New York State Cremation Authorization Form
Click on the graphic on the left to download the file.
This form will be used to complete death certificate. All required items are identified with an asterisk. If you do not have the complete information, please type unknown in the field and we will get the information at a later time.
Deceased's Address
Education
Occupation
Type of Industry
Military
Spouse's Name
Informant's Information
Your Information
Address
Signature*
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