Authorization & Direction for Cremation and Disposition of Cremated Remains

Memorial Alternatives Burial & Cremation Service
2432 Fuller NE  |  Grand Rapids, MI  49505
Mark A. Petricevic, Manager   |   Telephone 616-363-3700   |   Fax 616-363-3740

The undersigned  (Hereinafter referred to as the “Authorized representative(s)” herby certify that they are the closest living legal next-of-kin of the herein named deceased, having full legal authority to authorize and direct the cremation, processing and disposition of the cremated remains of the deceased, authorize and direct MEMORIAL ALTERNATIVES to take possession of and make arrangements for the cremation, processing and disposition of the remains of:

______________________________________________________________Deceased

Date of death____________________________________________________

Disposition of Cremated Remains

___Authorized representative(s) to return to MEMORIAL ALTERNATIVES for cremated remains within thirty days.

___Other_________________________________________________________________
**Memorial Alternatives will deliver the cremated remains to any local cemetery at no extra charge. However, we do this at our convenience and cannot guarantee the day of delivery.

FAQS, FORMS & DOCUMENTS

Cremation Authorization Form
Basic Information Form

Funeral FAQs
Arranging for Burial
Arranging for Cremation
FAQs About Cremains
Options for Veterans

We are required to have the original, signed Cremation Authorization form on file. This form may be printed and mailed, faxed, or brought in to us. If you would prefer to download this form in the Adobe PDF format, click here. You may also want to see our Basic Information Form, which  provides info for death certificate and other purposes.

 

The actual cremation will take place at Myrtle Park Crematorium or Rosedale Crematory,  cremated remains consist primarily of bone fragments, which are reduced to permit their placement in an urn or other suitable container.

The undersigned agree to release and hold harmless MEMORIAL ALTERNATIVES, its affiliates and their agents, and employees, from any and all damages, liabilities, claims for relief or causes of action, including but not limited to costs, expenses, and attorneys fees, in connection with the cremation and disposition of the cremated remains as authorized and directed herein.

Pacemakers and prostheses, as well as any other mechanical or radioactive devices or implants in the decedent, may create a hazardous condition when placed in the cremation chamber.  It is imperative that they be removed prior to cremation.  If the funeral home is not notified about such devices and implants, and not instructed to remove them, then the person(s) authorizing the cremation will be responsible for any damages caused to the crematory or crematory personnel by such devices or implants.

I have instructed the funeral home to remove or arrange for the removal of these devices and to properly dispose of them prior to the cremation process taking place.
Initials of NOK___________________________

No cremation can take place without written authorization (including  Facsimile) from the authorized Closest Next-of-Kin of the deceased.  The order to determine closest NOK is as follows.  SPOUSE, CHILDREN, GRANDCHILDREN, PARENTS, SIBLINGS, NIECES and NEPHEWS, GRAND-NIECES and NEPHEWS, GRANDPARENTS, AUNTS and UNCLES, FIRST COUSINS.  All persons within the same degree of Kinship must authorize the cremation. 

Signatures of Authorized Representatives for cremation and final disposition.

NAME__________________________________          NAME_____________________________________

ADDRESS______________________________         ADDRESS__________________________________

________________________________________         ___________________________________________

SIGNATURE_____________________________         SIGNATURE  _______________________________

RELATIONSHIP__________________________         RELATIONSHIP _____________________________
_______________________________________________________________________________________

NAME__________________________________          NAME_____________________________________

ADDRESS______________________________         ADDRESS__________________________________

________________________________________         ___________________________________________

SIGNATURE_____________________________         SIGNATURE  _______________________________

RELATIONSHIP__________________________         RELATIONSHIP _____________________________

 

Description of the Cremation Process.

The Cremation Process
All cremations are performed individually.

Cremation is performed by placing the deceased in a casket or other container and placing the casket or container into a cremation chamber or retort, where they are subjected to intense heat and flame.  During the cremation process, it may be necessary to open the cremation chamber and reposition the deceased in order to facilitate a complete and thorough cremation.  Through the use of a suitable fuel, incineration of the container and contents is accomplished and all substances are consumed or driven off, except bone fragments (calcium compounds) and metal (including dental gold and silver and other nonhuman material) as the temperature is not sufficient to consume them.

Due to the nature of the cremation process, any personal possessions or valuable materials, such as jewelry, body prosthesis or dental work, that are left with the decedent and not removed from the casket or container prior to the cremation will be destroyed or if not destroyed, will be disposed of  by the crematory.  As the casket or container will not normally be opened by the crematory (to remove valuables,  to allow for a final viewing or for any other reason), arrangements must be made with the funeral home to remove any such possessions or valuables prior to the time that the decedent is transported to the crematory.

Following a cooling period, the cremated remains, which will normally weigh several pounds in the case of an average size adult, are then swept or  raked from the cremation chamber.  The crematory makes a  reasonable effort to remove all of the cremated remains from the cremation chamber, but it is impossible to remove all of them, as some dust and other residue from the process are always left behind.  In addition, while every effort will be made to avoid commingling, inadvertent incidental commingling of minute particles of cremated remains from the residue of  previous cremations is a possibility.

After the cremated remains are removed from the cremation chamber, all non-combustible materials (insofar as possible), such as bridgework, and materials from the casket or container, such as hinges, latches, nails, etc., will be separated and removed from the human bone fragments by visible or magnetic selection and will be disposed of by the crematory with similar materials from other cremations in a non-recoverable manner.

When the cremated remains are removed from the cremation chamber, the skeletal remains often contain recognizable bone fragments.  Unless otherwise specified, after the bone fragments have been separated  from the other material, they will then be mechanically processed (pulverized).  This process of crushing or grinding may cause incidental comminglingof the cremains with the residue from the processing of  previously cremated remains.  These granulated particles of unidentifiable dimensions will be virtually unrecognizable as human remains.

After the cremated remains have been processed, they will be placed in the designated urn or container.  The crematory will make a reasonable effort to put all of the cremated remains in the urn or container, with the exception of dust or other reside that may remain on the processing equipment.  In the event the urn or container provided is insufficient to accommodate all of the cremated remains, the excess will be placed in a separate receptacle.  The separate receptacle will be kept with the primary receptacle and handled according to the disposition instructions on the cremation authorization form.

The crematory requires that all urns or containers provided be appropriate for shipping or permanent storage, and that in the case of an adult, it is recommended that the urn or container be a minimum size of 200 cubic inches.

Cremation is not final disposition, nor is placing the cremated remains in storage at a Funeral Home final disposition.  The cremation process simply reduces the decedent’s body to cremated remains.  These cremated remains usually weigh several pounds and measure in excess of 150 cubic inches.  Some provision must be made for the final disposition  of these cremated remains.  Therefore we mandate that arrangements for the final disposition be made at the time that cremation arrangements are being made and the cremation authorization is completed. 

If the final disposition of the cremated remains has not been completed within 30 days of the cremation, then the Funeral Home and Crematory shall be authorized to arrange for the final disposition of the cremated remains in any manner permitted by law.  Such final disposition may include the commingling of the cremated remains with other cremated remains, and thereafter the cremated remains of the decedent will not be recoverable.

Signature_____________________________________________

Signature_____________________________________________

Signature_____________________________________________

Signature_____________________________________________

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Memorial Alternatives - A Grand Rapids, Michigan Funeral Home Providing Low Cost Cremation and Burial Services.