[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283975-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283975-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-form-notary","Cremation Authorization Form - Notary","","Cremation Authorization Form authorizes a selected crematory to cremate a named decedent, specifying whether cremation occurs before or after death and who may complete the form based on the situation. It records identification details, the signer’s relationship priority, and sworn confirmation of no prior authorization rights. The form includes health and safety alerts for pacemakers, radioactive drugs, and contagious diseases, sets sanitation and disposition terms, and describes urn and processing expectations.",{"@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-form-notary/283975/",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-form-notary/283975.png","ImageObject",442,249,{"name":42,"@type":43},"Mimi","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who is allowed to complete the cremation authorization form before and after death?","Question",{"text":63,"@type":64},"If completed before death, the deceased or their Medical Power of Attorney completes the form. If completed after death, the next of kin or a funeral representative completes it.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What alerts must be addressed regarding the decedent?",{"text":68,"@type":64},"The form requires initialing whether the decedent has a pacemaker, whether any radioactive drugs were received, and whether the decedent has any infectious or contagious disease declared dangerous to public health.",{"name":70,"@type":61,"acceptedAnswer":71},"How are cremated remains disposed of and what options are provided?",{"text":72,"@type":64},"Disposition options include holding or sending remains to a named recipient or having Professional Mortuary Services arrange a scattering within six months. Address changes must be reported, and if delivery fails, further efforts are described in the policy.","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},283975,1791615501,{"code":4,"msg":82,"data":83},"success",[84,89,93,98,103,108,112,117,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},"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":22,"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":4},2336477974920,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Approximate weight of the deceased:  lbs  \nWitness of cremation Yes / No  \nadditional fees will be applied for large individuals or if you wish to witness the cremation  \nCREMATION AUTHORIZATION  \nFor Office Use Only  \nTag/Identification \\#:   Cremation Date:    \nIf BEFORE death, this form must be completed by the deceased or their Medical Power of Attorney (if Power of Attorney send document) . If AFTER death, this form must be completed by the next of kin or funeral representative.  \nI hereby authorize and direct the crematory selected by Professional Mortuary Services (“Crematory”), subject to its rules and regulations , to cremate the body of Full Legal Name of Deceased:    \n(as it appears on Social Security Card)  \nMy Relationship to the Deceased is:   Priority order = 1. Self 2. Spouse 3. Adult child 4. Parent 5. Sibling 6. Guardian 7. Next degree of kindred 8. Deceased estate Representative 9. Medical Power of Attorney (if Power of Attorney send document) .  \nUpon my oath and under penalty of perjury I hereby swear and affirm that to the best of my knowledge there is no other person having a prior right to give this authorization to control the remains of the above-named decedent. I hereby agree to hold the Crematory, Funeral Director, or person acting as such, their officers and employees harmless from any liability cost or expenses resulting from this authorization. I further understand that the cremation process is subject to the following terms and conditions:  \nThe body presented to Crematory is that of the named deceased as identified in accordance with Professional Mortuary risApcReuLr.T: Does the deceased have a pacemaker? (INITIAL) YES and I authorize its removal  \n  NO  \nRADIATION ALERT: Has the deceased received any radioactive drugs such as Metastron which contains Strontium-89 or Brachytherapy?  \n(INITIAL) YES  NO  \nCONTAGIOUS DISEASE ALERT: Does the deceased have any disease declared to be infectious , contagious, communicable or dangerous to the public health? (INITIAL) YES  NO  \nFor sanitation purposes it is the policy of the Crematory that the body be placed in a rigid enclosed container. All prostheses (hip joints, surgical pins, etc. ), bridgework or similar items will be discarded after the cremation process is completed. Gold inlays and fillings, rings and jewelry will lose their identity and will also be discarded. Pulverizing of the cremated remains by crushing and grinding is part of the normal process involved in preparing the cremated remains. The bulk of the pulverized cremated remains will be returned, however some will be irreclaimable during the processing and containerization. The amount of processed cremated remains may exceed the capacity of the urn or temporary container. Any excess pulverized, cremated remains will be placed in a separate container and will accompany the primary urn or temporary container when released. Urns should be 180 cubic inches or larger for the average adult. Persons authorizing cremation shall , athis or her sole expense, agree to defend, hold harmless and indemnify the Crematory its officers, directors, employees and agents from any claim , liability, suit, cause of action, cost or expense (including, without limitation, reasonable attorney’s fees incurred) resulting , in any way, from reliance on or performance consistent with the direction, declarations, representation, authorizations and agreements herein, including but not limited to any delay in or damage arising from the transportation of the Decedent’s body or cremated remains. If shipment of cremated remains is required, I direct they be shipped via Carrier of Professional Mortuary Services discretion.  \nDISPOSITION OF CREMATED REMAINS (Initial line of your choice below)  \n(INITIAL)   Cremated remains are to be held for/sent to (Name of recipient):    \nAddress:    \n-OR-  \n(INITIAL)  Professional Mortuary Services will arrange for a scattering, within 6 months of the cremation.  \n*Please notify us if a","cbCaivqmma23XUKT","https://ap.wps.com/l/cbCaivqmma23XUKT","pdf",387523,"English","# Cremation Authorization\n## Completion Timing\n## Signer and Relationship Priority\n## Cremation Process Terms and Alerts\n## Disposition of Cremated Remains\n## Certification and Notary Requirement","[{\"question\":\"Who is allowed to complete the cremation authorization form before and after death?\",\"answer\":\"If completed before death, the deceased or their Medical Power of Attorney completes the form. If completed after death, the next of kin or a funeral representative completes it.\"},{\"question\":\"What alerts must be addressed regarding the decedent?\",\"answer\":\"The form requires initialing whether the decedent has a pacemaker, whether any radioactive drugs were received, and whether the decedent has any infectious or contagious disease declared dangerous to public health.\"},{\"question\":\"How are cremated remains disposed of and what options are provided?\",\"answer\":\"Disposition options include holding or sending remains to a named recipient or having Professional Mortuary Services arrange a scattering within six months. Address changes must be reported, and if delivery fails, further efforts are described in the policy.\"}]","Cremation Authorization Form - Notary | PDF",1789623620]