St name: First: MI: Address: City: State: Phone: Email: ZIP: Relationship to decedent: Grandson Great-nephew Granddaughter Great-niece Great-grandson Other: Great-granddaughter Section 3: Method for cremains to be provided Please select the method you want the cremains provided: I will pick-up at the Oregon State Hospital, Salem campus: Staff will call to schedule a pick-up date and time. By proxy: I give permission for the following person to pick up the cremains on my behalf:.
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How to use or fill out the OR OHA 9088 online
The OR OHA 9088 form is essential for requesting cremated remains from the Oregon State Hospital. This guide will provide you with clear, step-by-step instructions on how to fill out this form online, ensuring a smooth and efficient process for you.
Follow the steps to complete your OR OHA 9088 form online.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- In Section 1, provide the details of the deceased individual. Fill in their last name, first name, middle initial (MI), date of birth (if known), and date of death.
- Proceed to Section 2 where you will enter your requestor information. Include your last name, first name, MI, address, city, state, phone number, email, and ZIP code. Additionally, indicate your relationship to the decedent by selecting the appropriate option from the list.
- In Section 3, select your preferred method for receiving the cremated remains. Choose from the options for pick-up at the Oregon State Hospital, by proxy, or by mail. If selecting by proxy, specify the name of the individual authorized to pick up the remains on your behalf.
- Once all sections are completed, certify that the information provided is accurate by printing your name and providing your signature.
- Finally, ensure to save your changes. You can then choose to download or print the completed form. If necessary, share it according to your needs.
Complete your OR OHA 9088 form online today for a seamless experience.
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