Authorization Form

You hereby authorize Cape Cod Burials At Sea to receive the cremated remains of the deceased named below and scatter those remains at sea in the Atlantic Ocean off of Cape Cod, MA, in accordance with and subject to the terms and conditions set forth in this Authorization and any applicable Federal, State or local laws and regulations.

By filling out the form below, you certify that you have full legal right and authority to authorize the disposition of the remains of the Deceased.