Authorization to Accept or Decline Embalming

Embalming is the addition to, or the replacement of, body fluids by chemical preservatives or the application of chemical preservatives for the temporary preservation of the body.
I understand that embalming is not required by law.
I understand that for storage or embalming purposes the decedent may be transported to the following location:
The undersigned hereby represents that he/she has the legal right to control disposition of the remains of the decedent.
The above statement regarding embalming and storage was read and/or provided to

Funeral Establishment Office Only
This section is to be completed by the funeral establishment representative who is executing this authorization to accept or decline embalming. I declare under penalty of perjury that the foregoing is true and correct.