McComb & Wagner Terramation Planner (At-Need)

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TERRAMATION AUTHORIZATION FORM

McCOMB & WAGNER

Terramation Planner

(At-Need)

Goods, Services & 3rd-Party Items

NOTICE: Only an Authorizing Agent according to RCW 68.50.160 may authorize any services such as viewing, cremation, etc. And only an Authorizing Agent can direct the disposition of the cremated remains.

Order of Authorizing Agent with Right to Control Disposition of Remains per RCW 68.50.160:

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.

CLICK HERE to receive the GPL. PLEASE NOTE: The prices found in this online form are the prices for the goods and services you select and there are no hidden charges on our GPL that are not disclosed here online. For example, in your review of the GPL, you will find an itemized charge for transport. However, the charge for transport is included in all of our complete packages and is not listed as an intemized cost. 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.

GENERAL PRICE LIST

Acknowledgment*:

I have received the General Price List

Choose your family's preferred or most convenient location in Kent or Shelton. Your loved one will be transported to the selected location for sheltering until we are able to obtain a permit for the Terramation. A viewing can take place at either location if you so choose.

CHOOSE PREFERRED LOCATION

Select Mortuary*:

INCLUDES: 24/7 Removal & Transport from an Institutional Facility within our service area; Refrigeration/Sheltering; Online Arrangements, Notify Social Security; Coordinate with Coroner, Doctor, and Health Department to ensure timely certification and permit; Terramation Process (<300lbs); Secure Veteran’s Burial Flag; Recruit Veteran's Military Honors; No Sales Tax

CHOOSE PACKAGE

Select Package*:

Terramation Package ($4,995.00)

Our primary Service Area includes 9 counties with no additional mileage charges: King, Pierce, Snohomish, Skagit, Thurston, Lewis, Mason, Grays Harbor, and Kitsap.

The Doctor, Coroner, or Medical Examiner's certification of the cause of death for the Death Certificate is required to obtain a permit from the Health Dept. for Terramation. The timing of that certification is out of our control and without certification for permit we are unable to proceed with the Terramation.

ADDITIONAL OPTIONS

Select Removal County Mileage*:

Select Removal Type*:

Select Weight*:

Take Fingerprint for Jewelry*:

Take Locket of Hair*:

Select Witnessing/Laying in Chamber*:

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 or Kent facility during the week M-F before 5pm. Overtime is anytime after 5pm or on the weekends. Some families prefer to upgrade to Embalming preparation for viewing even though it is not required for an ID viewing. However, Terramation is not possible if the body has been embalmed so it is not an option in this particular planner. If you choose "No Viewing" then you acknowledge that no one will need to view the decedent prior to the Terramation. 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.

PREPARATION FOR VIEWING

Select Preparation For Viewing*:

Select Autopsy/Tissue Restoration*:

Select Dressing*:

Select Overtime for Viewing*:

What would you like us to do with the Soil?

INSTRUCTIONS FOR TERRAMATED REMAINS

Select Hold for Pickup*:

Select Delivery*:

Deliver to Name:

Delivery Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

KEEPSAKES & JEWELRY

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ONLINE OBITUARY

Add Text for Online Memorial Page:

Upload Photo:

MEMORIAL CARDS (Custom 3X5)

Select Memorial Cards*:

Upload Memorial Photos:

Add Memorial Card Poem, Etc.:

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

Select Order & Obtain Death Certificate*:

How many Death Certificates?*:

Instructions for Death Certificates*:

Mail DCs to Name:

Mail DCs to Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

OTHER GOVERNMENT ITEMS

Required State Fee*:

WA State Fee ($8.00)

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?

DONATION AMOUNT

Select Donation Amount*:

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SERVICE AREA

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King - Pierce - Kitsap

Thurston - Mason

Lewis - Grays Harbor

Jefferson - Pacific

McComb & Wagner Terramation Planner (At-Need)

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