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Authorization for Cremation and Disposition Mobile App

Some states require that an authorization for cremation and disposition be completed prior to the cremation. This Authorization for Cremation and Disposition form is one that you can download into any mobile device such as smartphone or tablet, and you can easily fill it out anywhere without having to print out pages of paper. This form collections information such as identification of the decedent, identification of the authorizing agent, any pacemaker or implant information of the decedent, funeral ceremonies, and more. This form is able to capture signature as well as the date when the authorization was signed. If you would like to add, remove, or change any information regarding this form, simply edit the form in any flash-enabled web browser.

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Take a peek inside the Authorization for Cremation and Disposition Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Cremation No.

  • Ico date

    Date

  • Ico statictext

    The State requires that this Cremation Authorization Form be completed and signed prior to the cr...

  • Ico statictext

    THE AUTHORIZATION IS NOT A CONTRACT FOR CREMATION SERVICES.

  • Ico statictext

  • Ico statictext

    IDENTIFICATION OF THE DECEDENT (Print all information except signatures.

  • Ico textbox

    Name of Decedent

  • Ico date

    Date of Death

  • Ico time

    Time

  • Ico textbox

    Place Death

  • Ico dropdown

    Sex

  • Ico date

    DOB

  • Ico textbox

    SS

  • Ico dropdown

    BECAUSE CREMATION IS IRREVERSIBLE, IDENTIFICATION OF THE DECEDENT IS REQUIRED BY ONE OF THE FOLLO...

  • Ico textbox

    Initials

  • Ico statictext

  • Ico statictext

    2. FUNERAL HOME AND CREMATORY

  • Ico statictext

    The Authorizing Agent directs the Crematory (the "Crematory") to carry out the cremation as speci...

  • Ico textbox

    Name of Funeral Director who obtained this Cremation Authorization

  • Ico statictext

  • Ico statictext

    3. IDENTIFICATION OF AUTHORIZING AGENT (SEE #3 ON REVERSE SIDE)

  • Ico textbox

    Name of Authorizing Agent

  • Ico multiline

    Address

  • Ico textbox

    Telephone No.

  • Ico textbox

    Relationship (Choose letter from selection in #3 on reverse side).

  • Ico statictext

  • Ico statictext

    4. AUTHORITY OF AUTHORIZING AGENT

  • Ico statictext

    As Authorizing Agent, I represent that I have the right to authorize the cremation of the Deceden...

  • ...and More!

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