MCCOMB & WAGNER Cremation Form

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CREMATION AUTHORIZATION

CREMATION ARRANGEMENT FORM

WELCOME to our innovative Cremation Arrangement Form. This form is for planning At-Need, Imminent, or Future-Need cremation arrangements. Payment can be made after completing the form or the form may be submitted as a quote to coordinate other payment arrangements.

NOTICE: Anyone may select and pay for funeral goods and services such as a viewing, cremation, etc. But only an Authorizing Agent according to RCW 68.50.160 may authorize those services. Only an Authorizing Agent can direct the disposition of the cremated remains.

Who is an Authorizing Agent? An Authorizing Agent is a person with the legal Right to Control Disposition of Remains per RCW 68.50.160. The order of authority is:

SELF- A person has the right to control the disposition of his or her own remains without the predeath or postdeath consent of another person.
The DESIGNATED AGENT of the decedent as directed through a written document signed and dated by the decedent in the presence of a witness. The direction of the designated agent is sufficient to direct the type, place, and method of disposition;
The surviving SPOUSE or state registered domestic partner;
The MAJORITY of the SURVIVING ADULT CHILDREN of the decedent;
The surviving PARENTS of the decedent;
The MAJORITY of the SURVIVING SIBLINGS of the decedent;
A COURT-APPOINTED GUARDIAN for the person at the time of the person's death.

TIMING OF NEED

Select Timing of Need*:

GENERAL PRICE LIST

CREMATION PRICING PDF

PLEASE NOTE: The prices found in the printable pricing pdf or GPL and this online form should match. There are no hidden charges that are not disclosed here online. We try very hard to be transparent and let you know up front any charges that will be required. Please don't hesitate to call with any questions or concerns.

PRINTABLE PRICING PDF

Acknowledgment*:

I have received the General Price List

INCLUDES:

Removal from Coroner, ME, or Hospital Morgue (<300lbs)
Transport from Place of Removal (Includes Thurston and South Mason County)
Refrigeration/Sheltering (10days included to obtain permit)
Phone Consultation and Online Arrangements
Send Proof of Death to Social Security Administration
Coordinate with Coroner/Doctor/Health Department to ensure timely certification & permitting
Standard Cremation (Add $1000 for Aquamation)
Basic Cardboard Cremation Container (Before the cremation)
Basic Black Plastic Utility Urn Box (Given to family in nice receiving bag)
Order and Obtain Death Certificates from Local Health Department (does not include cost of death certificates).
Memorial Webpage

CREMATION PACKAGE

Select Cremation Type*:

Sometimes the Place of Death and the Place of Removal are one and the same. However, a death may occur in one location but we do the removal at another location. For example, the death may occur at a house but the Coroner or Medical Examiner brings the decedent to their facility for an autopsy. For transport purposes, please provide here the location from where we will be doing the removal. No Additional Transport Charges are incured for Thurston or South Mason County. Our primary service area includes: Mason, Thurston, Grays Harbor, Kitsap, Lewis, Pierce, Pacific, Jefferson, and King Counties.

REMOVAL & TRANSPORT

Select Removal Location Type*:

Place of Removal Name & Address*:

Select Transport (Inside Service Area)*:

Select Transport (Outside Service Area):

Cremation arrangements can be made online or by phone. The basic package includes general phone consultation with you completing the arrangements here in this online arrangement form. We can also schedule an appointment time to connect with you by phone and complete the arrangement paperwork then. Please select if you will complete arrangements online on your own time, or by scheduled phone appointment with the use of our staff.

