7 FAM 250
DISPOSITION OF REMAINS
(CT:CON-804; 04-30-2018)
(Office of Origin: CA/OCS)
7 FAM 251 Summary
(CT:CON-433; 01-18-2013)
a. This subchapter provides guidance about procedures
and documentation required for disposition of human remains. If human remains
or ashes are being transported to the United States, consular officers provide
assistance and documentation set forth in 7 FAM 258
regardless of the nationality of the deceased.
b. The law of the place where the death occurred
governs how quickly disposition of human remains must occur. Local practice
and services regarding burial and cremation govern the options available. When
notifying the family of the death of a U.S. citizen abroad, the three part
notification package includes a carefully worded explanation of the services
available in the host country. This is based on the consular triennial
Disposition of Remains Reports. (See 7 FAM 260). 7 FAM 1828 h provides special guidance regarding
procedures to be followed concerning disposition of remains when a U.S. citizen
is killed in a hostage taking or kidnapping abroad.
c. Authority to Determine Disposition of Remains of a
U.S. Citizen Abroad: A consular officer has no independent authority over the
disposition of the remains of a U.S. citizen who dies abroad. Responsibility
for the disposition of the remains, including all related costs, rests with the
surviving spouse, next-of-kin (NOK), or legal representative of the deceased.
The disposition of remains should be carried out as closely as possible to the
express wishes of the deceased, NOK, or legal representative, and in compliance
with the legal requirements of the country in which death occurred. Only in the
absence of the NOK, legal representative, or other person authorized to dispose
of the remains is a consular officer required to attend to the remains.
d. Provisions in a Will or Advanced Directive Regarding
Disposition of Remains: U.S. state law regarding advance directives, deaths,
and estates include provisions regarding a persons right to direct disposition
of remains. Host country law may or may not accept such directions,
particularly if the surviving spouse/next-of-kin disagree with the wishes of
the testator/affiant. Posts may contact CA/OCS/L (ASK-OCS-L@state.gov) for
guidance regarding U.S. state and host country law on this subject.
e. Disputes between Family Members Regarding
Disposition of Remains: Consular officers cannot act as arbiters of disputes
between family members regarding disposition of the remains of a deceased
relative. It should be made clear to families that if they cannot resolve the
dispute, local laws of the foreign country may require disposition of remains
within a specific time frame due to health requirements. Posts can assist
families by providing them with points of contact in the host country to which
disputed claims regarding disposition of remains may be addressed. Posts
should alert OCS to any dispute about disposition of remains, and CA/OCS/ACS
case officers should brief Division Chiefs. The possibility of disputes
between family members highlights the importance of having the Affidavit of
Surviving Spouse or NOK duly completed and sent to ACS so it is clear who put
in writing that he or she was the NOK and on what basis we so dealt with that
person.
f. Disinterment of Remains Disposed of Abroad and
Shipment to the United States: 7 FAM 260
provides guidance to posts on preparation of the Disposition of Remains Report
concerning host country law and practice. Some countries have laws requiring
disinterment of remains after a specific time, after which the remains will be
cremated or may be shipped to the United States. The provisions in 7 FAM 250
regarding consular mortuary certificates and statements of foreign funeral
directors, or comparable authorities would apply to remains shipped to the
United States after disinterment. Human remains would have to be shipped in a
hermetically sealed container.
7 FAM 252 AUTHORITIES
(CT:CON-414; 07-18-2012)
a. U.S. Laws and Regulations:
(1) 42 CFR 71.55 provides that the remains of a person
who died of a communicable disease listed in 42 CFR 71.32(b) may not be brought
into a U.S. port unless the body is:
(a) Properly embalmed and placed in a hermetically
sealed casket;
(b) Cremated; or
(c) Accompanied by a permit issued by the Director of
the Centers for Disease Control and Prevention (CDC).
(2) Federal quarantine regulations (42 CFR 71) govern,
among other things, the importation of animals, articles, or things that may be
infected with or contaminated by a communicable disease. These regulations,
together with 42 U.S.C. 264 and E.O. 13295 (April 4, 2003), as amended by E.O. 13375 (April 1, 2005), place explicit restrictions on
the importation of the un-cremated remains of humans who are known or suspected
to have died from one of the following quarantinable communicable diseases:
cholera, diphtheria, infectious tuberculosis, plague, smallpox, yellow fever, viral
hemorrhagic fevers, severe acute respiratory syndrome (SARS), and influenza
caused by novel or re-emergent influenza viruses that are causing or have the
potential to cause a pandemic. If the death was suspected to be the result of
one of these diseases, remains must be embalmed and placed in a hermetically
sealed casket or cremated or permission to import the remains must be obtained
from CDC, Division of Global Migration and Quarantine (DGMQ). A permit may be
obtained through CDC/DGMQ by calling 866-694-4867 or the CDC Emergency
Operations Center at 770-488-7100. A hermetically sealed container is one that
is airtight and secured against the escape of microorganisms.
