Riptide Charters

Circle of Remembrance - Ashes  Scattering Service
Authorization for the Scattering of Cremated Remains at Sea

I authorize Riptide Sportfishing to take possession of  the cremated remains of__________________________________________________________________ ("Deceased")  (Full name of Deceased)

I certify that I have the full legal right and authority to authorize the disposition of the remains of the Deceased and authorize Riptide Sportfishing to dispose of these cremated remains. I understand that the cremated remains of the Deceased will be scattered on the Pacific Ocean and I understand that once the scattering is completed, the ashes are not recoverable.

I agree to hold harmless Riptide Sportfishing, its owners and its employees from any legal action, court costs, attorneys fees, or other expenses in connection with the identity of the cremated remains as being those of the Deceased.

I agree to permit Riptide Sportfishing to make an appropriate judgment on the exact time and date of the scattering based upon Riptide Sportfishing’s expertise with regard to weather conditions that may interfere with scattering on a date specified or preferred by myself or other family members.

Date Authorized:  _________________________ , Date of Scattering:________________________

Name of Person Authorized to Dispose of Ashes:  _________________________________
                                                                                                 (Print)
Relationship to Deceased:  ____________________________________________________

Signature of Person Authorized to Dispose of Ashes:  _______________________________

            Street Address:  _____________________________________________________

            City, State, Zip Code:  ________________________________________________

            Telephone Number(s):  _______________________________________________

            Email address:  _____________________________________

Check the one that applies:

q       The cremated remains of the Deceased are being shipped to Riptide Sportfishing via United States Postal Service, registered mail, return receipt requested. This is in accordance with USPS regulations 462.2 and 463b.

q       The cremated remains of the Deceased are being brought directly to Riptide Sportfishing on the agreed upon date of scattering by me or my designee. If designee, please note here that person’s full name:   _______________________________.

Riptide Sportfishing

Circle of Remembrance Ashes  Scattering Service
Shipping Instructions

for the Scattering of Cremated Remains at Sea

Shipping Instructions:

1.      Pack container of ashes in proper container.
Refer to your funeral home or crematory for appropriate packing material.

2. Enclose your payment in the form of check or money order.
3. Enclose the above signed authorization form.
4. Enclose the burial permit authorizing disposition of the remains and/or certified copy of the death certificate.
5. Ship only via U.S. Postal Service, registered mail, return receipt requested.
6. Next to the mailing address, indicate the contents of the package on the outside of the box:  “Cremated Human Ashes.”
7. Shipping Address: 
   Riptide Sportfishing; P.O. Box 370537 ; Montara CA 94037