Cremation Authorization Only

Miscellaneous Forms

Texas law mandates that the legal next-of-kin authorize the cremation. Kindly review the document below and proceed to electronically sign it using the provided form.

Name of Person Being Cremated(Required)

Authorizing Agent (Next-of-Kin)(Required)

Select the appropriate response:(Required)

Confirm and declare that I possess the complete legal authority to authorize the cremation of the above-named deceased and that I am not aware of any person with a superior or equal priority right.

Confirm there are other person(s) that have an equal priority right to authorize the cremation and all reasonable efforts to contact that person(s) have failed. Furthermore, I believe that said person(s) would not object to the cremation and agree to indemnify and hold harmless the funeral establishment and the crematory establishment for any liability arising from performing the cremation without the person’s authorization.

Viewing of the deceased prior to cremation?(Required)

No Viewing

Yes, I want to view (Additional charges will apply and the Date and Time will be determined)

List any items of value delivered to the crematory with the deceased and their disposition:

Does the person being cremated have a pacemaker or electronic medical implant?(Required)

Please describe said device?(Required)

i.e. Pacemaker, Defibrilator, etc.

Authorizing agent's relationship to deceased?(Required)

Authorizing Agent' Email(Required)

Authorizing Agent' Phone(Required)

Signature of Authorizing Agent(Required)

Miscellaneous Forms

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