Ohio Probate Form - Application For Order To Disinter Remains Page 2
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1
2[Reverse of Form 25.0]
CASE NO.______________
10.
The Decedent did not die of a contagious or infectious disease, or if so, a permit
has been issued by the appropriate Board of Health, attached.
11.
Decedent
had
had not executed a written Declaration of Assignment of
Right of Disposition pursuant to R.C. 2108.70 et seq.
______________________________________
_____________________________________
Attorney for Applicant
Applicant
______________________________________
_____________________________________
Typed or Printed Name
Typed or Printed Name
______________________________________
_____________________________________
Address
Address
______________________________________
______________________________________
______________________________________
______________________________________
Telephone Number (include area code)
Telephone Number (include area code)
Attorney Registration No.__________________
Sworn to and subscribed in my presence this __________ day of _______________________________,
____________.
______________________________________
Notary Public
Print Form
FORM 25.0 – APPLICATION FOR ORDER TO DISINTER REMAINS
PAGE 2
Effective Date: March 1, 2014
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