Notify These People

Important people you'd like to notified upon your death.

People to Notify

Person {{index == 0 ? index + 1 : + ' ' + index + 1}}:

Name is required, all others are optional.

{{ errors.first('person['+index+'][full_name]') }}
{{ errors.first('person['+index+'][full_address]') }}
{{ errors.first('person['+index+'][phone]') }}
{{ errors.first('person['+index+'][email]') }}

Are you sure? - Cancel | Yes, please delete