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Authorization for Final Disposition

DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Public Health F-00086 (05/10) Wis. Stat. Chapter (8) Page 1 of 5 Authorization FOR Final Disposition INSTRUCTIONS Purpose of the Authorization for Final Disposition : When properly completed and signed in the presence of two competent adult witnesses or a notary public, this voluntary document allows a competent adult (the declarant) to designate another competent adult (the representative or an alternative representative) to make funeral arrangements on behalf of the declarant. This document allows the declarant to give his or her chosen representative information about the declarant s preferences for Final Disposition and funeral service.

Authorization for Final Disposition F-00086 (05/10) Page 4 of 5 SUGGESTED SPECIAL DIRECTIONS 1. Arrangements for a viewing. 2. Funeral ceremony, memorial service, graveside service, or …

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