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InfoSheet SubPage - Cremation Authorizations

Ocean Grove Memorial Home
118 Main Avenue, Ocean Grove, New Jersey 07756

Thomas J. Saragusa, Manager
N. J. License No. 4036

VOICE 732-775-0434 - - OGMHognj@aol.com

Cremation Concerns

General Certifications and Authorizations to Cremate

We do not take lightly the trust that you place in us as we arrange and carry out the service of cremation.

Cremation is not a simple, quick and easy solution . . . there may be many unanticipated consequences unless we (both) properly attend to the responsibilities that we face.

For that reason, this information is presented to facilitate the arranging of cremation as an irrevocable means of preparation for final disposition and ultimate memorialization. Your informed and irrevocable decisions are required.

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If we do not discuss these items to your satisfaction, please ask us for more information.

• Discuss all immediate concerns about cremation

• Discuss and record Vital Statistics for the Death Certificate

• Discuss and record other personal life information for newspaper notices and other notifications.

• Discuss, determine and record options, estimate costs...finalize decisions.

  • Ceremony Alternatives and Options

  • Full Traditional Funeral Services (with calling hours and funeral ceremony)

  • Limited Traditional Funeral Services (with calling hours or funeral ceremony)

  • Graveside or Nicheside Committal Ceremony

  • Memorial Funeral Ceremony (delayed ceremony with/without calling hours)

  • No ceremony

• Please describe any other alternative that you desire.

  Service Alternatives and Options

  • Final Disposition of the ashes (transportation and mode)

  • Funeral Director and Staff involvement in desired ceremonies

  • Cash Advances to be made by the funeral home

  • Clergy and Church

  • Legal Certificates

  • Newspapers to be notified

  • Other Notifications to be made by the funeral home staff

  • Special Services to be contracted

  • Other special services of the Funeral Director and Staff

• Cremation Merchandise Alternatives and Options

  • Casket for viewing and/or ceremony

  • Rented Casket - Alt. Container for cremation required

  • Purchased Casket

  • Other Container: (must meet certain criteria)

• Container for cremation

  • Minimum Cost reinforced corrugated cardboard

  • Low Cost composition board container with inexpensive cloth interior

  • Cremation Caskets with cloth interiors

  • Veneered Hardboard

  • Poplar, Oak, Cherry, Mahogany (burial type casket)

  • Other: (must meet certain criteria)

• Stationery

  • Register Book (standard or specialized)

  • Memorial Folders or Prayer Cards

  • Acknowledgement Cards & Env.

• Flowers

  • At the ceremony

  • At the Committal Ceremony

• Memorialization

  • Permanent Container for the ashes

  • Memorial Urn (Bronze, Wood, Ceramic, Marble, etc.)

  • Burial Urn or Memorial Urn and Urn Vault

  • Other permanent container

  • Bronze or Granite Grave Marker

  • Engraving the container (names and dates, etc.)

• Discuss and record any family concerns that remain unclear or unsatisfied.

• Discuss and complete written acceptances, authorizations and payment arrangements.

What FORM of cremation service do you want us to provide?

• Cremation following private or public viewing

• Cremation following a religious or secular funeral ceremony

• Relatively immediate cremation with no ceremony at the present time

• Cremation followed by a Memorial Funeral Ceremony at a later date

• Cremation followed by a graveside Committal Ceremony at the time the ashes are buried

• Other, please describe:

For what reason have you chosen cremation?

• Expressed or perceived wishes of the decedent

• Cost considerations

• Environmental concerns

• Less emotional strain - less grief

• Other

What type of ceremony do you desire?

• A delayed Memorial Funeral Ceremony

• Traditional Funeral Ceremony

• Graveside or Nicheside Committal Ceremony

• Private Viewing - No ceremony

• No ceremony

• Other, please describe:

What do you desire that we do with the cremated remains...the ashes? (Where, How, When)

Is the disposition to be total...or partial? One or multiple portions?

If total...

• The Funeral Home will arrange for permanent final disposition
  (Where, How, When)

• Scatter them...in the Atlantic Ocean, three miles offshore.
  Will you attend?

• Parcel Post...or take them to a cemetery for burial
  Will you attend?

• Parcel Post...or take them to a mausoleum for entombment
  Will you attend?

• The Funeral Home will return them to the family for temporary storage.

  • What is your ultimate desire for the disposition of the ashes?

  • Who is to carry out that disposition?

  • Have they agreed to do so?

  • When?

• Cremated Remains Not Wanted...the crematory will dispose of the ashes

• Other, please describe:

If partial, how do you desire to keep your portion of the ashes?

• Small Keepsake Urn

• Full size Memorial Urn

• Jewelry Urn

• Other, please describe:

If multiple:

• How many portions will there be?

• How is each to be contained?
  

