AuthorizationToAcceptOrDeclineEmbalming 2

AUTHORIZATION TO ACCEPT OR DECLINE EMBALMING
Name
Embalming is the addition to, or the replacement of, body fluids by chemical preservatives or the application of chemical preservatives for the temporary preservation of the body. I understand that embalming is not required by law.
I,(Name)
I understand that for storage or embalming purposes the decedent may be transported to the following location:

do not request embalmingrequest embalming.
The undersigned hereby represents that he/she has the legal right to control disposition of the remains of the decedent.
Signature

Clear
Relationship to Decedent:
Date

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Date
Should be Empty: