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ALKALINE HYDROLYSIS AUTHORIZATION
In compliance with Minnesota Regulation 149A.941, sub. 12.
Metro First Call Alkaline Hydrolysis
12600 Creek View Ave., Savage, MN 55378
Minnesota Department of Health
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How to fill out alkaline hydrolysis authorization
How to fill out alkaline hydrolysis authorization
01
To fill out the alkaline hydrolysis authorization form, follow these steps:
02
Obtain the alkaline hydrolysis authorization form from the appropriate governing authority or funeral home.
03
Read the form carefully and familiarize yourself with the information required.
04
Provide your personal details such as name, address, and contact information.
05
Indicate your relationship to the deceased individual.
06
Provide information about the deceased, including their name, date of birth, and date of death.
07
Specify your authorization for the alkaline hydrolysis procedure by checking the appropriate box or providing a written statement.
08
Sign and date the form.
09
Submit the completed form to the appropriate governing authority or funeral home.
Who needs alkaline hydrolysis authorization?
01
Individuals who wish to proceed with alkaline hydrolysis as an alternative form of disposition for their deceased loved ones need alkaline hydrolysis authorization.
02
Funeral homes and crematories also require alkaline hydrolysis authorization from the authorized family members or legal representatives of the deceased.
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What is alkaline hydrolysis authorization?
Alkaline hydrolysis authorization is a legal document allowing the use of alkaline hydrolysis for the disposal of human remains.
Who is required to file alkaline hydrolysis authorization?
Funeral homes and crematories are required to file alkaline hydrolysis authorization.
How to fill out alkaline hydrolysis authorization?
Alkaline hydrolysis authorization can be filled out by providing the necessary information about the deceased and the facility performing the process.
What is the purpose of alkaline hydrolysis authorization?
The purpose of alkaline hydrolysis authorization is to ensure that the disposal of human remains through alkaline hydrolysis is carried out in compliance with regulations.
What information must be reported on alkaline hydrolysis authorization?
Information such as the name of the deceased, date of death, facility details, and authorization signatures must be reported on alkaline hydrolysis authorization.
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