Texas law requires that the legal next-of-kin(s) authorize the cremation. This form authorizes the cremation according to Texas Law and agreed upon industry standards. Step 1 of 3 33% Who is being cremated?* First Name / Last NameNext-of-Kin or Authorized Agent's Name:* First Name / Last NameNext-of-Kin or Agent's Phone*Next-of-Kin or Agent's Email* Next-of-Kin or Agent's Relationship* Spouse, parent, brother, sister, etc. I have the full legal right and authority to authorize the cremation, and:* I am not aware of any person(s) with a superior right to authorize the cremation. All person(s) with and equal right have been contacted and will be signing this document. There are person(s) who have equal priority right and all reasonable efforts have been exhausted to contact said person(s). Furthermore, I believe that the person(s) would not object to the cremation. Therefore, I indemnify and hold harmless Kiser Undertakings and the crematory for any liability arising from performing the cremation without the persons(s) authorization. Identification Prior to Cremation?* I choose NOT to identify the deceased I choose to identify the deceased in person or by photo (charges apply) Does the person being cremated have a pacemaker?* Does NOT have a pacemaker DOES have a pacemaker Denial of Embalming*I refuse to give permission to embalm the the above-named deceased. (Texas State Law does not require embalming for direct cremation.) YES Is the deceased at the medical examiner's office?* No Yes, Collin County Medical Examiner** Yes, Dallas County Medical Examiner** Yes, Tarrant County Medical Examiner** **If applicable, authorization is given to remove deceased from the Medical Examiner's Office listed above to Lone Star Cremation / Kiser Undertakings place of business to care for and prepare for disposition in accordance with professional standards. Create Your Signature*Once you submit this form, your signature will be used to sign the document. Please review the document and confirm your acceptance of the master document by submitting your signature once again at the bottom of the next page. Δ
