Exhbit 3 Permit of Transit or Cremation.pdf

This document is a Permit for Transit or Cremation form issued by the State of Nebraska's Department of Health and Human Services Vital Records division. The blank form provides a standardized template for documenting and authorizing the transportation or cremation of deceased individuals, in compliance with Section 71-605 of the Revised Revised Statutes (R.R.S.) of Nebraska. The form requires detailed information about the deceased, including name, date and place of death, sex, age, date of birth, and the funeral directing establishment handling the disposition.

The form is designed to be completed by authorized personnel, including the county attorney or designated representative who examines the death certificate and authorizes cremation or transit of remains. It includes sections for recording the type of disposition (transit or cremation), the place of disposition, and signature lines for the crematory representative and funeral director to confirm completion of the process. The document specifies distribution of copies, with the original to be retained by the crematory and a copy provided to the County Attorney for cremation, and the original accompanying the body with a copy retained by the Funeral Director for transit cases.