AGENCY: Davis County (Utah). Health Department. Administration Division

SERIES: 11067
TITLE: Burial-transit permit application
DATES: undated.
ARRANGEMENT: None

DESCRIPTION: This application is used to obtain a permit to allow the removal of burial remains in accordance with UCA_ 26-2-17(3)_(1995). It includes death certificate number, deceased's name, birth date, birth place, death date, place of death, name of next of kin or other person authorizing disposition, disposition (burial, cremation, or other), funeral home, address, license number, name of person issuing permit, date issued, registrar's signature, how body was disposed (burial, cremated, other), date permit issued, cemetery name, place, county, state, and signature of person in charge.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is proposed and has not yet been approved.

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then destroy.

APPRAISAL

PRIMARY DESIGNATION

Public

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