Colorado Declaration Of Disposition Of Last Remains

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Colorado Declaration of Disposition of Last Remains
I, ______________________________, being of sound mind and lawful age, hereby revoke all
prior declarations concerning the disposition of my last remains and those provisions concerning
disposition of my last remains found in a will, codicil, or power of attorney, and I declare and
direct that after my death the following provisions be taken:
1. If permitted by law, my body shall be (initial ONE choice):
____ Buried. I direct that my body be buried at ______________________________________.
____ Cremated. I direct that my cremated remains [the ashes] be disposed of as follows:
______________________________________________________________________
____ Entombed. I direct that my body be entombed at ________________________________.
____ Other. I direct that my body be disposed of as follows: ___________________________
______________________________________________________________________
____ Disposed of as _____________________________ [name of designee] shall decide in
writing. If he or she is unwilling or unable to act, I nominate _____________________________
as my alternate designee.
2. I request that the following ceremonial arrangements be made (initial desired choice or
choices):
____ I request ______________________________ [name of designee] make all
arrangements for any ceremonies, consistent with my directions set forth in this declaration. If
he or she is unwilling or unable to act, I nominate ______________________________ as my
alternate designee.
____ Funeral [a ceremony with the body present]. I request the following arrangements for my
funeral: _____________________________________________________________________
______________________________________________________________________
____ Memorial Service [a ceremony without the body]. I request the following arrangements for
my memorial service: __________________________________________________________
______________________________________________________________________
3. Special instructions. In addition to the instructions above, I request (on the following lines you
may make special requests regarding ceremonies or lack of ceremonies):
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

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