Or. Rev. Stat. § 97.130
(2) A person within the first applicable listed class among the following listed classes that is available at the time of death, in the absence of actual notice of a contrary direction by the decedent as described under subsection (1) of this section or actual notice of opposition by completion of a written instrument by a member of the same class or a member of a prior class, may direct any lawful manner of disposition of a decedent’s remains by completion of a written instrument:
(3)
(b) Delegation of the authority to direct the manner of disposition of remains must be made by completion of:
(4)
(8) The signature of the individual delegating the authority to direct the manner of disposition is required for the completion of the written instrument required in subsection (3)(b)(A) of this section. The following form or a form substantially similar shall be used by all individuals:
APPOINTMENT OF PERSON
TO MAKE DECISIONS
CONCERNING DISPOSITION
OF REMAINS
I, __________________, appoint __________________, whose address is _______________ and whose telephone number is (___) _________, as the person to make all decisions regarding the disposition of my remains upon my death for my burial, cremation or alternative disposition. In the event ____________ is unable to act, I appoint ____________, whose address is __________________ and whose telephone number is (___) _________, as my alternate person to make all decisions regarding the disposition of my remains upon my death for my burial, cremation or alternative disposition.
It is my intent that this Appointment of Person to Make Decisions Concerning Disposition of Remains act as and be accepted as the written authorization presently required by ORS 97.130 (or its corresponding future provisions) or any other provision of Oregon Law, authorizing me to name a person to have authority to dispose of my remains.
DATED this ___ day of ______, _____.
(Signature)
NOTARY OR WITNESSES
(Have this document notarized by a notary public OR have 2 competent adult witnesses complete the Declaration of Witnesses.)
NOTARIAL CERTIFICATE:
State of ____________
County of ____________
Signed or attested before me on _____,
2___, by _______________.
Notary Public - State of Oregon
OR
DECLARATION OF WITNESSES
We declare that ____________ is personally known to us, that he/she signed this Appointment of Person to Make Decisions Concerning Disposition of Remains in our presence, that he/she appeared to be of sound mind and not acting under duress, fraud or undue influence, and that neither of us is the person so appointed by this document.
Witnessed By:
_______________ Date: _____
Witnessed By:
_______________ Date: _____
[Amended by 1969 c.175 §10; 1969 c.591 §279; 1973 c.823 §97; 1995 c.717 §10; 1997 c.472 §1; 1999 c.201 §5; 2007 c.373 §1; 2007 c.681 §24; 2011 c.154 §1; 2011 c.164 §1; 2019 c.83 §1; 2019 c.384 §12a; 2021 c.296 §§2,3; 2023 c.11 §1]