Riptide
Sportfishing
Circle of Remembrance - Ashes
Scattering Service
Authorization for the
Scattering of Cremated Remains at Sea
I
authorize Riptide Sportfishing to take possession of
the cremated remains
of__________________________________________________________________
("Deceased") (Full name of
Deceased)
I certify that I have the full legal
right and authority to authorize the disposition of the remains of the Deceased
and authorize Riptide Sportfishing to dispose of these cremated remains. I
understand that the cremated remains of the Deceased will be scattered on the
I agree to hold harmless Riptide
Sportfishing, its owners and its employees from any legal action, court costs,
attorneys fees, or other expenses in connection with the identity of the
cremated remains as being those of the Deceased.
I agree to permit Riptide Sportfishing
to make an appropriate judgment on the exact time and date of the scattering
based upon Riptide Sportfishing’s expertise with regard to weather conditions
that may interfere with scattering on a date specified or preferred by myself or
other family members.
Date Authorized:
_________________________
Name of Person Authorized to Dispose
of Ashes: _________________________________
(Print)
Relationship to Deceased: ____________________________________________________
Signature of
Person Authorized to Dispose of Ashes: _______________________________
Street Address: _____________________________________________________
City, State, Zip Code: ________________________________________________
Telephone Number(s): _______________________________________________
Email address: _____________________________________
Check the one that applies:
q
The cremated remains of the
Deceased are being shipped to Riptide Sportfishing via United States Postal
Service, registered mail, return receipt requested. This is in accordance with
USPS regulations 462.2 and 463b.
q
The cremated remains of the
Deceased are being brought directly to Riptide Sportfishing on the agreed upon
date of scattering by me or my designee. If designee, please note here that
person’s full name: _______________________________.
For more information, contact
the Cemetery and Funeral Bureau
(916) 322-7737 400 R Street, Suit 3040 Sacramento
CA 95814
Our Web site address is www.dca.ca.gov/cemetery
Riptide Sportfishing
Circle
of Remembrance Ashes Scattering
Service
Shipping
Instructions
for
the Scattering of Cremated Remains at Sea
Shipping
Instructions:
1.
Pack container of ashes in
proper container.
Refer to your funeral home or crematory for appropriate packing material.
- Enclose
your payment in the form of check or money order.
- Enclose
the above signed authorization form.
- Enclose
the burial permit authorizing disposition of the remains and/or certified
copy of the death certificate.
- Ship
only via
- Next
to the mailing address, indicate the contents of the package on the outside
of the box: “Cremated Human
Ashes.”
- Shipping
Address:
Riptide Sportfishing; P.O