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Bush, Frederick C , � 7VN OF- QUEE9\�5BUr &Y PINE VIEW CEMETERY AND CREMATORIUM QUAKER ROAD, QUEENSgURY NEW YORK 12804 (518) 745-4476 (518) 745-4477 Funeral Director_ Name Case # l Date of Cremation Or- 61- Z�5 Time Cremation Started ` , / S N Time Cremation Completed W 30 Type of ContainerW'O 1 CAr(-- Remarks ; M A 17N 4 OUL 16 'CIO flo 1o:%r io: S3 Ace o1 30 .4- I Green Mountain Cremation Service Middlebury,VT 05753 Phone:#802-388-2214 Fax:#802-388-1033 AUTHORIZATION FOR CREMATION AND DISPOSITION NOTICE: THIS IS A LEGAL DOCUMENT. IT CONTAINS IMPORTANT PROVISIONS CONCERNING CREMATION. CREMATION IS THE IRREVERSIBLE PROCESS OF REDUCING HUMAN REMAINS TO BONE FRAGMENTS THROUGH OPEN FLAME, EXTREME HEAT, AND EVAPORATION. BEFORE SIGNING THIS LEGAL DOCUMENT, PLEASE READ, POLICIES, PROCEDURES, & REQUIREMENTS ON REVERSE SIDE.YOU WILL BE ASKED TO SIGN THIS DOCUMENT. I (We),the undersigned(the"Authorizing Agent(s)"), hereby authorization and request G.M.C.S., in accordance with and subject to its Policies, Procedures and Guidelines,and any applicable state or local laws or regulations,to cremate the human remains and arrange for the final disposition of the cremated remains,as set forth on this form: Name of Deceased F-i-e.d el- on I cl, �1 Sex �Q,I� Age Place of Death I('(1 �0..�1s �l\CAS Q i t.7'1 P11S .`�T� T Date of Death Q CA. a4l PACEMAKERS RADIOACTIVE IMPLANTS Did the decedent's remains contain a pacemaker,silicone implants,prosthetic devices, radioactive implants,or any other explosive device Yes ❑ NoA.If yes,please explain PERSONAL POSSESSIONS List any personal possessions which will(check one) ❑ remain with the decedant for cremation or will be ❑ removed prior cremation: describe: MERCHANDISE 1) Type of container the decedent's remains are to be placed in for transportation to and placement in the crematorium: Alternative Container ❑ Casket(type) 2) Type of container to hold the cremated remains in: ❑ Urn or ❑ Temporary Cardboard Container' FINAL DISPOSITION Release cremated remains to the following Funeral Home X , or Cemetery ❑ , Individual ❑ , Via Courier ❑ or U. S. P. S. ❑ for shipment by Registered, Return Receipt mail,to: Name Relationship Address City State Zip Code SIGNATURE OF AUTHORIZING AGENT(S) / LIMITATION OF LIABILITY As the Authorizing Agent(s), I (We)hereby agree to indemnify,defend,and hold harmless Green Mountain Cremation Service, its officers,agents and employees,of and from any and all claims,demands,causes or causes of action,and suits of every kind,nature and description,in law or equity,including any legal fees,costs and expenses of litigation,arising as a result of based upon or connected with this authorization,including the failure to properly identify the decedent or the human remains,the processing,shipping and final disposition of the decedent's cremated remains,the failure to take posses- sion of or make proper arrangements for the final disposition of the cremated remains,claims brought by any other person(s)claiming the right to control the disposition of the decedent or the cremated remains,or any other action performed by Greer)Mountain Cremation Service,its officers,agents,or mployees,pursuant to this authorization,excepting only acts of willful negligence. �) th undersigned,hereby certify that I am the closest living next of kin of the decedent and that I am related to the decedent a hi her onl @ or that I otherwise serve(served)in the capacity of to the decedent,that I have charge of the remains of the decedent and as such possess full legal authority and power to execute the authorization from and to arrange for the cremation and disposition of the cremated remains of the decedent. THE UNDERSIGNED WARRANT THAT ALL REPRESENTATIONS AND STATEMENTS CONTAINED ON THIS FORM ARE TRUE AND CORRECT,THAT THESE STATEMENTS WERE MADE TO INDUCE GREEN MOUNTAIN CREMATION SERVICE TO CREMATE THE HUMAN REMAINS OF THE DECEDENT AND THAT THE UNDERSIGNED HAVE READ AND UNDERSTAND THE PROVISIONS CONTAINED ON THIS FORM AND THE ACCOMPANY- ING POLICIES,PROCEDURES AND REQUIREMENTS STATED ON REVERSE SIDE. Licensed Funeral Director(Sign ure), Signature Name - �S0. Name and ddress of Funeral Home: Address y LSD[ t Q ►V I 1 co X ce aC1_(1 City -Ti ca rN d roa , ' State C CL7 n Zip a S _T A, 883 _ Witness(Signature): Date Signed CREMATORY USE ONLY Auth. ❑ Permits: M.E.