[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283974-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283974-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","cremation-authorization-and-disposition-form","Cremation Authorization and Disposition Form","","Cremation Authorization and Disposition Form for authorizing Pittsburgh Cremation & Funeral Care to cremate the decedent’s human remains and arrange final disposition under Pennsylvania law. The form collects authorizing agent information, decedent identification details, and heir-at-law certifications, and includes acknowledgements about identification methods, scheduling, and liability waivers. It addresses pacemakers and radioactive implants, non-recoverability of personal valuables, urn handling and holding period, and release or shipment options for cremated remains.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/cremation-authorization-and-disposition-form/283974/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/cremation-authorization-and-disposition-form/283974.png","ImageObject",442,249,{"name":42,"@type":43},"McGucket","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-31","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who is allowed to sign and authorize the cremation and disposition?","Question",{"text":63,"@type":64},"The form must be signed by the closest living next of kin or another person who serves in the authorized capacity under Pennsylvania law and has legal authority over the remains.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What happens regarding identification and cremation scheduling?",{"text":68,"@type":64},"After necessary documentation is received, the crematory is authorized to proceed with cremation upon receipt of the human remains, at its discretion and according to its schedule without further authorization.",{"name":70,"@type":61,"acceptedAnswer":71},"What restrictions or risks apply to pacemakers or radioactive implants?",{"text":72,"@type":64},"The form warns that heart pacemakers and/or radioactive producing implant devices may cause explosion or damage. If notice is not provided, the person authorizing cremation may be held responsible, and the funeral home must be instructed regarding removal and proper disposal.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},283974,1790348438,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,112,117,122],{"id":55,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":22},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","P E T E R S T O W N S H I P  \n3287 Washington Road McMurray, PA 15317  \n(724) 260-5546 Danielle Andy Bel usko, Supervisor  \n[PittsburghCremation.com](PittsburghCremation.com)  \nP I T T S B U R G H  \n5405 Steubenville Pike Robinson Township, PA 15136  \n(412) 787-1800  \nApril Somma Hoffman, Supervisor  \nCREMATION AUTHORIZATION AND DISPOSITION FORM  \nI/We, the undersigned (the “Authorizing Agent(s)”) hereby authorize and request Pittsburgh Cremation & Funeral Care (the “Crematory”), in accordance with and subject to the rules and regulations of the Commonwealth of Pennsylvania, to cremate the human remains of   (the “Decedent”) and to arrange for the final disposition of the cremated remains as stated in this Authorization.  \nGENERAL AUTHORIZATIONS AND REPRESENTATIONS  \nI/We certify that the Decedent left the following heirs at law:  \nSpouse q Yes q No Name    \nChildren q Yes q No How many   Name(s)    \n________________________________________________________________________________________________________________________  \nParents q Yes q No How many   Name(s)    \n________________________________________________________________________________________________________________________  \nSiblings q Yes q No How many   Name(s)    \n________________________________________________________________________________________________________________________  \nIf all responses are “NO”, the person(s) in the next degree of kinship to the decedent is (are):    \nCERTIFICATION  \nI/We, the undersigned, hereby certify that I am (we are) the closest living next of kin of the Decedent and that I am (we are) related to the Decedent as his/her,   or that I/We otherwise serve (served) in the capacity of   to the Decedent, that I/We have charge of the remains of the Decedent and as such possess the full legal authority and power, according to the laws of Pennsylvania, to execute this authorization form and to arrange for the cremation and disposition of the cremated remains of the Decedent. In addition, I am (we are) aware of no objection to this cremation by any spouse, child, parent or sibling specified. Initials of AA    \nDECEDENT INFORMATION AND IDENTIFICATION  \nI/We have identified the human remains that are in the Crematory’s care and have authorized the Crematory to proceed with the cremation process. Method of Identification: q Photograph q Family Viewing q At Decedent’s Residence q Other:   Date of death   Place of death  Decedent’s Age   Sex   Race    \nInitials of AA    \nSCHEDULING OF CREMATION  \nUpon receiving all necessary documentation, the Crematory is authorized to perform the cremation upon receipt of the human remains, at its discretion, and according to its own schedule, as work permits, without obtaining any further authorization or instructions.  \nInitials of AA   \nPACEMAKERS AND RADIOACTIVE IMPLANTS  \nNOTICE: Heart pacemaker and/or radioactive producing implant devices or other life sustaining devices may cause an explosion or damage in the cremation chamber. If the Crematory does not receive notice, the person or persons authorizing cremation shall be held responsible for any damage resulting thereof. The funeral director and Crematory shall accept NO lability under these circumstances. In view of the above, carefully read this document consisting of the following certification.  \nPacemaker/ Radioactive Implant q Yes q No  \nCERTIFICATION: I hereby certify that I have read and understand the above notice. Initials of AA   \nIf you answered YES to the above, please initial the following: I have instructed the funeral home to remove or arrange for the removal of these devices and to properly dispose of them prior to transporting the Decedent to the Crematory. Initials of AA    \nVALUABLE MATERIAL AND PERSONAL POSSESSIONS  \nThe undersigned acknowledge(s) that duetothe nature of cremation, any personal belongings including, but not limited to bedding, clothing and shoes, and any valuable material including, but not limited to dental gold ","cbCaikCXmP3Efosx","https://ap.wps.com/l/cbCaikCXmP3Efosx","pdf",128064,"English","# General Authorizations and Representations\n# Certification\n# Decedent Information and Identification\n# Scheduling of Cremation\n# Pacemakers and Radioactive Implants\n# Valuable Material and Personal Possessions\n# Final Disposition\n## Release Cremated Remains to\n## Ship Cremated Remains to","[{\"question\":\"Who is allowed to sign and authorize the cremation and disposition?\",\"answer\":\"The form must be signed by the closest living next of kin or another person who serves in the authorized capacity under Pennsylvania law and has legal authority over the remains.\"},{\"question\":\"What happens regarding identification and cremation scheduling?\",\"answer\":\"After necessary documentation is received, the crematory is authorized to proceed with cremation upon receipt of the human remains, at its discretion and according to its schedule without further authorization.\"},{\"question\":\"What restrictions or risks apply to pacemakers or radioactive implants?\",\"answer\":\"The form warns that heart pacemakers and/or radioactive producing implant devices may cause explosion or damage. If notice is not provided, the person authorizing cremation may be held responsible, and the funeral home must be instructed regarding removal and proper disposal.\"}]","Cremation Authorization and Disposition Form | PDF",1789623618]