Clarity Cremation & Funeral

AFFIDAVIT FOR CREMATION

I, NAME , represent that I am the RELATION and closest available legal next of kin for FirstName, LastName (the “Decedent”). The Decedent may be survived by (a) RELATIONS, NAME(S), who have been estranged with the Decedent for TIME, and in fact I cannot clearly ascertain their current identification or whereabouts in any way. I further certify that I have made reasonable efforts to identify and contact them about the passing of the Decedent and of my plans for cremation.

I hereby represent that I have proper authority to make disposition arrangements with Clarity Cremation & Funeral (“Funeral Home”). To the best of my knowledge, I believe the Decedent would have wished to be cremated and to have the cremated remains released to me. I am not aware of anyone who would oppose the cremation of Decedent’s remains or of my making the arrangements for final disposition. I hereby authorize Funeral Home to prepare and make arrangements for cremation with First Cremation Service (“Crematory”) and to have the Decedent’s cremated remains returned to me for final disposition.

I agree to release, indemnify and hold harmless Funeral Home and Crematory and their affiliates and owners, and their respective officers, directors, shareholders, employees, representatives, successors, subsidiaries, parents, agents and assigns from any and all liabilities, claims or causes of action arising out of, or in any way connected with the cremation of Decedent’s remains and my representations contained herein.

 

SIGNATURE OF AUTHORIZED AGENT:  ________________________________________

                                                                   [Firstname, Lastname, Relation]