Identification Acknowledgement

"Atlantic Cremation Society made a difficult time much easier for our family. Their compassionate approach and transparent pricing were exactly what we needed."

- Sarah, Baltimore

"The team at Atlantic Cremation Society provided us with the support and guidance we needed. Their empathetic service was a comfort during our time of grief."

- Mark, Salisbury

"Choosing Atlantic Cremation Society was the best decision we made. Their affordable services and understanding staff helped us honor our loved one with dignity."

- Emily, Baltimore

Name of Decedent*

Email*

Date of Birth

Date of Death

Case ID#

Loe# - Name of Funeral Home

Method of Identification Confirmation

At the request of the undersigned Authorized Representative, confirmation of the Decedent's identity shall be accomplished:

Using a recent (within last 6 months) photograph- attach if provided By identifiable markings such as scars, birthmarks, tattoos, etc. By Visual Identification Other

By identifiable markings such as scars, birthmarks, tattoos, etc. (describe):

By Visual Identification - Name of Person Confirming Visual Identification

By Visual Identification - Relationship to Decedent

By signing below, I confirm that ample time was provided to confirm proper identification prior to my signing and that there is no doubt or question about this identification.

By Visual Identification - Signature of Person Confirming Visual Identification

By Visual Identification - Date

Other (describe):

If identity is confirmed through (i) visual identification by the Authorized Representative or the person selected by the Authorized Representative, or (ii) using incorrect or inacc1u·ate information provided by the Authorized Representative or his/her designee, the undersigned agrees to assume all liability for any incorrect identification and agrees to indemnify, defend and hold harmless the funeral home, its officers, agents, and employees, from any and all claims, damages, liabilities and costs (including reasonable attorney's fees) which may arise if the identification is inaccurate.

Printed Name of Authorized Representative

Relationship to Decedent

Signature of Authorized Representative

Clear Signature

Date

Address

City

State/Province

Zip/Postal Code

TO BE COMPLETED BY FUNERAL HOME REPRESENTATIVE

By signing below, I confirm I witnessed the identification of the Decedent was performed and confirmed using the method selected above by the Authorized Representative.

Printed Name of Funeral Home Representative

Signature of Funeral Home Representative

Clear Signature

Date

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Atlantic Cremation Society is a cremation service provider that offers compassionate and affordable cremation services based in Middleton, serving clients across Baltimore, Salisbury, Annapolis, Frederick, Rockville, and Silver Spring.