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!

2 your !Economic!Aims!#"Forgo"viewing"#"Eli minate"the"vault"#"Opportunity"to"put"a" second"body"in"the"grave"#"Simple"casket "or"shroud""Identify! your !Spiritual!Aims !#"Family"members"at"graveside"to"view"" #"Participation"of"family/friends,"encou raging"ritual"#"Creating"an"authentic"re ligious"experience""#"Making"a"spiritual "connection"with"nature,"acknowledging"t he"life"cycle""Designate!a! funeral !Servi ce!Provider!My"preference"is"to"have"my" funeral "coordinated"by:""A" funeral "estab lishment"belonging"to"the" Green " Burial "C ouncil 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.)

3 $if$applicable,$indicate$location$of$you r$Designated$Agent$documentation)$Contac t$information:$$$$$$$$$$$$$$$$$$$$$$$$$$ $$$Copyright* *2015,* Green * Burial *Council,* !2"*If$you$have$prearrangements$with$a$f uneral$home$that$is$not$a$part$of$the$Gr een$ Burial $Council$list$of$approved$prov iders,$discuss$ your $intentions$with$ your $ funeral $director$to$determine$if$they$c an$meet$ your $needs.$The$ Green $ Burial $Cou ncil$is$happy$to$assist$the$ funeral $home $in$understanding$the$procedures$for$fac ilitating$a$ Green $ Burial .$$**$Please$che ck$to$ensure$that$ your $state$allows$for$ a$ funeral $to$be$facilitated$without$a$li censed$ funeral $director.

4 $As$of$2012$the$list$of$states$that$requ ire$families$to$use$a$licensed$ funeral $d irector$are$as$follows:$CT,$IA,$IL,$IN,$ LA,$MI,$NE,$NJ,$and$NY.$""How!I!Want!My! Body!Prepared!I"approve"of"the"following "practices/products"to"temporarily"prese rve"my"body"after"my"death:"""Dry"Ice""" TechniPice"or"ice"packs"""Refrigeration" ""Topical"application"( "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!

5 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,* !

6 3"""A" funeral "at"my"home"""A" funeral "at" the" funeral "home"handling"my"arrangement s"(identified$above)"""A" funeral "at"the" following"specified"location:"""Other"(E xplain)""""""""""""""""""""""""""""""Whe re!I!Wish!to!Be!Buried!""I"have"made"arr angements"for" Burial "at"""""""""""Contac t$information$$$$$$$$$$$$$$""I"have"not" made"arrangements"for" Burial "at"a"cemete ry""""I"would"like"to"be"buried"on"my"pr operty"(at$the$location$identified$on$th e$map$attached$to$this$document)"and"hav e"verified"with"my"local" Planning /zoning "board"that" Burial "is"allowed"to"take"pl ace"on"this"property"Other"(Explain)

7 """""""""""""""""""""""""""""""My"contin gency"plan"in"case"there"are"no" Green "bu rial"grounds"in"or"near"my"community"is" to"have"my"body"transported"to:"""A"GBC" approved" Burial "ground"within"1000"miles "of"my"home"""A"GBC"approved" Burial "grou nd"within"500"miles"of"my"home"""A"GBC"a pproved" Burial "ground"within"100"miles"o f"my"home"""Other$(Explain)""""""""""""" """""""""""""""""Marking!My!Grave!I"woul d"like"to"have:*"""A"tree"as"a"marker""" No"marker"on"top"of"my"grave"""A"rock"as "a"marker"""My"name"listed"on"a"central/ memorial"marker"""Wildflowers"or"native" plants"planted"on"top"of"my"grave"instea d"of"a"marker"""A"rock"as"a"marker"engra ved"with"the"following"words:""""""""""" """""""""""""Other"(Explain)"""""""""""" """""""""""""""""$*Please$be$advised$tha t$these$choices$will$not$be$available$at $all$cemeteries.

8 $Please$contact$individual$cemeteries$to $determine$which$options$are$available.$ ""!!Copyright*