❑ Burial ❑ Date of Cremation Cremation No. Time: Started Completed Container Operator a GREEN MOUNTAIN CREMATION SERVICE POLICIES, PROCEDURES AND REQUIREMENTS The cremation, processing and disposition of the remains of the deceased shall be performed in accordance with all governing laws,and the policies, procedures and requirements of Green Mountain Cremation Service(hereafter referred to as G.M.C.S.)and the designated funeral home.This document describes many of the policies and requirements of G.M.C.S.and is incorporated in our Cremation Authorization Form.We suggest you take the time to read this document carefully before executing the Cremation Authorization Form. G.M.C.S. REQUIREMENTS FOR CREMATION Cremation will take place only after all the following conditions have been met. 1) Any scheduled ceremonies or viewings have been completed. 4) All necessary authorizations have been obtained,and no objections 2)_hours have transpired since the death occurred(if required by state law). have been raised. 3) Civil and medical authorities have issued all required permits. 5) All financial obligations have been met to G.M.C.S.prior to cremation. THE CREMATION PROCESS All cremations are performed individually. Cremation is performed by placing the deceased in a casket or other container and then placing the casket or container into a cremation chamber or retort,where they are subjected to intense heat and flame.During the cremation process,it may be necessary to open the cremation chamber and reposition the deceased in order to facilitate a complete and thorough cremation.Through the use of a suitable fuel,incineration of the container and contents is accomplished and all substances are consumed or driven off except bone fragments(calcium compounds)and some metals as the temperature is not sufficient to consume them. Due to the nature of the cremation process any personal possessions or valuable materials,such as jewelry,dental gold or bridgework,that are left with the decedent and not removed from the casket or container prior to the cremation,will be destroyed or if not destroyed,will be disposed of by G.M.C.S. As the casket or container will not normally be opened by G.M.C.S.(to remove valuables,to allow for a final viewing or for any other reason),arrangements must be made with the funeral home to remove any such possessions or valuables prior to the time that the decedent is transported to G.M.C.S. Following a cooling period,the cremated remains,which will normally weigh several pounds in the case of an average size adult,are then swept or taken from the cremation chamber.G.M.C.S.makes a reasonable effort to remove all of the cremated remains from the cremation chamber,but it is impossible to remove all o1 them, as some dust and other residue from the process are always left behind. In addition,while every effort will be made to avoid commingling,inadvertent or incidental commingling of minute particles of cremated remains from the residue of the previous cremations is a possibility. After the cremated remains are removed from the cremation chamber,all non-combustible materials(insofar as possible,such as bridgework,and materials from the casket or container,such as hinges,latches,nails,etc.),will be separated and removed from the human bone fragments. Unless otherwise specified,after the bone fragments have been separated from the other material,they will be mechanically processed(pulverized).This process of crushing or grinding may cause incidental commingling of the remains with the residue from the processing of previously cremated remains.These granulated particles of unidentifiable dimensions will be virtually unrecognizable as human remains. TIME OF CREMATION Green Mountain Cremation Service is authorized to perform the cremation upon receipt of the human remains,at its discretion,and according to its own time schedule as work permits,without obtaining any further authorization or instruction. CASKETS/CONTAINERS G.M.C.S.does not accept metal caskets. All wooden caskets and alternative containers must meet the following standards: 1)be composed of rigid materials suitable for cremation;2)be able to be closed to provide a complete covering for the human remains,3)be resistant to leakage or spillage;4)be sufficient for handling with ease;and 5)be able to provide protection for the health and safety of crematory personnel. Many caskets that are comprised primarily of combustible materials may also contain some exterior and interior parts,e.g.decorative handles or rails,that may not be combustible and that may cause damage to the cremation equipment,G.M.C.S.at it sole discretion,reserves the right to remove these non combustible material prior to cremation and to discard them with similar materials from other cremations and other refuse in a non-recoverable manner. PACEMAKERS, PROSTHESES AND RADIOACTIVE DEVICES Pacemakers and prostheses,as well as any other mechanical,or radioactive devices or implants in the decedent,may create a hazardous condition when placed in the cremation chamber.It is imperative that the aforementioned be removed prior to cremation.If the funeral home is not notified