This is a legal document concerning the cremation of a decedent. Cremation is irreversible and final. Please review carefully.

Washington laws require written cremation authorization signed by certain person(s) to complete a cremation. Please identify below which option you intend to use. This document can then be signed electronically (below), signed and emailed, or signed in-person at one of our offices. A Safe Harbor staff member will then confirm your option to complete the Authorization for Cremation.

I/We, the undersigned, certify, warrant and represent that I/we have the full legal right and authority, and know of no living person who has a superior priority right under state law, to authorize the cremation, processing and disposition of the remains of:

I/we hereby request and authorize: Safe Harbor Funeral Service, LLC (hereinafter referred to as the Funeral Home) to take possession of and make arrangements for the cremation of the deceased at Safe Harbor Funeral Service Process Facility (hereinafter referred to as the Crematory), and I/we give the Crematory the authority to cremate the remains of the Deceased. Location of Crematory: 2750 D, Peace Portal Drive, Blaine, WA 98230. I/We hereby authorize the Crematory to return the cremated remains of the deceased to the possession and custody of the Funeral Home. I/We understand that the services and obligations of the Crematory shall be fulfilled when the cremated remains of the Deceased are returned to the possession and custody of the Funeral Home. I/We here by authorize the Funeral Home to arrange for the disposition of the cremated remains of the Deceased as follows. If the cremated remains are to be divided and delivered to multiple recipients (portions), the amounts and recipients will be explained under Additional Instructions.

Please Check Yes or No for the following items: 

(if yes, please specify in the additional insturctions box)

Unless noted below, the devices are recovered by the crematory and not returned with the cremated remains. Pacemakers and radioactive devices must be removed prior to cremation and additional charges may apply. Please note any items you wish to have cremated along with this person or any other special requests you have.

The cremation, processing and disposition of the remains of the Deceased authorized herein shall be performed in accordance with all governing laws, rules, regulations, and policies of the Crematory and Funeral Home, under the following terms and conditions:

1. The remains of the deceased will not be accepted for cremation unless received by the Crematory in a combustible, leak resistant, rigid cremation container. The Crematory is authorized to remove and dispose of the handles, ornaments and any other noncombustible items attached to the cremation container prior to cremation. In the event the remains of the Deceased are received by the Crematory in a casket or other container constructed of metal, fiberglass, or other noncombustible materials, I/we authorize the remains of the Deceased to be removed prior to cremation and placed in a combustible cremation container. I/we further authorize the Funeral Home or Crematory to make disposition of any such noncombustible casket in any lawful manner it deems appropriate.

2. Mechanical or radioactive devices implanted in the remains of the Deceased (such a pacemakers, etc.) may create a hazard when placed in the cremation chamber. The Crematory will not cremate any human remains which contain any type of implanted mechanical or radioactive device. In the event the remains of the Deceased contain such a device, I/we hereby authorize the Funeral Home, its agents and employees, to remove any such mechanical devices from the remains of the deceased prior to cremation and dispose of such items at its discretion. I/WE HEREBY CERTIFY THAT THE REMAINS OF THE DECEASED DO NOT CONTAIN ANY TYPE OF IMPLANTED MECHANICAL OR RADIOACTIVE DEVICE.

3. The cremation container containing the remains of the Deceased will be placed in the cremation chamber and will be totally and irreversibly destroyed by prolonged exposure to intense heat and direct flame. I/We authorize the Crematory to open the cremation chamber during the cremation process and reposition the remains of the Deceased in order to facilitate a complete and thorough cremation.

4. Certain items, including, but not limited to, body prostheses, dentures, dental bridgework, dental fillings, jewelry, and other personal articles accompanying remains of the Deceased, may be destroyed during the cremation process. I/We further authorize that if any items, other than cremated remains of the Deceased, are recovered from the cremation chamber, they may be separated from the cremated remains of the Deceased and recycled or disposed of by the Crematory, which may or may not have monetary value.

5. I/We hereby authorize the Crematory to separate and remove from the cremation chamber all noncombustible materials, including, but not limited to, hinges, latches, nails, jewelry and precious metals, and recycle or dispose of such materials, which may or may not have monetary value.

6. Following cremation, the cremated remains of the Deceased, consisting primarily of bone fragments, will be mechanically pulverized to unidentifiable consistency prior to placement in an urn or other container.

7. In the event the urn or container is insufficient to accommodate all the cremated remains of the Deceased, any excess cremated remains will be placed in a secondary container and returned to the Funeral Home, together with the primary urn or container.

8. Following an appropriate cooling period, the cremated remains are swept or raked from the cremation chamber. The Crematory makes all reasonable efforts, and uses its best effort, to remove all of the cremated remains from the cremation chamber, but it is impossible to remove all of them, as some dust or other residue from the process is always left behind. In addition, while every effort will be made to avoid commingling, there will be inadvertent or incidental commingling of minute particles of the cremated remains from the residue of previously cremated remains, and the authorizing agent understands the fact.

9. Unless I/we give specific written instructions in this Authorization, the cremation, processing and disposition of the remains of the Deceased will not be performed in accordance with any particular religious or ethnic customs.

10. In the event the cremated remains of the Deceased remain unclaimed for a period of 30 days, the Funeral Home shall give written notice to me/us by certified mail at the address(es) indicated below. I/We agree that in the event the cremated remains of the Deceased remained unclaimed, for a period of 120 days after the date of such written notification is mailed, the Funeral Home is authorized and directed to dispose of the unclaimed remains of the Deceased in any lawful manner it may deem appropriate.

11. I/We agree to indemnify, release and hold the Crematory, Funeral Home, their affiliates, agents, employees and assigns, harmless from any and all loss, damages, liability or causes of action (including attorney’s fees, and expenses of litigation) in connection with the cremation and disposition of the cremated remains of the Deceased, as authorized herein, or my/our failure to correctly identify the remains of the Deceased, disclose the presence any implanted mechanical or radioactive devices, or take possession of, or make permanent arrangements for, the disposition of such remains.

12. Except as set for the in this Authorization, no warranties, expressed or implied, are made by the Funeral Home, Crematory, or any of their respective affiliates, agents, or employees.

13. In the event legal next of kin cannot be located or is legally incapacitated, we certify that every attempt possible has been made to contact them, and to our knowledge would agree to all of the conditions of this document and to the cremation of the deceased identified in this document.

I/We warrant that all representatives and statements made herein are true and correct, and that I/we have read and understand the provisions contained in this document. I/We warrant that I/we are all of the closest next of kin as described by law in the following order: Spouse-Children-Grandchildren-Siblings of legal age.