Notification of the transportation of human remains (Unofficial translation)
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(date)
No. | Information | |||||
1. | Date of transportation of the deceased person | (year, month and day) | ||||
2. | Data of the deceased person being transported | (date of death: year, month and day) | ||||
3. | 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) | ||||
4. | Vehicle to transport the deceased person | (national registration number) (car brand) (type / variation /version) (commercial name) | ||||
5. | Purpose of transportation of the deceased person and country of destination | Cremation (Country) | ||||
6. | 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 | ||||
7. | Confirmation that there are no restrictions on cremation (to be completed if deceased person is transported for cremation) | I certify that (tick if correct): | ||||
8. | Confirmation of conformity of the vehicle | |||||
9. | Confirmation that the data provided is correct |
(position of the chief executive or authorized representative)
(name, surname))
(signature)
(date)