Authorization For Sea Scattering Name of Funeral Home/CrematoryName of DecedentYour Relationship To DecedentYour 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