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Forms Library
Welcome to our Forms Library. On this page, you'll find the common forms and instructions that will help Cook Family Funeral Home complete the death certificate and other required documents.
The forms we utilize on this page are in the PDF format. We know there are many different types of computers, operating systems, and web browsers. Some folks have older computers with outdated software which may not be able to open and view the forms. Others have newer ones with all the bells and whistles. With this in mind, we have decided to offer two methods with which you can open these forms.

    Method #1
*PDFescape: This is a great choice for all computer users. but is specially suited for older computers. PDFescape frees users from the typical software requirements from having to download and use Adobe Reader. Completely online, PDFescape  is 100% safe and requires no more than a modern internet browser and an active internet connection. After clicking the appropriate form button below (the ones with the PDFescape logo one them), users can fill out the form, print it, save it to their computer, or send it to Cook Family Funeral Home electronically.
   
  Method #2
*Adobe Reader: Adobe Reader is a free, universal publishing tool that works across many different computer platforms. To open a form using this method, click the appropriate form button below (the ones with the Adobe Reader logo one them) if you do not have Adobe Reader installed on your computer, you may download the latest version for free from Adobe by clicking here.
     

 

 

Vital Statistics Worksheet Form

The Vital Statistics Worksheet is used to gather the information needed to complete the death certificate which is filed with the county health department. It is advisable to gather this information well in advance of an impending death. Often surviving adult children cannot immediately or easily find important information such as a social security number, the maiden name of a grandparent, or where the decedent’s military papers are located.

After downloading this form, information can be entered by computer using Adobe Reader and printed, or a blank sheet can be printed and filled out by hand.

Click to open using PDFescape   Click to open using Adobe Reader
OR--->
 

 

Cremation Authorization Facts:

 

The Cremation Authorization gives the funeral service and crematory the permission to perform the cremation. It may be signed by any competent person on his or her own behalf or it may be signed by the legal authorizing agent after the death has occurred. Under the Washington Administrative Code (WAC 308-47-010) “Authorizing agent” means the person(s) legally entitled to control the disposition of the human remains. The authorizing agent is the competent adult highest on the following list:

 

  1. 1).   The decedent through a pre-need cremation authorization (RCW* 68.50.160);
  2. 2).   The surviving spouse of the decedent;
  3. 3).   The surviving adult children of the decedent;
  4. 4).   The surviving parents of the decedent;
  5. 5).   The surviving adult siblings of the decedent;
  6. 6).   The surviving adult grandchildren of the decedent;
  7. 7).   The surviving adult nephews or nieces of the decedent;
  8. 8).   A next closest adult relative of the decedent;
  9. 9).   A person acting as a representative of the decedent under the signed authorization of the decedent; or
  10. 10). In the absence of any of the above, by order of District Court.

 

RCW* 68.50.160 states, “A person has the right to control the disposition of his or her own remains without the predeath or post death consent of another person. A valid written document expressing the decedent’s wishes regarding the place or method of disposition of his or her remains, signed by the decedent in the presence of a witness, is sufficient legal authorization for the procedures to be accomplished. Prearrangements that are prepaid, or filed with a licensed funeral establishment or cemetery authority………are not subject to cancellation or substantial revision by survivors.”

 

RCW 68.50.180 further states that if a funeral establishment or cemetery has made a good faith effort to locate the responsible next of kin, and they cannot be found, ” the cemetery authority or funeral
establishment shall have the right to rely on an authority to cremate executed by the most responsible party available, and the cemetery authority or funeral establishment shall not be criminally or civilly liable for cremating the remains.”

Read RCW 68.50.180 here(Opens in New Window)

 

An individual may sign his or her own authorization, or a surviving spouse may sign for the decedent, When there are multiple surviving members of any of the above classes (3-7),
it is generally required that all surviving members of that class sign the cremation
authorization, Fax copies are acceptable.

 


 

Use The Following Cremation Authorization Form When The Deceased Has Not Pre-signed A Cremation Authorization Prior To Death:

To Be Completed By The Closest Next of Kin - ( See the order of authorizing signatures under "Facts" above)

The following Cremation Authorization Form is used when the decedent did not authorize the cremation pursuant to RWC 68.50.160.

There are three places on the form that require a signature(s):

  1. Authorization to Cremate
  2. Acknowledgement that the remains of the decedent do or do not contain implants such as pacemakers, radioactive devices, or mechanical devices, and permission to remove dangerous devices prior to cremation.
  3. Acknowledgement that the authorizing agent(s) understand how cremation is performed.

This form can be filled out on the computer or printed and filled out by hand. We will need the ORIGINAL SIGNATURE(S).  Please make a copy for records and provide the original to our office.

Click to open using PDFescape    Click to open using Adobe Reader 
OR--->   
 

 

Use The Following Cremation Authorization Form When You Are Wanting To Sign YOUR OWN Cremation Authorization:

An individual may sign his or her own Cremation Authorization by law. You may use this form when preplanning your own final arrangements. 

This form can be filled out on the computer or printed and filled out by hand. We will need the ORIGINAL SIGNATURE.  Please make a copy for your records and provide the original to our office.

Click to open using PDFescape    Click to open using Adobe Reader 
  OR---> 
 

 

Obituary Information form:

This form will help you to create a memorial/obituary for your loved one. The information provided on this form will help Cook Family Funeral Home complete the obituary that will be used on our website as well as in local newspapers. 

Click to open using PDFescape    Click to open using Adobe Reader 
OR---> 
 

 


 

Release of Human Remains Authorization Form:

This form authorizes the release of the human remains and any personal property of the deceased to Cook Family Funeral Home and/or its agents.

Click to open using PDFescape    Click to open using Adobe Reader 
OR---> 
 

 


 

Embalming Authorization Form:

Authorizes Cook Family Funeral Home and/or its agents permission to embalm, and or disinfect, and or preserve for burial and or other disposition of the deceased body.

Click to open using PDFescape    Click to open using Adobe Reader 
OR---> 
 

 


 

Death Certificate Ordering Form:

Kitsap, King, Snohomish, Jefferson, and Pierce County Health Districts offer certified copies of deaths. Click on link below to view the order form and instructions Click on link below to view the order form and instructions.

PLEASE NOTE: Kitsap County Health District no longer accepts personal checks as payment.

 

BY MAIL:

FOR KITSAP PUBLIC HEALTH DISTRICT DEATH CERTIFICATE APPLICATION FORM

 

ONLINE:

KITSAP PUBLIC HEALTH DISTRICT WEBSITE

KING COUNTY PUBLIC HEALTH WEBSITE

SNOHOMISH HEALTH DISTRIC'S VITAL RECORDS WEBSITE

JEFFERSON COUNTY PUBLIC HEALTH WEBSITE

PIERCE COUNTY PUBLIC HEALTH WEBSITE

 


 

Veterans Benefits - Headstones, Markers and Medallions:

In Aug 2014, the VA Form 40-0247, Claim for Standard Government Headstones and Markers was revised to ensure compliance by including the necessary certification statements. To better serve the families of our deceased Veterans and their dependents, VA requests applicants submit the VA Form 40-0247 dated Aug 2014 for headstone and marker benefits.

 

CLICK HERE FOR FORM 40-0247

CLICK HERE TO VIEW THE VA BENEFITS WEBSITE

 

 

 

 

For more information, please call (206)-842-2642 or (360) 779-7872.





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