Dd Form 2063 - Record Of Preparation And Disposition Of Remains Page 2
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210b. INTERMENT EXPENSES
(1) AMOUNT PAID
(2) PAYEE
(3) DATE OF PAYMENT (YYYYMMDD)
(4) VOUCHER NUMBER
(5) CHECK NUMBER
11. IF OVERSIZED CASKET IS USED, INDICATE REASON(S)
12. PREPARING EMBALMER
a. REMARKS
d. STATE
b. TYPED NAME
b. SIGNATURE
c. LICENSE NUMBER
13. CONTRACTOR CERTIFICATION
I certify that the supplies and services furnished meet the terms and specifications of the contract, and the remains and supplies should
be in a satisfactory condition at final destination.
a. TYPED NAME
b. ADDRESS
c. SIGNATURE
d. DATE SIGNED
14. INSPECTION DATA (Remains, Casket and Shipping Container)
YES
NO
N/A
a. REMAINS (To be completed before remains are clothed)
(1) Remains bathed to present a clean appearance
(2) Face shaven; moustache, if any, and hairs protruding from nose and ears trimmed
(3) Facial features and hands arranged to present a natural appearance
(4) Fingernails clean and trimmed
(5) Abrasions, wounds and incisions sealed to prevent drainage and leakage
(Embalmer Initial
)
(6) Remains adequately preserved and disinfected
(Embalmer Initial
)
b. REMAINS (To be completed during clothing and after casketing remains)
(1) Identification tags with remains
(2) Cosmetics applied to present a natural appearance of hands and face
(3) Eyelashes, eyebrows and hair free of cosmetics
(4) Hair styled (for female personnel)
(5) Restorative work appears natural
(6) Proper underclothing placed on remains
(7) Entire uniform clean, pressed and satisfactory in appearance and fit
(8) Epaulet ends under collar, tie in place, buttons and belt properly fastened and decorations correctly placed
(9) Remains present an appearance of repose in casket
(10) Clearance between head and end of casket adequate
(11) Non-viewable remains properly wrapped and secured in position
(12) Uniform placed over non-viewable wrapped remains
c. CASKET
(1) Casket meets specifications
(2) Interior and exterior of casket are clean and unmarred
(3) Casket properly closed and/or sealed
d. SHIPPING CONTAINER
15. DATE SHIPPED TO CONSIGNEE
16. DEPARTMENT REPRESENTATIVE
(YYYYMMDD)
a. I certify that the remains were inspected after embalming and/or reprocessing; and
b. after remains were clothed and placed in the casket.
c. REMARKS
d. TYPED NAME
e. GRADE
f. SIGNATURE
g. DATE SIGNED
h. INSTALLATION
DD FORM 2063 (BACK), MAR 2011
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