AUTHORIZATIONS

You will be asked to authorize (IN WRITING) each of the following services as circumstances apply:

Services by the Funeral Home

Services conducted by the Funeral Home Staff . . . with the body present: Embalming and Other Preparation is appropriate. A casket is required ...the use of a rental casket is usually chosen

• Full Traditional Services

• Public or Private Calling Hours and Public or Private Ceremony
  in the Funeral Home or other location

• Limited Services

• Private or Public Viewing - Calling Hours at the funeral home

• Private or Public Ceremony in the Funeral Home or at
  any other location

Ceremony to be conducted by the Funeral Home Staff...with the body not present:

• Ceremony in the Funeral Home
  Often an urn is displayed on a table provided by the funeral home along with other personal memorabilia....or pictures are often displayed in a framed collage on an easel.

Ceremony at the Graveside at the time the cremated remains
are buried or entombed

Ceremony at another location.

Ceremonies neither arranged nor attended by the Funeral Home Staff

No Service or Ceremony scheduled at the present time.

Selection of the Method of Preparation of the Body

• No embalming or other preparation.
  I desire that, unless required by law, the body remain unembalmed. I understand all the ramifications of this decision and I accept full responsibility for any consequence thereof.
  
  NOTE: If embalming becomes required by law, I understand that the charge for basic embalming will be added to my statement.

• Preparation is to be limited to the minimum procedures for sanitation
  and limited private presentation. I understand all the ramifications
  of this decision and I accept full responsibility for any consequence
  thereof.

• Limited embalming is requested. Other Preparation, including dressing,
  and the application of cosmetics is declined.

• Complete Embalming and Other Preparation is requested so the casket may be open and the body may be viewed.

Regarding an Implanted Pacemaker

• No pacemaker is presently implanted.
  
  Prior to the cremation process, I authorize the funeral home staff to:
  Surgically remove the implanted pacemaker. A removal and disposal fee will be charged.

• Pacemaker not wanted. The funeral home is to dispose of it.

  • I direct the funeral home staff to send the pacemaker to:

  • I direct the funeral home staff to hold the pacemaker to be picked up by:

Regarding Radioactive Therapy

• The decedent has not been treated with the radioactive drug Metastron
  or Strontium-89 (Sr89) for bone cancer.
  

Selection of the Crematory: I direct that the body is to be cremated at:

• Monmouth Memorial Park Crematory, Route 33, Tinton Falls
  The chapel at this crematory is located in its mausoleum, some distance away.

• Rosedale Crematory, 367 Washington St., Orange, N. J.
  A chapel is available at this crematory.

• Rosehill Crematory, Routes 1 & 9, Linden, N. J.
  A chapel is available at this crematory.

• Ocean County Memorial Park, Dover Township, N. J.
  A chapel is available at this crematory.

Selection of Merchandise: I select the purchase or rental of the following:

• Rental of a casket for Calling Hours / Ceremony
  I request and authorize the use of a RENTAL CASKET during the Calling Hours and/or Funeral Ceremony. I understand that, following the final ceremony, the body will be removed from the RENTAL CASKET and placed in the alt. container that I have selected (below) for the cremation process. I understand that the RENTAL CASKET has been used previously and that it will be retained at the funeral home to be used again. I understand that the services will conclude at the funeral home and that no one except the funeral home personnel will go to the crematory.

• Container to hold the body for transportation and cremation:

  • Minimum cost reinforced Corrugated Cardboard container:

  • Cremation Casket selected from the price list:

  • Container provided to the funeral Home:

• Urn to hold the Cremated Remains:

  • No Urn.
    I direct that the cremated remains be delivered (to me or for final disposition) in the temporary transportation container provided by the crematory. I will hold the funeral home and funeral directors harmless from and indemnify them against any loss resulting from any claim made by me or any other person because of this directive.

  • The funeral home is directed to place the cremated remains in the urn that has been selected and then proceed as indicated herein.

    • Urn selected from the Urn Price List:

    • Urn VAULT for earth burial:

    • Sealable Container provided by the purchaser:
      I will hold the funeral home and its employees harmless from and indemnifythem against any claim made by me or any other person because of any action that the funeral home staff takes as a result of the directive to use this container and as a result of the fact that this container is being provided by me.
      
      SIGNATURE REQUIRED

Selection of the Method of Transportation for the Cremated Remains

• The family or its representative will recover the cremated
  remains directly from the crematory.
  The cremated remains will be in a temporary container.

• Recovery from the crematory by the Funeral Home:
  Without other instructions, the cremated remains will be in a temporary container.

• The Funeral Home is to recover the cremated remains
  from the crematory at its convenience.

• The Funeral Home is to recover the cremated remains from the
  crematory on or before (date)

• Hold the cremated remains to be picked up:
  The family or its representative will recover the cremated
  remains directly from the funeral home within 30 days
  of notification.

• Forward the cremated remains to: (location)

• Funeral Home is to deliver the cremated remains by hand to the
  location noted above.
  I understand that Cremated Remains are considered to be “quasi” property and have no specific value.I also understand that shipment by U. S. Parcel Post can not be insured, rather only Registered.

