Cremation Permit Application

NAME OF DECEDENT

First Name(Required)

Middle

Last Name(Required)

Date of Birth(Required)

Race(Required)

Sex(Required)

SSN#(Required)

FUNERAL HOME INFORMATION

Funeral Home Name(Required)

Funeral Director in Charge of Arrangements(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Signed death certificate(Required)

Drop files here or

Max. file size: 6 MB.

Our office must receive a copy of the signed death certificate, BRT, and the signed authorization to cremate.

Cremation Permits:
All cremation requests must be submitted online*. Our office must receive an attached copy of the signed death certificate, BRT, and the signed authorization to cremate. You will receive the Cremation Permit by return email only. There is a $20 fee for cremation permits; our office will send an invoice for payment.

*You may fax these documents to 803 576.1786 if submitting your request online is not an option.