Assign Responsible Party

Designate a trusted family member or friend who can help carry out your final wishes and work with the Legacy Assurance WISH Team when support is needed.

Assign Responsible Party Contact the WISH Team

Why assign a responsible party?

A responsible party gives your family and the WISH Team a clear point of contact when support is needed.

Ensures your wishes are followed

Choose someone you trust to communicate your funeral preferences when the time comes.

Avoids unnecessary confusion

Having one designated contact helps reduce uncertainty for your loved ones.

Keeps your records up to date

Update your responsible party anytime if circumstances or family contacts change.

Member Information

Confirm your membership details so our team can locate your records.

First Name*

Last Name*

Email*

Member Number*

City*

State*

Responsible Party

Tell us who should help carry out your wishes and serve as a trusted contact.

Responsible Party Name*

Relationship to Member*

Funeral Home Preferences

Optional: Share any funeral home or cemetery information you would like us to keep on file.

Funeral Home

Funeral Home City

Funeral Home State

Cemetery

Cemetery City

Cemetery State

Additional Notes

Share any instructions, preferences, or information you would like the WISH Team to reference.

Notes for the WISH Team

I agree with the terms and conditions

Your information is used to help the Legacy Assurance WISH Team keep your membership records current and support your final wishes when needed.

Once submitted, our team will review your information and update your membership records if needed.

Direct Support

Need help completing this form?

Our WISH Team can help you understand what information to provide and how your responsible party details are used.

Choose a responsible party

Update funeral preferences

Answer membership questions

Keep your records current

Phone

+1 (855) 548-2721

support@legacy-assurance.com

Hours

Mon - Fri, 8:30 AM - 5:00 PM EST