Transcription of AUTHORIZATION FOR CREMATION AND DISPOSITION
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AUTHORIZATION FOR CREMATION AND DISPOSITION
DATE OF DEATH: _____ TIME OF DEATH: _____ FD OK: _____ AUTHORIZATION FOR CREMATION AND DISPOSITION NOTICE: THIS IS A LEGAL DOCUMENT. IT CONTAINS IMPORTANT PROVISIONS CONCERNING CREMATION . CREMATION IS IRREVERSIBLE AND FINAL. READ THIS DOCUMENT CAREFULLY BEFORE SIGNING. I/We, the undersigned, certify, warrant and represent that I/we, have the full legal right and authority to authorize the CREMATION , processing and DISPOSITION of the remains of _____ (hereinafter referred to as the "Deceased") Name of Deceased I/We hereby request and authorize Illinois CREMATION Centers (hereinafter referred to as the "Funeral Home") to take Name of Funeral Home possession of and make arrangements for the CREMATION of the remains of the Deceased at Forest Crematory (hereinafter referred to as the "Crematory").
AUTHORIZATION FOR CREMATION AND DISPOSITION . NOTICE: THIS IS A LEGAL DOCUMENT. IT CONTAINS IMPORTANT PROVISIONS CONCERNING CREMATION. ... 4. Certain items, including, but not limited to, body prostheses, dentures, dental bridgework, dental fillings, jewelry, and other personal articles ... Except as set forth in this authorization, no ...
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