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

How to fill out Form 10.1.01b, box by box
Name of the funeral establishment, the deceased and the date of death
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.
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).




