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You are about to submit the Vital Statistics Form. Please make sure inputed information is correct. Once submitted information can not be changed.

  • Are you the legal next of kin that has the authority to control the disposition (Cremation) of the remains of the Deceased?

  • What is your relationship to the Deceased?

By indicating my consent, I am signing this agreement electronically. I agree my electronic signature is the legal equivalent of my manual signature on this agreement. If I am signing on behalf of another individual, I attest that I have the authority to do so.

  • Signature