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Authorization For Cremation and Disposition of Human Remains

We provide our families with the Authorization For Cremation and Disposition of Human Remains form to download, fill out with changes, save and email to us at knoxvillecremation@gmail.com.

If you cannot fill out this form on your device, you can print and fill out the form and email back to knoxvillecremation@gmail.com or fax to 865-339-3142.

You may also fill out the form below.

DOWNLOAD FORM

Authorization For Cremation and Disposition of Human Remains

Person's NAME whom this form is for- First, Middle, Last*

Gender*

Date of Birth*

Birthplace (city, state, country

Place of death (hospital, nursing home, hospice, etc.) *

Marital Status *

Surviving Spouse (Maiden name & SSN of surviving spouse)

Person's last job or career

Social Security Number of person

Address of person (street and number)

County where person lived in

City where person lived in

Zip code

Was person ever in US forces? If so, which branch?

Person's race

Person of Hispanic Origin?

Person's Highest Level of Education. (0-8, 9-12 no diploma, high school/GED completed, some college, associate, bachelor, masters)

Father's Name (F,M,L)

Mother's Name (F,M, Maiden Name)

Informant (Person filling out this form)

Mailing Address of Informant. (## Street, City, State, Zip)

Final Disposition

Email of Informant

Phone number of Informant

Would you like to utilize our website guestbook for your loved one?

Option 1 Yes

Option 2 No

Knoxville Cremation and Memorial Services, LLC

Fax: 865-339-3142

FORMS

Authorization For Cremation and Disposition of Human Remains

Authorization For Cremation and Disposition of Human Remains

Knoxville Cremation and Memorial Services, LLC

A Year of Grief Support

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