How to Fill Out Form 10.1.01b

Form 10.1.01b at a glance

What it is: Texas Funeral Service Commission Form 10.1.01b, AUTHORIZATION TO EMBALM AT FUNERAL ESTABLISHMENT OR OTHER LOCATION.

Who signs: Signature of next-of-kin or Person Responsible for making arrangements for final disposition, with the Date Signed.

A filled-in Form 10.1.01b example: a daughter signs the written authorization

Form 10.1.01b example filled out, example: a daughter signs the written authorization
Maria Sample signs the authorization to embalm her father. Her signature gives written permission, so the oral, no authorization and refusal boxes stay empty. The picture shows the whole page, and every value in it is made up.

How to fill out Form 10.1.01b, box by box

Name of the funeral establishment, the deceased and the date of death

Form 10.1.01b example filled out, name of the funeral establishment, the deceased and the date of death

Enter the Name of Licensed Funeral Establishment, the Name of Deceased and the Date of Death.

Signature of next-of-kin or Person Responsible for making arrangements

Form 10.1.01b example filled out, signature of next-of-kin or Person Responsible for making arrangements

The undersigned, understanding that embalming is not required by law except in certain special cases, authorizes the funeral establishment to care for, embalm, and prepare the body of the deceased.

Signature of next-of-kin or Person Responsible for making arrangements for final disposition, with the Date Signed.

The undersigned acknowledges that this authorization encompasses permission to embalm at the funeral establishment or at another facility equipped for embalming, including a school or college of mortuary science.

Mortuary Students may only participate in embalming if permission is in writing and in the possession of the Licensed Embalmer at the time of the procedure.

The funeral establishment accepts the responsibility of revealing, upon request, to the next-of-kin or person responsible for making final disposition arrangements, the name, address, and license number of the facility where embalming occurred and the name and license number of the embalmer and any provisional licensee or mortuary student who assisted under the embalmer's direct supervision.

If Authorization for embalming is oral

Form 10.1.01b example filled out, if Authorization for embalming is oral

If Authorization for embalming is oral, complete the following: Authorization to embalm received from, Relationship to Deceased, Time (a.m. or p.m.), Date and Received by.

Location of embalming disclosure was discussed with next-of-kin or person responsible for making arrangements.

If no authorization can be obtained

Form 10.1.01b example filled out, if no authorization can be obtained

If no authorization can be obtained, complete the following: enter the Name of Establishment, which has made a reasonable effort over a period of at least three hours to obtain authorization to embalm the deceased.

I take full responsibility for performing embalming without permission. Enter the Times contact with family attempted, and the Signature and License # of Embalmer.

The undersigned refuses to give permission to embalm

Form 10.1.01b example filled out, the undersigned refuses to give permission to embalm

The undersigned, who represents the deceased, hereby declares that having the legal authority to do so, refuses to give permission to embalm the deceased individual. Sign and enter the Date.

Sources

[1] Form 10.1.01b, Authorization to Embalm at Funeral Establishment or Other Location, Texas Funeral Service Commission (the Official source link on this page).

Authorization Funeral Form PDF Details

The Authorization Funeral Form governs the legal consent process for embalming a deceased person's remains in Texas. Under Texas Funeral Service Commission regulations, the person with legal authority to authorize embalming is typically the next-of-kin: a surviving spouse, adult child, parent, or adult sibling. When no next-of-kin is available, a court-appointed representative or the individual named in a pre-need funeral contract may assume that responsibility and sign on behalf of the decedent's family.

The authorization covers both the decision to embalm and the choice of facility. Funeral establishments must disclose the name of the licensed embalmer and the location where embalming will occur. When a commercial embalming establishment or mortuary school is involved, the document records whether students are participating under licensed supervision. Families are entitled to know these details because the deceased's remains are in their legal care until disposition is complete. Fees for embalming and all related services must be disclosed to the family before any work begins, consistent with Federal Trade Commission funeral industry regulations.

Texas law does not require embalming in all circumstances, and the form acknowledges this explicitly. Families retain the right to decline embalming and choose an alternative method of final disposition, including cremation or direct burial. Those who select cremation will also need a separate Authorization Cremation Form before the funeral home can proceed.

The form is also relevant when remains must be transported. When a body is transported via common carrier across state or international borders, many carriers require evidence that embalming has been performed. In those cases, the authorization serves as part of the documentation trail alongside the death certificate and burial permit. Funeral directors retain this document as part of the deceased's permanent case record, which may be reviewed by the Texas Funeral Service Commission during compliance audits.

Beyond embalming authorization, funeral planning often involves several companion documents. The Assignment to Funeral Home transfers responsibility for the remains to a specific establishment. The Funeral Contract records agreed-upon services and costs. The Embalming Case Report documents the procedure once it is completed. Together, these records protect the rights of the family and establish an auditable paper trail that funeral professionals in Texas are required to maintain upon completion of each case.

QuestionAnswer
Form NameAuthorization Funeral Form
Form Length1 page
Fillable?Yes
Fillable fields17
Avg. time to fill out15 sec
Other namesembalm funeral establishment, tfsc form online, texas funeral service commission forms, texas funeral service commission form