about such devices and implants,and not instructed to remove them,then the person(s)authorizing the cremation will be responsible for any damages caused to G.M.C.S.or crematory personnel by such devices or implants. WITNESSING G.M.C.S.does not allow anyone to witness the casket/container being placed in the cremation chamber,unless required to do so because of the religious practices of the family,or if arrangements are made in advance. In any instance a maximum of 5 witnesses would be allowed. URN/CONTAINERS After the cremated remains have been processed,they will be placed in the designated urn or container.G.M.C.S.will make a reasonable effort to put all of the cremated remains in the urn or container,with the exception of dust or other residue that may remain on the processing equipment. In the event the urn or container provided is insufficient to accommodate all of the cremated remains, the excess will be placed in'a separate receptacle.The separate receptacle will be kept with the primary receptacle and handled according to the disposition instructions on the Cremation Authorization Form. FINAL DISPOSITION Cremation is NOT final disposition, nor is placing the cremated remains in storage at a funeral home final disposition.The cremation process simply reduces the decedent's body to cremated remains.These cremated remains usually weigh several pounds and usually measure in excess of 150 cubic inches. Some provision must be made for the final disposition these cremated remains. Therefore, G.M.C.S. strongly suggests that arrangements for final disposition be made at the time that the cremation arrangements are made and that the Cremation Authorization Form is completed. G.M.C.S.will not scatter remains. I (We)have read or were offered for review the above Policies, Procedures and Requirements as stated above and were offered a copy for our retention. t Green Mountain Cremation Service Middlebury,V1105753 Phone:#802-388-2214 Fax:#802-388-1033 AUTHORIZATION FOR CREMATION AND DISPOSITION NOTICE: THIS IS A LEGAL DOCUMENT. IT CONTAINS IMPORTANT PROVISIONS CONCERNING CREMATION. CREMATION IS THE IRREVERSIBLE PROCESS OF REDUCING HUMAN REMAINS TO BONE FRAGMENTS THROUGH OPEN FLAME, EXTREME HEAT, AND EVAPORATION. BEFORE SIGNING THIS LEGAL DOCUMENT, PLEASE READ, POLICIES, PROCEDURES, & REQUIREMENTS ON REVERSE SIDE.YOU WILL BE ASKED TO SIGN THIS DOCUMENT. (We),the undersigned (the"Authorizing Agent(s)"), hereby authorization and request G.M.C.S., in accordance with and subject to its Policies, Procedures and Guidelines,and any applicable state or local laws or regulations,to cremate the human remains and arrange for the final disposition of the cremated remains,as set forth on this form: Name of Deceased I-I--* �E`? i c iC, .t �l l� �, ,Sex !'t�1 t? Age le.,6� _ `, ,( 1 Place of Death { z iE'P. i 31 j� +`. '' + 1 E�1' !'l2 j i � /`• Y Date of Death 1�`,,- �a C ;t Y PACEMAKERS RADIOACTIVE IMPLANTS Did the decedent's remains contain a pacemaker,silicone implants,prosthetic devices, radioactive implants,or any other explosive device Yes ❑ No�4,If yes,please explain PERSONAL POSSESSIONS List any personal possessions which will(check one) ❑ remain with the decedant for cremation or will be ❑ removed prior cremation: describe: MERCHANDISE 1) Type of container the decedent's remains are to be placed in for transportation to and placement in the crematorium: Alternative Container ❑ Casket(type) 2) Type of container to hold the cremated remains in: ❑ Urn or ❑ Temporary Cardboard Container* FINAL DISPOSITION Release cremated remains to the following Funeral Home , 1 , or Cemetery ❑ , Individual ❑ , Via Courier ❑ or U. S. P. S. ❑ for shipment by Registered, Return Receipt mail,to: Name Relationship Address City State Zip Code SIGNATURE OF AUTHORIZING AGENT(S) / LIMITATION OF LIABILITY As the Authorizing Agent(s), I (We)hereby agree to indemnify,defend,and hold harmless Green Mountain Cremation Service, its officers,agents and employees,of and from any and all claims,demands,causes or causes of action,and suits of every kind,nature and description,in law or equity,including any legal fees,costs and expenses of litigation,arising as a result of based upon or connected with this authorization, including the failure to properly identify the decedent or the human remains,the processing,shipping and final disposition of the decedent's cremated remains,the failure to take posses- sion of or make proper arrangements for the final disposition of the cremated remains,claims brought by any other person(s)claiming the right to control the disposition of the decedent or the cremated remains,or any other action performed by Green Mountain Cremation Service,its officers,agents,or employees,pursuant to this authorization,excepting only acts of