Authorization For Cremation

  • The above signed (“Authorized Representatives”) hereby certify to Macomb County Cremation Services (of Gramer Funeral Home (Diener Chapel), Inc.) (the “Funeral Home”)that they are the closest living relatives to the Deceased and/or have full legal right and authority to execute this Authorization for Cremation of the Deceased without approval by any other person(s).

    We, the Authorized Representatives, authorize and direct Macomb County Cremation Servicesto take possession of the Deceased and to make arrangements for the cremation, processing and disposition of the remains of the Deceased without obtaining any further authorization or instructions.

    Further, we certify that: (1) we have identified (or have had the opportunity to identify) the remains that were delivered to the Funeral Home as the remains of the Deceased; and (2) the remains of the Deceased has no artificial implants, pacemaker, or other radioactive or mechanical devices, and death was not caused by any infectious or contagious disease, except (If nothing is inserted, it is “None”)*

  • (all such devices may be removed by the Funeral Home or crematory (at additional cost) prior to cremation). Funeral Home may also rely on any authorization or certification we execute for a crematory related to the cremation of the Deceased.

    As the Authorized Representatives, we hereby agree to indemnify, defend and hold harmless the Funeral Home, and its owners, directors, officers, employees and agents, from any and all claims, demands, causes of action, and suits of every kind, in law or in equity, including legal fees and costs of actual or threatened litigation, arising as a result of or based upon this Authorization, including the failure to properly identify the remains, any damage due to harmful or explodable implants, claims brought by any other person or persons claiming the right to control the disposition of the Deceased or the Deceased’s cremated remains, or any other action by the Funeral Home, its owners, directors, officers, employees and agents, excepting only acts of willful negligence. We understand that cremation is irreversible and final.

    WE HAVE READ THIS DOCUMENT CAREFULLY, AGREE TO ITS PROVISIONS, AND WILLFULLY EXECUTE THIS AUTHORIZATION FOR CREMATION OF THE DECEASED. BY ENTERING OUR NAME(S) BELOW, WE ARE ELECTRONICALLY SIGNING AND AGREEING TO BE BOUND THIS AUTHORIZATION.(All fields are required to be filled in.)

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