AUTHORIZATION FOR RELEASE OF REMAINS

AUTHORIZATION FOR RELEASE OF REMAINS
OF THE DECEDENT TO THE DIRECT CREMATION OF THE SEACOAST
1. PARTIES:
"Direct Cremation of the Seacoast": Direct Cremation of the Seacoast
"REPRESENTATIVE":

(Name of Representative)
"DECEDENT"

Name of Decedent
"INSTITUTION":

(Name of Institution or Person Holding Remains)
2. RELATIONSHIP OF REPRESENTATIVE:
The REPRESENTATIVE warrants and represents to the Direct Cremation of the Seacoast that the relationship between the REPRESENTATIVE and the DECEDENT is as follows: (Check the appropriate box).
- Spouse
- Next-of-Kin (Closest Living Relative)
- Personal Representative of the Next-of-Kin with written authorization of Next-of-Kin to act on his or her behalf.
3. AUTHORITY OF REPRESENTATIVE:
The REPRESENTATIVE warrants and represents to the Direct Cremation of the Seacoast that the REPRESENTATIVE is the person or the appointed agent of the person who by law has the paramount right to arrange and direct the disposition of the remains of the DECEDENT and that no other person(s) has a superior right over the right of the REPRESENTATIVE.
4. RELEASE AUTHORIZATION:
The REPRESENTATIVE authorizes the INSTITUTION to release the remains of the DECEDENT to the Direct Cremation of the Seacoast and/or its agents.
5. INDEMNIFICATION:
The REPRESENTATIVE agrees to indemnify and hold harmless the Direct Cremation of the Seacoast from any claims or causes of action arising or related in any respect to this authorization for removal or the Direct Cremation of the Seacoast's reliance thereon.
DATE:
MM slash DD slash YYYY
SIGNATURE OF REPRESENTATIVE:
Name
This field is for validation purposes and should be left unchanged.