willful negligence. !;(We),th undersigned,hereby certify that I am the closest living next of kin of the decedent and that I am related to the decedent as hi,4her W t � C_ or that I otherwise serve(served)in the capacity of to the decedent,that I have charge of the remains of the decedent and as such possess full legal authority and power to execute the authorization from and to arrange for the cremation and disposition of the cremated remains of the decedent. THE UNDERSIGNED WARRANT THAT ALL REPRESENTATIONS AND STATEMENTS CONTAINED ON THIS FORM ARE TRUE AND CORRECT,THAT THESE STATEMENTS WERE MADE TO INDUCE GREEN MOUNTAIN CREMATION SERVICE TO CREMATE THE HUMAN REMAINS OF THE DECEDENT AND THAT THE UNDERSIGNED HAVE READ AND UNDERSTAND THE PROVISIONS CONTAINED ON THIS FORM AND THE ACCOMPANY- ING POLICIES,PROCEDURES AND REQUIREMENTS STATED ON REVERSE SIDE. Licensed Fu al irector(Signlure)i, Signature r ` -4 ' t Name _ Name and Address of Funeral Home: Address ,v,4, ' 1 c X t City 71 " ,, State Pi P,A J Zip I _> Witness(Signature): ' Date Signed CREMATORY USE ONLY Auth. ❑ Permits: M.E.❑ Burial ❑ Date of Cremation Cremation No. Time: Started Completed Container Operator GREEN MOUNTAIN CREMATION SERVICE POLICIES, PROCEDURES AND REQUIREMENTS The cremation,processing and disposition of the remains of the deceased shall be performed in accordance with all governing laws,and the policies, procedures and requirements of Green Mountain Cremation Service(hereafter referred to as G.M.C.S.)and the designated funeral home.This document describes many of the policies and requirements of G.M.C.S.and is incorporated in our Cremation Authorization Form.We suggest you take the time to read this document carefully before executing the Cremation Authorization Form. G.M.C.S. REQUIREMENTS FOR CREMATION Cremation will take place only after all the following conditions have been met. 1) Any scheduled ceremonies or viewings have been completed. 4) All necessary authorizations have been obtained,and no objections 2)_hours have transpired since the death occurred(if required by state law). have been raised. 3) Civil and medical authorities have issued all required permits. 5) All financial obligations have been met to G.M.C.S.prior to cremation. THE CREMATION PROCESS All cremations are performed individually. Cremation is performed by placing the deceased in a casket or other container and then placing the casket or container into a cremation chamber or retort,where they are subjected to intense heat and flame.During the cremation process,it may be necessary to open the cremation chamber and reposition the deceased in order to facilitate a complete and thorough cremation.Through the use of a suitable fuel, incineration of the container and contents is accomplished and all substances are consumed or driven off except bone fragments(calcium compounds)and some metals as the temperature is not sufficient to consume them. Due to the nature of the cremation process any personal possessions or valuable materials,such as jewelry,dental gold or bridgework,that are left with the decedent and not removed from the casket or container prior to the cremation,will be destroyed or if not destroyed,will be disposed of by G.M.C.S. As the casket or container will not normally be opened by G.M.C.S.(to remove valuables,to allow for a final viewing or for any other reason),arrangements must be made with the funeral home to remove any such possessions or valuables prior to the time that the decedent is transported to G.M.C.S. Following a cooling period,the cremated remains,which will normally weigh several pounds in the case of an average size adult,are then swept or taken from the cremation chamber.G.M.C.S.makes a reasonable effort to remove all of the cremated remains from the cremation chamber,but it is impossible to remove all of them, as some dust and other residue from the process are always left behind. In addition,while every effort will be made to avoid commingling,inadvertent or incidental commingling of minute particles of cremated remains from the residue of the previous cremations is a possibility. After the cremated remains are removed from the cremation chamber,all non-combustible materials(insofar as possible,such as bridgework,and materials from the casket or container,such as hinges,latches,nails,etc.),will be separated and removed from the human bone fragments.Unless otherwise specified,after the bone fragments have been separated from the other material,they will be mechanically processed(pulverized).This process of crushing or grinding may cause incidental commingling of the remains with the residue from the processing of previously cremated remains.These granulated particles of unidentifiable dimensions will be virtually unrecognizable as human