Notification of the transportation of human remains (Unofficial translation)

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(date)

No.

Information

Date of transportation of the deceased person

(year, month and day)

Data of the deceased person being transported

(name, surname))

(date of death: year, month and day)

Data of funeral service provider

3.1

Legal entity

(Company name)

(company code number)

(business address)

(phone, e-mail)

3.2.

Person

(name, surname)

(personal number)

(business address)

(phone, e-mail)

Vehicle to transport the deceased person

(national registration number)

(car brand)

(type / variation /version)

(commercial name)

Purpose of transportation of the deceased person and country of destination

Funeral

(tick appropriate)

Cremation

(Country)

Confirmation that the deceased person was not suffering from a highly contagious communicable disease

I confirm that the deceased person was not suffering from a highly contagious communicable disease

(tick if correct)

Confirmation that there are no restrictions on cremation (to be completed if deceased person is transported for cremation)

I certify that (tick if correct):

the person has not expressed his / her disagreement with the cremation of his / her remains in accordance as referred to in Article 3 (2) Law on the Burial of Human Remains of the Republic of Lithuania;

there is no disagreement between the deceased's close relatives over the cremation of the deceased person as referred to in Article 5 (3) of the Law on the Burial of Human Remains and the cremation company has been informed in writing;

it is unknown and not suspected that the person's death is a criminal offense and is the subject of a pre-trial investigation;

the identity of the deceased person is recognized.

Confirmation of conformity of the vehicle

I certify that the deceased person is being transported in a vehicle that complies with the requirements set out by the Government or its authorized body (tick if correct).

Confirmation that the data provided is correct