Register to Save your File
Rogue Valley Cremation Service
2040 Milligan Way #201, Medford, Oregon 97504
View Pricing Sheet
Death Certificate Information
Line of Authority
Read FTC Disclosures
Purchaser received a printed General Price List prior to discussing or upon beginning discussion of, the prices of funeral goods or funeral services, the overall type of funeral disposition, or the specific funeral goods or funeral services offered by the funeral home.
You were able to view and print a price list prior to choosing the services. This is to assure that no pressure was applied to have you choose a specific option.
Purchaser was advised that State law does not require embalming except in certain special cases. If embalming was provided for a fee, it was done with purchaser's approval or the permission of someone authorized to give approval. Purchaser was not told that embalming is required for direct cremation, immediate burial, or a closed casket funeral without viewing or visitation when refrigeration is available and when state or local law does not require embalming.
This is about embalming, which is a service that we don't provide. It is to assure that no one talked you into an embalming service.
A prepaid benefits contract for the deceased, if provided, was applicable to the funeral or cremation service provided.
Some people purchase prepaid funeral contracts. If you had one, and provided the details to us, this says we abided by it.
Applicable Only to Merchandise: Purchaser was advised that the only warranties, expressed or implied, extended in connection with any funeral goods sold with the funeral service were the express written warranties, if any, extended by the manufacturers thereof. No express warranties, and no warranties of merchantability or fitness for a particular purpose, were extended by the funeral home to purchaser with respect to those funeral goods.
This says that we didn't make any promises about the Urn for fitness of use. Only the manufacturer provides a warranty for the Urn.
Valuables placed with the deceased: Purchaser was told that anything of sentimental or monetary value placed on the body would receive special care, but that the funeral home or mortuary accepts no responsibility for such items.
This applies to burial (even though we only offer cremations, we still have to have it on the form). It says that if there were any watches or anything of sentimental or monetary value with the deceased, that we accept no responsibility for them.
I agree to indemnify and hold the Crematory harmless from any and all claims or damages, including damage to the retort(s) or injuries suffered by the Crematory’s employees, which arise from my failure to timely notify the Crematory of any mechanical or radioactive implants in the body of the Decedent.
This applies to pace makers or other electronic devices. It says that if you did not inform us of a pacemaker or other device, that damages can result at the crematory, and you may be held responsible.
Items such as personal mementos, jewelry, dental gold and silver, prostheses and other foreign materials placed in the cremation chamber with the Decedent will either be destroyed or rendered unrecognizable. If any such items are recovered from the cremation chamber I authorize the Crematory to dispose of them.
This applies to jewelry or personal items that may be with the deceased. It says that the crematory can dispose of them.
The Cremation Process. I acknowledge the following: The human body burns with the container, or other material in the cremation chamber. Some bone fragments are not combustible at the incineration temperature and, as a result, remain in the cremation chamber. During the cremation, the contents of the chamber may be moved to facilitate incineration. The chamber is composed of ceramic or other material which disintegrates slightly during each cremation and the product of that disintegration is commingled with the cremated remains. Nearly all of the contents of the cremation chamber, consisting of the cremated remains, disintegrated chamber material, and small amounts of residue from previous cremations, are removed together and crushed, pulverized, or ground to facilitate interment or scattering. Some residue remains in the cracks and uneven places of the chamber. Periodically, the accumulation of this residue is removed and interred in a dedicated cemetery property, or scattered at sea.
This applies to the cremation process itself. Periodically the cremation chamber is cleaned and some small amount of ashes may remain. These are disposed of at a cemetary or scattered at sea.
Time of Cremation. The cremation will take place after all required permits are obtained, this completed and signed Authorization is received by the Crematory, and after any scheduled funeral ceremony at which the decedent’s body is to be present has been concluded. The Crematory will perform the cremation according to its schedule (unless a specific date and time is requested), and at it’s discretion, without obtaining any further authorizations or instructions, unless the right of the person signing this document to authorize the cremation is contested by someone. In that event the Crematory may delay the cremation while it determines whether and how to proceed. The normal cremation process may take a minimum of 8 working days to a possible 18 days.
This applies to the cremation process. The crematory will cremate based on their schedule without obtaining any further authorizations other than those provided in the forms. This process can take from 8 to 18 working days.
Casket or Urn provided by family: Purchaser understands if they provided alternative container for burial or cremation, the mortuary is relieved of any liability in the event such container is found not to be of adequate strength or structural quality for intended use.
If you provided your own urn, this relieves us of any liability if it is not strong enough or does not hold up to shipping.
I authorize the Crematory to release the cremated remains back to the Funeral Home to take the action I’ve indicated with respect to the cremated remains. For your convenience, we offer a minimum fiberboard urn to hold the cremated remains.
This tells the crematory that they can return the cremated remains to us and we will be responsible for following your instructions for shipping the remains to you, or scattering or burial if you have asked us to do so.
I understand that if the remains are not picked up within twenty (20) days after the cremation, the Funeral Home may deliver the remains to a licensed cemetery for final disposition in a manner which may make the remains non-recoverable.
This says that if you don't make arrangements for us to ship the cremated remains or pick them up, that after 20 days, we may properly dispose of them at a cemetary or by scattering.
Remains will be mailed via U.S. Postal Service, registered with return receipt requested. I understand that the Funeral Home is acting solely as my agent in mailing the remains, and I agree that the Funeral Home shall not be liable if the remains are lost or damaged while in the custody of the U.S. Postal Service.
This authorizes us to ship the cremated remains to you via US Postal service and that we are not held liable if they do not deliver them.
I understand that the Funeral Home is acting solely as my agent as an accommodation to me in arranging for the scattering of the remains. I agree that the Funeral Home shall not be liable for any failure to properly scatter the remains.
If you requested us to scatter the remains for you, this authorizes us to do so and says we are not held liable if someone feels it was not properly done.
Obligation of Crematory; Limitation on Damages. The obligation of the Crematory shall be limited to the cremation of the Decedent and the disposition of the cremated remains as directed herein. I agree to release and hold the Crematory, its affiliated companies and their employees and agents harmless from any and all loss, damages, liability or causes of action (including attorneys’ fees and costs of litigation) in connection with the cremation and disposition of the cremated remains as authorized herein, or the failure to properly identify the Decedent or to take possession of or make arrangements for the permanent disposition of the cremated remains. No warranties, express or implied, are made by the Crematory and damages shall be limited to the refund of the fee paid for the cremation.
This says you are authorizing the crematory to cremate the remains. You hold them harmless if a mistake is made and that any damage charges are limited to the amount they were paid for this service.
Estimated costs: Certain charges may be estimated and if the difference between such estimates and such actual charges is less than $ 10.00, no refund to you or billing us for the difference will be made.
This says that we have provided an estimated cost and if there is a difference of $10 either owed to us or to you, that we will call it good without extra billing for the difference.
By clicking submit, you agree that you have read and understand the disclosures listed above.
Itemization of goods and services
View Pricing Sheet
Plan For Cremation Remains
First Certificate ($25.00): 1
Basic Plastic Urn
Total Summary: $20.00