(a) The remains are cleared for entry into the United
States by the CDC Quarantine Officer assigned to the U.S. port of entry where
the remains arrive upon review of necessary documentation. This documentation
includes the death certificate, which has been translated into English and
which states the cause of death, and documentation that the remains have been
shipped in accordance with CDC requirements as described in 42 CFR 71.55.
Copies of the death certificate and CDC permit, if required, should therefore
accompany the remains during shipment. If the foreign death certificate is not
available at the time the remains are returned, the consular mortuary
certificate will include, if applicable, reference to the fact that the
individual died from a quarantinable communicable disease.
(b) In addition, the remains should be interred or cremated
by a facility licensed to perform these services in the United States and in
accordance with local standards. The local mortician handling the remains
following their importation will be subject to the regulations of the State and
local health authorities and may be requested to submit a letter to CDC/DGMQ
certifying the appropriate disposition of the remains according to the terms of
the CDC permit, if required. (See 7 FAM 334).
(3) Federal regulations 42 CFR 71.32(b) also provide
CDC with the authority to restrict the importation of the remains of persons
who died of other, non-quarantinable communicable diseases. In general, U.S.
public health requirements will be satisfied if the remains are shipped in a
leakproof container and accompanied by the death certificate or the consular
mortuary certificate, which must include reference to the fact that the
deceased did not die from a quarantinable communicable disease. A leakproof
container is one that is puncture-resistant and sealed in a manner so as to
contain all contents and prevent leakage of fluids during handling, storage,
transport, or shipping. While additional restrictions are not generally
employed, CDC reserves the right to do so on a case-by-case basis when
necessary to prevent the spread of disease.
(4) If the cause of death is a non-communicable
disease, CDC requires that the remains brought into the United States be
shipped in a leakproof container, unless the remains have been cremated prior
to arrival.
(5) While a leak proof container is the minimum
standard required for admitting human remains into the United States, the use
of a hermetically sealed casket may be recommended or required by airlines, the
local health authorities or consular office for shipping or transportation of
human remains due to environmental or sanitation concerns.
(6) There are no Federal public health restrictions on
the importation of cremated remains.
b. International Agreements and Instruments: There are
a number of international instruments related to the disposition of human
remains. These agreements and arrangements are similar to the U.S. regulations
in that they require proof of the death, proof that the person did not die of a
communicable disease, and appropriate preparation and shipment of the remains.
For countries where these agreements are not in force, the standards set forth
in these agreements have become common practice to combat the spread of
disease.
(1) Council of Europe, Agreement on The Transfer Of
Corpses, Signed at Strasbourg, October 26th, 1973;
(2) Pan American World Health Organization, XVII Pan
American Sanitary Conference, XVIII Regional Committee Meeting, Resolution
XXIX, adopted in Washington, October 7th, 1966, International Transportation Of
Human Remains;
(3) International Arrangements Concerning the
Conveyance of Corpses, Signed at Berlin, February 10, 1937.
c. Guidance from the Centers for Disease Control and
Prevention:
(1) Health Information for International Travel (The
Yellow Book). Chapter 6, Death during Travel;
(2) Interim Health Recommendations for Workers who
Handle Human Remains;
(3) Severe Acute Respiratory Syndrome (SARS): VIII.
Infection Control for Laboratory and Pathology Procedures (SARS);
(4) Interim Guidance for Autopsy and Safe Handling
Human Remains of Monkeypox Patients;
(5) Guidance for Importation of Human Remains into the
United States for Interment or Subsequent Cremation.
d. Occupational Health and Safety Administration
(OSHA): Health and Safety Recommendations for Workers Who Handle Human Remains.
7 FAM 253 RESPONSIBILITY
(CT:CON-153; 01-11-2007)
a. Instructions and funds for the disposition of
remains are the exclusive responsibility of the NOK or legal representative.
The consular officer acts to assist and facilitate the NOKs completion of this
task. There are no official funds for this purpose, and a consular officer who
makes commitments to local mortuaries or funeral homes without authority and
funds from the NOK can be held personally liable for those commitments.
b. When a consular officer is confronted with the need
for quick disposition of the remains and satisfied that instructions and funds
have been committed, the officer may take some preliminary steps to begin the
process pending confirmation from the NOK.
c. Once the post receives notice of deposit of
sufficient funds (either locally or with the Department) and instructions
concerning the disposition of the remains, the consular officer has the
authority and responsibility to see that the NOKs desires, as expressed in the
instructions, are carried out without delay. In following the NOKs
instructions, the consular officer must also comply with all local requirements
and any relevant U.S. regulations as expeditiously as possible. The officer
should seek to minimize the stress on the family and friends of the deceased.
d. While the consular officer is required to obtain
documentary proof of legal entitlement to release the personal effects of a
decedent, no such requirement exists with regard to the disposition of remains.
