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Fisher Funeral Home
& Cremation Service
24501 Five Mile Road
Redford Township, MI 48239
Please fill out this form and we will get in touch with you shortly.
The undersigned hereby certify that they are the closest living legal next of kin of the named deceased, having full legal authority to authorize and direct the cremation, processing and disposition of the cremated remains of the named deceased. The undersigned agree to release and hold harmless the Funeral Home and its affiliates, their chosen crematory, its affiliates and their agents and employees from any and all loss, damages, liabilities, and claims for relief of causes of action.
No cremation may take place without authorization (including original signature, by facsimile transmission or email signature) from the Authorized Representative(s) of the deceased. The Authorized Representative is, in the following order: 1) spouse 2) children 3) grandchildren 4) parent 5) brothers and sisters 6) nephews and nieces 7) grand-nephews and grand-nieces 8) grandparents 9) uncles and aunts 10) cousins. All persons within the same degree of kinship must sign or authorize the cremation in writing by original signature, facsimile or email signature if they are the next closest living next of kin.
Please check one:
Please dispose of the cremated remains.
Authorize the following person to pick up the said cremated remains.
Ship remains for additional $150
Please sign in the box below. You can press "Clear" to reset the signature box.
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) ABOVE, WE ARE ELECTRONICALLY SIGNING AND AGREEING TO BE BOUND THIS AUTHORIZATION. (All fields are required to be filled in.)