We have two basic types of services: Attended by family members, or unattended. Choose the authorization form that fits your needs, i.e., an attended or unattended ash scattering, print it out, and return it to us to schedule a Funeral at Sea.
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#1 ATTENDED BY FAMILY MEMBERS
I hereby authorize Funeral At Sea to take possession of and make arrangements for the disposition of the cremated remains of:
______________________________ ________________________________
Name of Decedent Number of Passengers
______________________________ ________________________________
Date of Death Date of Scattering
In accordance with and subject to the terms and conditions set forth in this authorization; Rules and Regulations; and applicable federal, state, or local laws and regulations, I certify that I have the full legal right and authority to authorize the disposition of the cremated remains of the deceased.
I agree to pay a nonrefundable $200 deposit to reserve a day for scattering of cremated ashes.
I hereby authorize Funeral At Sea to make disposition of cremated remains of the deceased, with our family present. I hereby direct Funeral At Sea to scatter said cremated remains at sea in accordance with State and Federal Law.
Special Instructions:_______________________________________________________________
I want a biodegradable urn YES NO (circle one)
I want a biodegradable wreath YES NO (circle one)
The obligation of Funeral At Sea shall be limited to the disposition of the cremated remains as directed herein. I agree to release and hold harmless Funeral At Sea, its affiliates and their agents, employees, successors and assigns, from any and all loss, damage, liability or causes of action (including attorney’s fee and expense of litigation) in connection with the disposition of the cremated remains of the deceased as authorized herein or respect to the identification of said cremated remains as being those of the deceased.
______________________________ ________________________________
Your Name Printed Relationship to Deceased
______________________________ ________________________________
Street Address City, State, Zip
______________________________ ________________________________
Phone Email
______________________________
Your Signature
Mail checks payable to: FUNERAL AT SEA
P.O. BOX 423, Oldsmar, FL 34677
813-855-2093
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#2 UNATTENDED – FUNERAL AT SEA WILL SCATTER THE ASHES YOU SEND US
I hereby authorize Funeral At Sea to take possession of and make arrangements for the disposition of the cremated remains of:
________________________ ________________________________
Name of Decedent Date of Death
In accordance with and subject to the terms and conditions set forth in this authorization; the Company’s Rules and Regulations; and applicable federal, state, or local laws and regulations, I certify that I have the full legal right and authority to authorize the disposition of the cremated remains of the deceased. I agree to pay $100 for this service to Funeral at Sea.
I hereby authorize Funeral At Sea to make disposition of cremated remains of the deceased, without our family present. I hereby direct Funeral At Sea to scatter said cremated remains at sea in accordance with State and Federal Law.
Special Instructions:_______________________________________________________________
I want a biodegradable urn YES NO (circle one) $195
I want a biodegradable wreath YES NO (circle one) $85
The obligation of Funeral At Sea shall be limited to the disposition of the cremated remains as directed herein. I agree to release and hold harmless Funeral At Sea, its affiliates and their agents, employees, successors and assigns from any and all loss, damage, liability or causes of action (including attorney’s fee and expense of litigation) in connection with the disposition of the cremated remains of the deceased as authorized herein or respect to the identification of said cremated remains as being those of the deceased.
______________________________ ________________________________
Your Name Printed Relationship to Deceased
______________________________ ________________________________
Street Address City, State, Zip
______________________________ ________________________________
Phone Email
______________________________
Your Signature
Mail checks payable to: FUNERAL AT SEA
P.O. BOX 423, Oldsmar, FL 34677
813-855-2093