Identity
Full decedent identification including full name, date of birth, social security number if requested, and death certificate reference to prevent misidentification.
A correct authorization ensures legal authority to proceed, prevents cemetery or municipal refusal, and documents choices about disposition and location. It reduces administrative delay and clarifies who is responsible for fees and permits.
Use this form when the decedent's estate, a named agent, or a surviving family member must authorize burial, entombment, or cremation.
Keep a signed copy with funeral records; the cemetery and local authorities will each typically require originals or certified electronic copies.
Full decedent identification including full name, date of birth, social security number if requested, and death certificate reference to prevent misidentification.
Clear statement of the signer's legal authority—next of kin, executor, or agent—and space to attach supporting documents such as power of attorney or letters testamentary.
Explicit choice of burial, entombment, or cremation plus any special instructions like religious rites, casket type, or scattering permissions to prevent disputes.
Cemetery name, section, lot, grave or niche number, and map reference when available to ensure correct placement and record alignment.
Designation of who will pay cemetery fees, interment charges, and any additional costs, including billing and contact details for invoicing.
Signature, date, witness or notary acknowledgment block, and optional electronic signature field with space to record authentication method and timestamp.
| Field | Configuration |
|---|---|
| Decedent Details | Use required text fields with validation |
| Signature Block | Enable signed date and signer name fields |
| Authentication | Choose email, SMS code, or stronger methods |
| Document Retention | Store PDF with audit trail attached |
Electronic completion is widely accepted where allowed by state law; confirm cemetery and local requirements before e-signing.
Immediate family members commonly sign when no agent exists. If multiple heirs disagree, probate or local rules may determine priority; attach identification and proof of relationship.
A named executor, administrator, or an agent under a valid power of attorney may sign. Provide letters testamentary, power of attorney, or comparable documentation to prove authority.
Provide authorization ahead of scheduled interment; many cemeteries want forms at least 24–72 hours prior.
Death certificate must be available before cemetery will issue final interment permit.
Municipal permits may take days depending on office workload and required verifications.
Complete notarization or witness signatures before submitting to avoid refusal.
Retain signed form and copies for the estate for several years after interment.