ARRANGEMENT TYPE

Select Arrangement Type*:

EXTRA WEIGHT

Select Weight*:

EXPEDITE "RUSH" CREMATION

Select Rush Cremation*:

ADDITIONAL SELECTIONS

Remove Pacemaker*:

Take Fingerprint for Jewelry*:

Take Locket of Hair*:

Minimum Preparation of an unembalmed body is required for any viewing (whether paying your respects for 5 minutes or an hour) in order to ensure a safe, clean, and peaceful experience for all. The Min. Preparation charge includes the minimum preparations and use of facility and staff for a one hour ID viewing at the Shelton facility during the week M-F before 4pm. Overtime is anytime after 5pm or Saturday-Sunday. Some families prefer to upgrade to Embalming preparation for viewing even though it is not required for an ID viewing. If you choose "No Viewing" then you acknowledge that no one will need to view the decedent prior to the cremation. Autopsy Restoration is required for viewing if the decedent has had an autopsy. Dressing is optional and if not selected, then we will use the clothing that was on the decedent when they came into our care or a clean gown as needed.

PREPARATION FOR VIEWING

Select Preparation For Viewing*:

Select Autopsy/Tissue Restoration*:

Select Dressing*:

Select Witness Laying in Chamber*:

Select Overtime for Viewing*:

If you plan to bring in a family provided urn or any urn or jewelry not purchased from our firm, then there is a charge added for our service in transferring and placing Cremated Remains into your provided item or items (per 10 items). This charge also covers requests to split the Cremated Remains into multiple sections or portions in order to be given to multiple people. Please provide any instruction for us here.

URN FILLING/SPLITTING

Select Filling/Splitting*:

Additional Instructions for Filling/Splitting:

What would you like us to do with the Cremated Remains when they are ready to be returned to the family? If Shipping or Delivery, please provide the address.

RETURNING THE CREMATED REMAINS

Select Hold for Pickup*:

Select Scattering*:

Select Shipping*:

Select Hand Delivery*:

Name & Address for Shipping/Delivery:

VETERAN OPTIONS

Complete Flag App & Retrieve US Flag*:

Recruit Military Honors*:

Coordinate National Cemetery*:

Select Flag Case*:

Upload DD214 (Required for Veteran Options):

CREMATION CASKETS (Optional)

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URNS, JEWELRY & KEEPSAKES (Optional)

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Simple Engraving = Full Name and Dates

Premium Engraving = Custom Text, Photo, etc. as available on the item to be personalized

URN ENGRAVING

Add Urn Engraving*:

ONLINE MEMORIAL PAGE

Type Text for Online Memorial Page:

Upload Word Doc for Online Memorial:

Upload Photo:

CUSTOM MEMORIAL CARDS (Custom 3"X5")

Select Memorial Cards*:

Type Memorial Card Poem:

Add Other Memorial Card Instruction:

Upload Memorial Photos:

Upload Memorial Card Info:

If you select to purchase the Memorial Video option, then you will receive an email link for full access to our online Memorial Video Creator where you and your family can easily add photos and music to make a video tribute that will be cherished for generations to come.

MEMORIAL VIDEO

Select Memorial Video*:

Many families need one or more official certified copies of the death certificate to take care of certain estate, probate, or other business following a death. Certified Death Certificates are ordered and obtained from the local health department. You can have our firm order and obtain official certified copies of the death certificate from the health department for you to pickup at our office or for mailing. You may also order and obtain them directly. NOTE: Certain information you provide here in this online planner will be placed on the Death Certificate. If changes or corrections are requested after the Death Certificate has printed and the corrections required are due to family error, then an additional administrative fee of $75 will be incurred to reorder and reobtain new corrected Death Certificates.

DEATH CERTIFICATES

How many Death Certificates?*:

Instructions for Death Certificates*:

Name & Address for Mailing DCs:

OTHER GOVERNMENT ITEMS

Required WA State Fee*:

WA State Cremation Fee ($10.80)

Select County of Death Fee*:

Would you like to help a less fortunate family by contributing funds to help cover their funeral or cremation expenses?

PAY-IT-FORWARD

Select Amount*:

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My Selections

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SERVICE AREA

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King - Pierce - Kitsap

Thurston - Mason

Lewis - Grays Harbor

Jefferson - Pacific

MCCOMB & WAGNER Cremation Form

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