Cremation Authorization for

Case #_________________

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 certified digital signature) from the Authorized Representative(s) of the deceased. The Authorized Representative is, in the following order: 1. Funeral Representative 2. Spouse 3. Children 4. Grandchildren 5. Parent's of Deceased 6. Grandparent of Deceased 7. Siblings of Deceased 8. Nephews and Nieces 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.

I, authorized the following:

REPRESENTATIVES INFORMATION:

Address: Phone: Relationship:  

Cremated remains received on this date:__________________________ by ___________________________________________________

Relationship to deceased: ________________________ Fisher Funeral Home Representative: ____________________________________

Leave this empty:

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Signature Certificate
Document name: Cremation Authorization. Signed by
lock iconUnique Document ID: af493451d078f03b41ae6f264db5cabef4565d65
Timestamp Audit
September 4, 2019 4:18 pm EDTCremation Authorization. Signed by Uploaded by Michael Fisher - fisherfuneralhomeandcremation@gmail.com IP 207.174.252.81
September 9, 2019 3:01 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
September 9, 2019 3:01 pm EDTMaddie McKee - Maddie@mckeecreations.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
September 9, 2019 3:01 pm EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
September 10, 2019 7:09 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
September 10, 2019 7:09 am EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
March 5, 2020 9:31 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
March 5, 2020 9:31 am EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 15, 2020 8:11 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 15, 2020 8:11 pm EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 15, 2020 8:14 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 15, 2020 8:14 pm EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 28, 2020 8:48 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 28, 2020 8:48 am EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 28, 2020 8:56 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
April 28, 2020 8:56 am EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
May 15, 2020 10:13 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
May 15, 2020 10:13 am EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 99.41.155.78
August 31, 2021 10:35 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 206.214.228.207
August 31, 2021 10:35 am EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 206.214.228.207
October 5, 2021 7:49 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 206.214.228.46
October 5, 2021 7:49 pm EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - info@fisherfuneralhome.net as a CC'd Recipient Ip: 206.214.228.46
October 11, 2021 7:42 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - Maddie@mckeecreations.com as a CC'd Recipient Ip: 135.129.242.64
October 11, 2021 7:42 pm EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - Maddie@mckeecreations.com as a CC'd Recipient Ip: 135.129.242.64
October 11, 2021 8:04 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhome@yahoo.com as a CC'd Recipient Ip: 135.129.242.64
October 11, 2021 8:04 pm EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - fisherfuneralhome@yahoo.com as a CC'd Recipient Ip: 135.129.242.64
October 11, 2021 8:08 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhome@yahoo.com as a CC'd Recipient Ip: 135.129.242.64
October 11, 2021 8:08 pm EDTFisher Funeral Home - fisherfuneralhome@yahoo.com added by Michael Fisher - fisherfuneralhome@yahoo.com as a CC'd Recipient Ip: 135.129.242.64
January 8, 2024 11:19 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
April 3, 2024 12:16 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
April 3, 2024 12:16 pm EDTMaddie M - Maddie@mckeecreations.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
April 3, 2024 12:16 pm EDTMaddie M - mmckeecreations@gmail.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
April 3, 2024 12:45 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
April 3, 2024 12:45 pm EDTMaddie M - Maddie@mckeecreations.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
April 3, 2024 12:45 pm EDTMaddie M - mmckeecreations@gmail.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
April 3, 2024 1:28 pm EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
June 28, 2024 11:15 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
September 5, 2024 11:36 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
March 31, 2025 9:57 am EDTMichael Fisher - fisher.michael65@yahoo.com added by Michael Fisher - fisherfuneralhomeandcremation@gmail.com as a CC'd Recipient Ip: 207.174.252.81
Audit trial Qr code
This audit trail report provides a detailed record of the online activity and events recorded for this document.
https://www.fisherfuneralhome.net/
Audit Trail Serial# 675ad0af90a87ed31188181b97e0d56b