Transcription of Body Release & Cremation Authorization Form
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body Release & Cremation Authorization FormI, the undersigned, certify, warrant and represent that I have full legal right and authority toauthorizeAllen & Shaw cremations , Lic# F041565 and/or their agents to remove, takepossession of, transport and arrange for the final disposition for the remainsof:_____, age_____ who died in_____County,Florida on the_____day of_____at_____am/pm. I, the undersigned,certify, warrant and represent that I have full legal right and authority to authorizeAllen & ShawCremationsto make arrangements for the Cremation and that the cremains be:( Pick up,Scatter at Sea or Ship)If pick up, who is authorized. If ship please write address. _____ _____ _____The Cremation shall be performed in accordance with all governing laws, rules, regulations and policies ofAllen &Shaw cremations , the crematory, the State of Florida and the following terms and The remains of the deceased must be in acombustible, leak resistant, rigid To prevent damage to the Cremation chamber, I authorize the removal of any type of implanted mechanical or radioactivedevices(suchas)
Body Release & Cremation Authorization Form I, the undersigned, certify, warrant and represent that I have full legal right and authority to authorize Allen & Shaw Cremations, Lic# F041565 and/or their agents to remove, take possession of, transport and arrange for the final disposition for the remains
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Disposition of Remains Statutes by, Disposition, Body, Authorization, Affidavit, Avoiding confusion when using funeral directives, Body disposition Affidavit, AUTHORIZATION FOR CREMATION AND DISPOSITION, Attorney Living Will Directions for Disposition, AUTHORIZATION FOR CREMATION & DISPOSITION, DECLARATION FOR DISPOSITION OF CREMATED, State of Ohio