Application For Order To Disinter Remains Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application For Order To Disinter Remains Form. This is a Ohio form and can be use in Hamilton County (Court Of Common Pleas).
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Tags: Application For Order To Disinter Remains, 612.00, Ohio County (Court Of Common Pleas), Hamilton
PROBATE COURT OF HAMILTON COUNTY, OHIO
JAMES CISSELL, JUDGE
DISINTERMENT OF
, DECEASED
CASE NO.
APPLICATION FOR ORDER TO DISINTER REMAINS
[R.C. 517.24]
Applicant says that the decedent died on
, and
is buried in
Cemetery, Hamilton County, Ohio.
Applicant says that (s)he is eighteen years of age or older and of sound mind,
and did [ ] or did not [ ] assume financial responsibility for the funeral of the
decedent. The relationship of Applicant to the decedent is
Applicant says that disinterment would not be against the religious beliefs of the
decedent.
Applicant asks to reinter remains in
Cemetery.
Applicant [ ] has secured [ ] will secure a permit [R.C. 517.23(B)] from the
Board of Health (or other authorized agency) which shall state whether the decedent
died of a contagious or infectious disease and whether disinterment is permissible.
Check whichever of the following are applicable:
[ ] To applicant's knowledge, decedent did not leave a Will.
[ ] Decedent's Will has been admitted to probate in this Court.
Attached is a list of the surviving spouse, next of kin, legatees and devisees known
to the applicant, which list includes those persons entitled to notice of the application for
disinterment.
Attorney for Applicant
Applicant
Typed or Printed Name
Typed or Printed Name
Address
Address
(
(
)
Phone Number (include area code)
Sworn to and subscribed in my presence this
)
Phone Number (include area code)
day of
.
Notary Public
H.C. FORM 612.00 - APPLICATION FOR ORDER TO DISINTER REMAINS
02/10/03
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