FTC Disclosure / Disclaimer Form FTC Disclosure / Disclaimer Form PhoneThis field is for validation purposes and should be left unchanged.The Federal Trade Commission's Funeral Industry Practices Rule requires certain disclosures and prohibits misrepresentations. This disclosure / Disclaimer Form is a checklist we ask those we serve to read and sign. We who made the arrangements for the funeral and final disposition of the remains ofName of the Deceased(Required)do hereby attest to the following: I/We were given a General Price List effective on August 1st, 2025 prior to discussing prices, services or merchandise. 1/ We were shown a Casket Price List effective on August 1st, 2025 prior to viewing or discussing prices of caskets. I/We were shown an Outer Burial Price List effective August 1st 2025 prior to viewing or discussing prices of outer burial containers. I/We were not told that embalming is required by law and were told that the law does not require embalming except in certain special cases. If it was provided, it was done with my/our permission. I/ We were not told that the law requires embalming for direct cremation, immediate burial, a funeral using a sealed casket or if refrigeration is available and the funeral is without viewing or visitation and with a closed casket. I/We were not told that any law requires a casket for direct cremation or that a casket other than an unfinished wood box is required for direct cremation or for direct disposition. I/We were told that the state law does not require the purchase of an outer burial container of any type or any of the funeral goods or services. I / We selected except as set forth on the statement of funeral goods and services selected. No claims were made to me/us as to the merchandise or other offerings of this funeral firm (embalming, casket, outer burial container) that embalming or the use of any merchandise available from this funeral firm would delay the decomposition of the remains for a long term or indefinite time, or would protect the body from grave side substances. No representations or warranties were made to us regarding caskets or outer burial containers. The only warranties, expressed or implied, granted in connection with goods and services sold with the funeral service we arranged were the expressed written warranties, if any, extended by the manufacturer thereof. No other warranties, including implied warranties of merchantability or fitness for a particular purpose were extended to us. I/ We were not told that the amount of each of the cash advance items was the cost to the funeral firm. We were told the cost may be different based on volume or cash discounts or other professional/ trade customs. Done on:(Required) MM slash DD slash YYYY Person Making Final ArrangementName(Required)Email(Required)