remains. TIME OF CREMATION Green Mountain Cremation Service is authorized to perform the cremation upon receipt of the human remains,at its discretion,and according to its own time schedule as work permits,without obtaining any further authorization or instruction. CASKETS/CONTAINERS G.M.C.S.does not accept metal caskets. All wooden caskets and alternative containers must meet the following standards: 1)be composed of rigid materials suitable for cremation;2)be able to be closed to provide a complete covering for the human remains,3)be resistant to leakage or spillage;4)be sufficient for handling with ease;and 5)be able to provide protection for the health and safety of crematory personnel. Many caskets that are comprised primarily of combustible materials may also contain some exterior and interior parts,e.g.decorative handles or rails,that may not be combustible and that may cause damage to the cremation equipment,G.M.C.S.at it sole discretion,reserves the right to remove these non combustible material prior to cremation and to discard them with similar materials from other cremations and other refuse in a non-recoverable manner. PACEMAKERS. PROSTHESES AND RADIOACTIVE DEVICES Pacemakers and prostheses,as well as any other mechanical,or radioactive devices or implants in the decedent,may create a hazardous condition when placed in the cremation chamber.It is imperative that the aforementioned be removed prior to cremation.If the funeral home is not notified about such devices and implants,and not instructed to remove them,then the person(s)authorizing the cremation will be responsible for any damages caused to G.M.C.S.or crematory personnel by such devices or implants. WITNESSING G.M.C.S.does not allow anyone to witness the casket/container being placed in the cremation chamber,unless required to do so because of the religious practices of the family,or if arrangements are made in advance.In any instance a maximum of 5 witnesses would be allowed. URNMONTAINERS After the cremated remains have been processed,they will be placed in the designated urn or container.G.M.C.S.will make a reasonable effort to put all of the cremated remains in the urn or container,with the exception of dust or other residue that may remain on the processing equipment. In the event the urn or container provided is insufficient to accommodate all of the cremated remains,the excess will be placed in a separate receptacle.The separate receptacle will be kept with the primary receptacle and handled according to the disposition instructions on the Cremation Authorization Form. FINAL DISPOSITION Cremation is NOT final disposition,nor is placing the cremated remains in storage at a funeral home final disposition.The cremation process simply reduces the decedent's body to cremated remains.These cremated remains usually weigh several pounds and usually measure in excess of 150 cubic inches. Some provision must be made for the final disposition these cremated remains.Therefore, G.M.C.S. strongly suggests that arrangements for final disposition be made at the time that the cremation arrangements are made and that the Cremation Authorization Form is completed. G.M.C.S.will not scatter remains. I (We)have read or were offered for review the above Policies, Procedures and Requirements as stated above and were offered a copy for our retention. Green Mountain Cremation Service ddlehnry,Vf 05753 Phone:#802-388-2214 Fax:#802-388-1033 AUTHORIZATION FOR CREMATION AND DISPOSITION NOTICE: THIS IS A LEGAL DOCUMENT. IT CONTAINS IMPORTANT PROVISIONS CONCERNING CREMATION. CREMATION IS THE IRREVERSIBLE PROCESS OF REDUCING HUMAN REMAINS TO BONE FRAGMENTS THROUGH OPEN FLAME, EXTREME HEAT, AND EVAPORATION. BEFORE SIGNING THIS LEGAL DOCUMENT, PLEASE READ, POLICIES, PROCEDURES, & REQUIREMENTS ON REVERSE SIDE.YOU WILL BE ASKED TO SIGN THIS DOCUMENT. I(We),the undersigned(the"Authorizing Agent(s)"), hereby authorization and request G.M.C.S., in accordance with and subject to its Policies, Procedures and Guidelines,and any applicable state or local laws or regulations,to cremate the human remains and arrange for the final disposition of the cremttated remains,as set forth on this form: Name of Deceased r" 1-* (I < % f_ .I�1.1 try ,Sex M(( It— Age Place of Death CT It, (. Date of Death i C 4 4 PACEMAKERS, RADIOACTIVE IMPLANTS Did the decedent's remains contain a pacemaker,silicone implants,prosthetic devices, radioactive implants,or any other explosive device Yes ❑ No\1 If yes,please explain PERSONAL POSSESSIONS List any personal possessions which will(check one) ❑ remain with the decedant for cremation or will be ❑ removed prior cremation: describe: MERCHANDISE 1) Type of container the decedent's remains are to be placed in for transportation to and placement in the