Embalming Authorization Form

Name of decedent
Date of Death
Address
City/ State/ Zip
Phone
EMBALMING DISCLOSURE
Except in certain cases, embalming is not required by law. Embalming may be necessary, however, if you select certain funeral arrangements, such as a funeral with a viewing. If you do not want embalming, you usually have the right to choose an arrangement that does not require you to pay for it. Embalming is required by Minnesota Statute 149A.9l, Subd. 3 in the following circumstances:
- If the body will be transported by public transportation
- If ﬁnal disposition will not be accomplished within 72 hours after death or release of the body by a competent authority;
- If the body will be publically viewed; or,
- If so ordered by the commissioner of health for protection of the public health.
By signing below, I acknowledge that I have read and understand the above disclosure indicating when embalming is required by law, and, to the best of my knowledge, I have the authority to grant permission for the embalming of the named decedent.
Name of person granting authorization
Relationship or Authority
Signature of person with authority for embalming permission
Date
License Number
Signature of Funeral Director as Witness*
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Comments
This field is for validation purposes and should be left unchanged.

EMBALMING DISCLOSURE