Authorization For Sea Scattering

Name of Funeral Home/Crematory
Name of Decedent
Your Relationship To Decedent
Your Name
Your First Name * Your Last Name *
Email Address *
Phone*
Address*
Address 1 * Address 2 * City * State * Zip Code *
Please Agree and Check The Following Terms
- I authorize SeaBurials, LLC to provide sea scattering services.
- I declare that I have legal right and authority to authorize the disposition of the cremated remains of the Decedent.
- I understand once the cremated remains are scattered, they are unrecoverable.
- I release the cremated remains of the named decendent for this service.
- Unless otherwise stated, Sea Burials LLC will dispose of the container which contained the said cremated remains.
- I agree to release SeaBurials LLC of all legal action in the event the ashes are lost or damaged during shipping.
Signature of Authorized Representative

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