explain)""" """"""""""""""""""""""""""""My"contingen cy"plan"in"case"there"are"no" Green "buria l"grounds"in"or"near"my"community"is"to" have"my"body"transported"to:"""A"GBC"app roved" Burial "ground"within"1000"miles"of "my"home"""A"GBC"approved" Burial "ground" within"500"miles"of"my"home"""A"GBC"appr oved" Burial "ground"within"100"miles"of"m y"home"""Other$(Explain)"""""""""""""""" """"""""""""""Marking!

4 My!Grave!I"would"like"to"have:*"""A"tree "as"a"marker"""No"marker"on"top"of"my"gr ave"""A"rock"as"a"marker"""My"name"liste d"on"a"central/memorial"marker"""Wildflo wers"or"native"plants"planted"on"top"of" my"grave"instead"of"a"marker"""A"rock"as "a"marker"engraved"with"the"following"wo rds:""""""""""""""""""""""""Other"(Expla in)"""""""""""""""""""""""""""""$*Please $be$advised$that$these$choices$will$not$ be$available$at$all$cemeteries.$Please$c ontact$individual$cemeteries$to$determin e$which$options$are$available.$""!!Copyr ight*