(a)  The designation provided for in section 5-33.3-3 may be in substantially the following form:

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Terms Used In Rhode Island General Laws 5-33.3-4

  • Funeral planning agent: means a person who is at least eighteen (18) years of age; who has been duly and lawfully designated, and who has accepted the designation, to act for the principal; and who has authority and responsibility to make all arrangements, regarding funeral preparation, planning, the nature of the funeral goods and services to be provided, the manner in which funeral services are to be conducted, burial, and/or the disposition of the principal's remains, including cremation, upon the death of the principal. See Rhode Island General Laws 5-33.3-2
  • Principal: means the person designating another individual or individuals to serve as his or her funeral planning agent upon the person's death. See Rhode Island General Laws 5-33.3-2

I, (PRINCIPAL), do hereby name and designate (PRIMARY AGENT) as my primary funeral planning agent, or if he/she is unwilling or incapable (ALTERNATE AGENT) as my alternate funeral planning agent, who shall have the sole responsibility and authority to make any and all arrangements and decisions regarding my funeral preparation and planning, burial or disposition of my remains, including cremation, upon my death, pursuant to the provisions of §?5-33.2-24. By signing this document, the aforementioned agent(s) agree to ensure payment for all outstanding expenses related to my funeral. The agent further certifies that if I am a non-relative to the agent, then I am the only non-relative for whom the agent is serving as a funeral planning agent. This document shall revoke and shall make null and void any and all previous designations of a funeral planning agent.

Witness: _________________________________________ ? Principal: _________________________________________
 _________________________________________
(Name and address of Witness) Name and address of Principal:
_________________________________________ ?  _________________________________________
Dated: _______________________________________ Dated: _________________________________________
Primary Agent: _______________________________________ Alternate Agent: _________________________________________
Name and Address of Primary Name and Address of Alternate
Agent Agent
 _________________________________________
Dated: _______________________________________ Dated: _________________________________________
State of _______________________________________ County of _________________________________________
Subscribed and sworn to before me this _____________________ day of _________________________________________
 _________________________________________
_______________________________________ (Notary Public)

(b)  Upon the proper and complete execution of a funeral planning agent designation form, a signed notarized original thereof shall be given to the principal executing the form, the primary funeral planning agent, and the alternate funeral planning agent, if any.

(c)  The principal is encouraged to review in detail his or her specific wishes regarding the nature of the funeral goods and services to be provided, the manner in which funeral services are to be conducted, and/or the disposition of his or her remains with their funeral planning agent(s).

(d)  This chapter shall not be construed to prohibit the participation of other individuals in the funeral planning process as well as the funeral itself. No individuals shall be required to designate a funeral planning agent under the provisions of this chapter.

History of Section.
P.L. 1999, ch. 196, § 2.