Forms
The following forms are required in order to complete disposition arrangements.
They are provided in both pdf and HTML format. Click a form's
.pdf link from the list below to download the form into Acrobat
Reader or whatever pdf utility your browser chooses for you. If you
have Acrobat Reader version 6.0 or greater, you can complete the forms
interactively by clicking the various boxes and blanks, and typing in
your answers via the keyboard. You can't save the forms and the data,
but you can print the forms after entering the data. If you don't have
Acrobat Reader or are otherwise unable to view or access the interactivity
of the forms, we suggest downloading and installing the current version
Acrobat Reader, here:
Feel free to call 800.442.1810 or email us at:
, if you have any questions.
Authorization for Cremation
and Disposition |
To be signed by next of kin, this form authorizes Pacific Interment
to handle the cremation & disposition of the deceased:
Authorization for Disposition
With or Without Embalming |
State required form that confirms next of kin's desires regarding
embalming (embalming is NOT required by law):
Used to collect the information needed to complete the non-medical
portion of the deceased's Death Certificate:
Hospital, Coroner, Medical
Examiner Release Form |
Used to obtain written permission to remove the remains from
the place of death:
Declaration for Disposition of
Cremated Remains |
State required declaration of the next of kin regarding disposition
of cremated remains:
Disclosure of Preneed Funeral
Agreement |
State required declaration of a pre-need funeral agreement:
|
