If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This form certifies that there is no reason why a dead person’s body parts can’t be released for cremation.
A medical practitioner must complete the form on behalf of the hospital trust or other authority holding the body parts.