Please include a copy of this form with original signature, the services form, death certificate copy and cremains.
AUTHORIZATION TO SCATTER CREMATED REMAINS
I certify, warrant and represent that I have the full legal right and
authority to control the transportation and final disposition of the
cremated remains of Deceased and that the identity of said remains is
as stated below.
I hereby authorize Gottafly LLC d.b.a. Sunset Scatterings (“Sunset
Scatterings”) to scatter the cremains from an aircraft at an altitude and
location deemed both safe and in compliance with all applicable laws
and regulations known to govern such
action.
I understand that while Sunset Scatterings will make every effort to meet
a requested time and/or location for an Observed Scattering, the exact
date, time and location may be subject to change due to weather, laws,
regulations or mechanical difficulties. Any additional fees paid will be
refunded if the Observed Scattering cannot be rescheduled.
I also understand that air quality and lighting conditions at the location
and time of an Observed Scattering may not permit the cremains to be
observed by persons on the ground. The pilot will have no way to know
this from above, and will carry out the scattering as requested.
I agree to hold harmless and indemnify Sunset Scatterings, it's
principals, employees, agents and affiliates, successors and/or assigns,
from any and all loss, claims, demands, damages, liability or
causes of action (including attorney's fee and expenses of litigation) in
connection with the aerial scattering of cremated remains described
and authorized herein.
I agree neither Sunset Scatterings nor your funeral home/crematorium is
responsible for any loss or damage to cremated remains of Deceased
that may occur during the transport of said cremated remains to Sunset
Scatterings.
I understand and agree that the scattering of the cremated remains of
Deceased is a final and irrevocable act and that once complete the
cremated remains will not be recoverable.
______________________________________________________ ___________
Your Name (print) Signature Date
Address: ______________________________________________________________________
City: __________________________________ State: _____ Zip _______
Phone:_______________________________
email:________________________________
Deceased Name:______________________________________________________
Birth Year _____________ Death Year _____________
Your Relationship to the Deceased:____________________________________
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