• The Funeral Home is to package the cremated remains in the
  selected container and send via Registered Mail, Return Receipt
  Requested to the location noted above.

• The crematory is to send the cremated remains in a temporary container via Registered Parcel Post to the location noted above.
  

Selection of the Method of Final Disposition of the Cremated Remains

EARTH BURIAL (at a location other than the crematory)

• Funeral Home is to arrange for the earth burial of the cremated remains in the ________________Cemetery, (town) as per instructions filed with the Funeral Home.

  • A grave in this cemetery is owned and written permission for burial
    of the (urn and) cremated remains has been granted.

  • The FH is to purchase a new gravespace.

    • Any location is satisfactory (Do not initial if you want to approve the location.)

  • Family will not attend burial...the cemetery may proceed at its convenience.

  • Family will attend the burial.

  • Funeral Director is requested to attend the burial.

SCATTERING

• The cremated remains are not wanted. The crematory is to scatter the cremated remains on the grounds of the Crematory/Cemetery. After scattering, the cremated remains may not be recovered.

  • Family will not attend the scattering procedure.

  • Family will attend the scattering procedure.

• The cremated remains are not wanted. The Funeral Home is to scatter the cremated remains at sea in the Atlantic Ocean. After scattering, the cremated remains may not be recovered.

  • Scattering to be accomplished prior to (date)

  • Family will not attend the scattering procedure.

  • Family will attend the scattering procedure.

(Because of potential liability, the funeral home will not scatter ashes on land.)

Designation of my Representative to Identify the Body

• The decedent’s body was removed from the place of death in the presence of a family representative.

• The decedent was viewed by the purchaser and/or family at the scheduled calling hours or services.

• I designate the following person as my representative to personally view and identify the body prior to cremation. The person who appears to identify the body may be asked to produce proof of his identity.
  (Name and Relationship)

• As I do not wish to personally identify the body and I hereby state that such physical evidence as shall be attached here shall serve as satisfactory identification. I will hold the funeral home and funeral directors harmless from and indemnify them against any loss resulting from any claim made by me or any other person because of this directive.
  The Funeral Director is to attach here, the physical identification tag or bracelet that was attached to the decedent’s body.

Regarding the Division of the Ashes into Portions

• The ashes are to be delivered as a whole without being divided.

• The ashes are to be divided into (#) portions and placed in the containers that have been ordered from or have been provided to the funeral home.

Regarding the Delivery of Separated Portions of Ashes

• The ashes are to be divided as follows and delivered to:
  
  

Summary Certification and Authorization

This certification and authorization is for the cremation of the body of:

____________________________________________________________

I certify that my relationship to the decedent is that of ___________________, and that

• I represent all of the other relatives of this highest degree of consanguinity and I, representing all of us, am legally authorized to order cremation as the legal Method of Final Disposition and to grant all the authorizations separate, attached or referenced herein.

• I hereby authorize the funeral home to arrange for the cremation of the body, to sign any additional forms and authorizations deemed necessary to proceed in an orderly manner and to arrange for and carry out all the noted Services, Modes of Transportation and Merchandise that I have selected.

• If the method of final disposition of the cremated remains that has been specified by me is not permitted or if the funeral home is precluded from carrying out the instructions noted herein or subsequent instructions given by me, and after:

• Attempting several times to notify me by phone
  
  and after:

• Sending me notification by Certified Mail at the address given below
  
  and after:

• Waiting thirty days from the date of the delivery of that certified letter:

I authorize the funeral home to forward the cremated remains to me, via U. S. Mail, Registered Parcel Post at the address given below.

• I acknowledge receipt of an explanation of the Cremation Process and the responsibilities of the crematory.

• I will hold the funeral home and its employees harmless from all liability for actions that they take in completing these instructions given by me. In addition, I promise to indemnify the funeral home and all its employees for any loss that they incur because of this authorization and/or all actions that they take in complying with these directions and in completing these instructions.

• I have read and completed this and the attached forms and have initialed all selections that apply.

With my signature, hereunder, I validate and attest to all Statements, Certifications, Selections and Authorizations noted on this page above and only the selections that I have initialed on other attached pages do I authorize.

Date __________________ Signature__________________________
Street Address of Record
Town, State, Zip

Receipt for Cremated Remains

As authorized by the arranger of the cremation, I hereby acknowledge receipt of the following items from the Funeral Home:

• Undivided Cremated Human Remains as certified by the crematory.

• Contained in:
  • Temporary container as provided by the crematory:
  • Memorial Urn as provided by the funeral home:
  • Burial Urn as provided by the funeral home:
  • Urn Vault as provided by the funeral home:
  • Other container: ____________________________________

• Original Certificate of Cremation Certified by the crematory.
  ________ Photocopies of the Certificate of Cremation.

• ______ Portions of the Cremated Human Remains in:
  • (Type of Container)
  • (Type of Container)
  • (Type of Container)
  • (Type of Container)

Name
Address
Date Signature

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