crematorium: Alternative Container ❑ Casket(type) 2) Type of container to hold the cremated remains in: ❑ Urn or ❑ Temporary Cardboard Container* FINAL DISPOSITION Release cremated remains to the following Funeral Home f ,or Cemetery ❑ , Individual ❑ , Via Courier ❑ or U. S. R S. ❑ for shipment by Registered, Return Receipt mail,to: Name Relationship Address City State Zip Code SIGNATURE OF AUTHORIZING AGENT(S) / LIMITATION OF LIABILITY As the Authorizing Agent(s), I(We)hereby agree to indemnify,defend,and hold harmless Green Mountain Cremation Service,its officers,agents and employees,of and from any and all claims,demands,causes or causes of action,and suits of every kind,nature and description,in law or equity,including any legal fees,costs and expenses of litigation,arising as a result of based upon or connected with this authorization,including the failure to properly identity the decedent or the human remains,the processing,shipping and final disposition of the decedent's cremated remains,the failure to take posses- sion of or make proper arrangements for the final disposition of the cremated remains,claims brought by any other person(s)claiming the right to control the disposition of the decedent or the cremated remains,or any other action performed by Green Mountain Cremation Service,its officers,agents,or Rmployees,pursuant to this authorization,excepting only acts of willful negligence. I(We),th undersigned,hereby certify that I am the closest living next of kin of the decedent and that I am related to the decedent as histher V4 g� t or that I otherwise serve(served)in the capacity of to the decedent,that I have charge of the remains of the decedent and as such possess full legal authority and power to execute the authorization from and to arrange for the cremation and disposition of the cremated remains of the decedent. THE UNDERSIGNED WARRANT THAT ALL REPRESENTATIONS AND STATEMENTS CONTAINED ON THIS FORM ARE TRUE AND CORRECT,THAT THESE STATEMENTS WERE MADE TO INDUCE GREEN MOUNTAIN CREMATION SERVICE TO CREMATE THE HUMAN REMAINS OF THE DECEDENT AND THAT THE UNDERSIGNED HAVE READ AND UNDERSTAND THE PROVISIONS CONTAINED ON THIS FORM AND THE ACCOMPANY- ING POLICIES,PROCEDURES AND REQUIREMENTS STATED ON REVERSE SIDE. r Licensed Fu al irector(Signoure), fr Signature - s` Name T M t- i R ,r 1 _J., Name and 1Address of Funeral Home: Address City 'j',`, r (A ( t State .• i i !4_ Zip ^ '� r` _TIC c;ltAt `'r ` Witness(Signature): " Date Signed i CREMATORY USE ONLY Auth. ❑ Permits: M.E.❑ Burial ❑ Date of Cremation Cremation No. Time: Started Completed Container Operator I GREEN MOUNTAIN CREMATION SERVICE POLICIES,PROCEDURES AND REQUIREMENTS The cremation,processing and disposition of the remains of the deceased shall be performed in accordance with all governing laws,and the policies, procedures and requirements of Green Mountain Cremation Service(hereafter referred to as G.M.C.S.)and the designated funeral home.This document describes many of the policies and requirements of G.M.C.S.and is incorporated in our Cremation Authorization Form.We suggest you take the time to read this document carefully before executing the Cremation Authorization Form. G.M.C.S. REQUIREMENTS FOR CREMATION Cremation will take place only after all the following conditions have been met. 1) Any scheduled ceremonies or viewings have been completed. 4) All necessary authorizations have been obtained,and no objections 2)_hours have transpired since the death occurred(if required by state law). have been raised. 3) Civil and medical authorities have issued all required permits. 5) All financial obligations have been met to G.M.C.S.prior to cremation. THE CREMATION PROCESS All cremations are performed individually. Cremation is performed by placing the deceased in a casket or other container and then placing the casket or container into a cremation chamber or retort,where they are subjected to intense heat and flame.During the cremation process,it may be necessary to open the cremation chamber and reposition the deceased in order to facilitate a complete and thorough cremation.Through the use of a suitable fuel,incineration of the container and contents is accomplished and all substances are consumed or driven off except bone fragments(calcium compounds)and some metals as the temperature is not sufficient to consume them. Due to the nature of the cremation process any personal possessions or valuable materials,such as jewelry,dental gold or bridgework,that are left with the decedent and not removed from the casket or container prior to the cremation,will be destroyed or if not destroyed,will be disposed of by G.M.C.S. As the casket or container will not normally be opened by G.M.C.S.