DECLARATION OF DISPOSITION OF LAST REMAINS
I, (name of declarant), being of sound mind and lawful age, hereby revoke all prior declarations concerning the disposition of my last remains and those provisions concerning disposition of my last remains found in a will, codicil, or power of attorney, and I declare and direct that after my death the following provisions be taken:
_______ Buried. I direct that my body be buried at __________.
_______ Cremated. I direct that my cremated remains be disposed of as follows:
___________________________________________________________________ _
________________________________________________.
_______ Entombed. I direct that my body be entombed at ____.
_______ Naturally reduced. I direct that my reduced remains be given final disposition as follows:
___________________________________________________________________ _
________________________________________________.
_______ Other. I direct that my body be disposed of as follows:
___________________________________________________________________ _
________________________________________________.
_______ Disposed of as (name of designee) shall decide in writing. If ________________________ is unwilling or unable to act, I nominate ________________________ as my alternate designee.
_______ I request ____________________________ (name of designee) make all arrangements for any ceremonies, consistent with my directions set forth in this declaration. If ________________________ is unwilling or unable to act, I nominate ______________________ as my alternate designee.
_______ Funeral. I request the following arrangements for my funeral:
___________________________________________________________________ _
________________________________________________.
_______ Memorial Service. I request the following arrangements for my memorial service:
___________________________________________________________________ _
________________________________________________.
___________________________________________________________________ _ ________________________________________________.
I may revoke or amend this declaration in writing at any time. I agree that a third party who receives a copy of this declaration may act according to it. Revocation of this declaration is not effective as to a third party until the third party learns of my revocation. My estate shall indemnify any third party for costs incurred as a result of claims that arise against the third party because of good-faith reliance on this declaration.
I execute this declaration as my free and voluntary act, on ________________________, _____.
___________________________
(Declarant)
THE FOLLOWING SECTION REGARDING ORGAN AND TISSUE DONATION IS OPTIONAL. To make a donation, initial the option you select and sign below.
In the hope that I might help others, I hereby make an anatomical gift, to be effective upon my death, of:
___________________________________________________________________ _
___________________________________________________
Donor signature: __________________________________________
Notarization optional:
STATE OF COLORADO | ) | |
) | ss. | |
COUNTY OF _______________ | ) |
Acknowledged before me by __________, Declarant, on __________, ___.
My commission expires: ______________
[seal]
___________________________
Notary Public
C.R.S. § 15-19-107
Section 31(2) of chapter 123 (SB 21-006), Session Laws of Colorado 2021, provides that the act changing this section applies to final dispositions of human remains or human fetuses made on or after September 7, 2021.