Authorization For Sea Scattering Name of Funeral Home/Crematory Name of Decedent Your Relationship To Decedent Your Name Your First Name * Your Last Name * Email Address * Phone*Address* Address 1 * Address 2 * City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code * Please Agree and Check The Following Terms I authorize SeaBurials, LLC to provide sea scattering services. I declare that I have legal right and authority to authorize the disposition of the cremated remains of the Decedent. I understand once the cremated remains are scattered, they are unrecoverable. I release the cremated remains of the named decendent for this service. Unless otherwise stated, Sea Burials LLC will dispose of the container which contained the said cremated remains. I agree to release SeaBurials LLC of all legal action in the event the ashes are lost or damaged during shipping. Signature of Authorized Representative Reset signature Signature locked. Reset to sign again