Request a Charter

Authorization of Service

I hereby authorize Florida Keys Burial At Sea LLC to take possession of and make arrangements for the dispersal of the cremated remains of:

The obligation of Florida Keys Burial At Sea LLC shall be limited to the dispersal of the cremated remains as directed herein. I agree to release and hold harmless Florida Keys Burial At Sea LLC, its affiliates and their agents, employees, successors and assigns, from any and all loss, damage, liability or causes of action (including attorney’s fee and expense of litigation) in connection with the dispersal of the cremated remains of the deceased as authorized herein or respect to the identification of said cremated remains as being those of the deceased.

In accordance with and subject to the terms and conditions set forth in this authorization; Rules and Regulations; and applicable federal, state, or local laws and regulations, I certify that I have the full legal right and authority to authorize the dispersal of the cremated remains of the deceased.

I agree to reserve a day for scattering of cremated ashes.

I hereby authorize Florida Keys Burial At Sea LLC to make dispersal of cremated remains of the deceased, with our family present. I hereby direct Florida Keys Burial At Sea LLC to scatter said cremated remains at sea in accordance with State and Federal Law.