Authorization Form

Grant permission for Serene Sea Burials to perform ash scattering services on your behalf.

Decedent Information

Name of Deceased

Funeral Home / Crematory

Authorized Representative

First Name

Last Name

Relationship to Deceased

Email Address

Phone Number

Street Address

City

State

Acknowledgements

Digital Signature

Type your full legal name

By typing your name, you are providing a digital signature acknowledging the above declarations.