(to remove valuables,to allow for a final viewing or for any other reason),arrangements must be made with the funeral home to remove any such possessions or valuables prior to the time that the decedent is transported to G.M.C.S. Following a cooling period,the cremated remains,which will normally weigh several pounds in the case of an average size adult,are then swept or taken from the cremation chamber.G.M.C.S.makes a reasonable effort to remove all of the cremated remains from the cremation chamber,but it is impossible to remove all of them, as some dust and other residue from the process are always left behind. In addition,while every effort will be made to avoid commingling,inadvertent or incidental commingling of minute particles of cremated remains from the residue of the previous cremations is a possibility. After the cremated remains are removed from the cremation chamber,all non-combustible materials(insofar as possible,such as bridgework,and materials from the casket or container,such as hinges,latches,nails,etc.),will be separated and removed from the human bone fragments.Unless otherwise specified,after the bone fragments have been separated from the other material,they will be mechanically processed(pulverized).This process of crushing or grinding may cause incidental commingling of the remains with the residue from the processing of previously cremated remains.These granulated particles of unidentifiable dimensions will be virtually unrecognizable as human remains. TIME OF CREMATION Green Mountain Cremation Service is authorized to perform the cremation upon receipt of the human remains,at its discretion,and according to its own time schedule as work permits,without obtaining any further authorization or instruction. CASKETSMONTAINERS G.M.C.S.does not accept metal caskets. All wooden caskets and alternative containers must meet the following standards: 1)be composed of rigid materials suitable for cremation;2)be able to be closed to provide a complete covering for the human remains,3)be resistant to leakage or spillage;4)be sufficient for handling with ease;and 5)be able to provide protection for the health and safety of crematory personnel. Many caskets that are comprised primarily of combustible materials may also contain some exterior and interior parts,e.g.decorative handles or rails,that may not be combustible and that may cause damage to the cremation equipment,G.M.C.S.at it sole discretion,reserves the right to remove these non combustible material prior to cremation and to discard them with similar materials from other cremations and other refuse in a non-recoverable manner. PACEMAKERS.PROSTHESES AND RADIOACTIVE DEVICES Pacemakers and prostheses,as well as any other mechanical,or radioactive devices or implants in the decedent,may create a hazardous condition when placed in the cremation chamber.It is imperative that the aforementioned be removed prior to cremation.If the funeral home is not notified about such devices and implants,and not instructed to remove them,then the person(s)authorizing the cremation will be responsible for any damages caused to G.M.C.S.or crematory personnel by such devices or implants. WITNESSING G.M.C.S.does not allow anyone to witness the casket/container being placed in the cremation chamber,unless required to do so because of the religious practices of the family,or if arrangements are made in advance.In any instance a maximum of 5 witnesses would be allowed. URWCONTAINERS After the cremated remains have been processed,they will be placed in the designated urn or container.G.M.C.S.will make a reasonable effort to put all of the cremated remains in the urn or container,with the exception of dust or other residue that may remain on the processing equipment. In the event the urn or container provided is insufficient to accommodate all of the cremated remains,the excess will be placed in a separate receptacle.The separate receptacle will be kept with the primary receptacle and handled according to the disposition instructions on the Cremation Authorization Form. FINAL DISPOSITION Cremation is NOT final disposition,nor is placing the cremated remains in storage at a funeral home final disposition.The cremation process simply reduces the decedent's body to cremated remains.These cremated remains usually weigh several pounds and usually measure in excess of 150 cubic inches. Some provision must be made for the final disposition these cremated remains.Therefore, G.M.C.S. strongly suggests that arrangements for final disposition be made at the time that the cremation arrangements are made and that the Cremation Authorization Form is completed. G.M.C.S.will not scatter remains. I (We)have read or were offered for review the above Policies, Procedures and Requirements as stated above and were offered a copy for our retention.