Generally, when there is a surviving spouse, that person is entitled to make
the determination as to the disposition of remains. If there is no surviving
spouse, the decedents natural children, then the parents, then the siblings
make the decision. If both parents are deceased and are survived by a minor
child, in theory the childs legal guardian would make the decision regarding
disposition of remains on behalf of the child, but this is usually accomplished
through a discussion amongst surviving immediate relatives, provided there is
no will or other instrument dictating disposition of remains. As noted above,
in case of a dispute concerning the disposition of remains between NOK who may
have equal rights, such as divorced parents with joint custody, the consular
officer should urge the parties to seek agreement without delay. Should
agreement be delayed, the parties should be advised that local law will have to
be followed in the disposition of the deceaseds remains.
7 FAM 254 Responsibility for Government
Employees and Seamen
(CT:CON-647; 03-09-2016)
a. Foreign Service Personnel: In the absence of
relatives or other authorized persons or management officers, the consular
officer shall make all necessary arrangements for the disposition of the remains
of deceased Foreign Service employees at overseas posts pursuant to specific
instructions from the Department. Retired Foreign Service officers who die
abroad not on active service for the Department are provided with the same
services as other private citizens.
b. Personnel of Other Federal Agencies: In the absence
of relatives or other authorized persons, such as an administrative officer or
a representative of the concerned agency, the consular officer shall extend aid
and assistance in the disposition of the remains of an employee of another U.S.
Department or Agency who dies abroad. The aid and assistance rendered shall be
according to the instructions received at the Department from the concerned
agency and provided to the post.
c. Seamen: Assistance in the disposition of the
remains of an American seaman who dies abroad must comply with 7 FAM 760.
d. Responsibility for Retired Military Personnel and
Dependents:
(1) Under the FY 95 Defense Authorization Act, the
remains of deceased military retirees and their dependents may be repatriated
on military or military-chartered flights on a space-available basis free of
charge. The Act also authorized the military services to pay expenses incident
to the recovery, care and disposition of the remains of a deceased military
retiree or dependent on a reimbursable basis.
(2) While the enactment of this Act did not change
consular officers responsibilities, coordination with the military services is
now essential when the deceased is a military retiree or dependent. Consular
officers are responsible for providing the NOK accurate information regarding
the costs and practicality of using the military transportation option and
acting as liaison between the NOK and the military offices abroad. In doing so,
the consular officer should be aware of the following:
(a) The military will repatriate only remains which have
been processed through a U.S. military mortuary overseas. These mortuaries can
arrange air shipment to the U.S. port of entry (POE) mortuary, provide
embalming services for a nominal fee and, in some instances, provide cost
estimates for transportation of remains to the mortuary.
(b) The NOK is responsible for all costs involved in
transporting the remains from the place of death to the military mortuary, and
from the POE mortuary (Dover AFB, DE for flights from EUR, AF, NEA and some WHA
posts; and Travis AFB, CA for EAP, SA and some WHA posts) to the final U.S.
destination. It is therefore likely that the military transportation option
will be cost effective only in those few cases where the death takes place near
a military mortuary. The decision to use the option is to be made by the NOK.
(c) The NOK is also responsible for making all
arrangements to have the remains picked up from the POE mortuary and
transported to the final destination. Consular officers should inform NOKs
interested in the military transportation option to contact their local funeral
home for cost estimates and assistance in transit arrangements. Consular
officers should inform NOK that the military will not accept remains for
shipment until confirmation has been received that onward transportation has
been arranged from the POE.
(d) There are several sources in the United States to
which consular officers can refer NOK for verification of retiree status and
general information involving deaths of military retirees and dependents. The
following offices are staffed 24 hours a day:
ARMY: U.S. Army Office of Mortuary Affairs 1-800-325-4988
NAVY/MARINES: U.S. Navy Office of Mortuary Affairs 1-866-787-0081 (Daytime) 1-800-368-3202 (After hours); and
AIR FORCE: U.S. Air Force Office of Mortuary Services
(800) 531-5803
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(e) The consular officer must in every case serve as the
NOKs primary initial point of contact and remain helpful and informed about
the case even though the military provides transportation or other services.
See: DOD Directive 1300.22 Mortuary Affairs
Policy
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7 FAM 255 LOCAL INTERMENT
7 FAM 255.1 Interment On
Instructions From NOK
(CT:CON-153; 01-11-2007)
a. The NOK may instruct the consular officer to have
the remains interred locally. The consular officer should follow as closely as
possible the express instructions of the NOK or legal representative of the
deceased. Whenever possible, the consular officer should insure that the
funeral services are conducted in a manner consistent with the religious
preference of the deceased, if known. The consular officer should also notify
local friends or acquaintances of the deceased in advance about the services
and, where practicable, a member of the consular staff should attend the
services.
b. Immediately thereafter, the principal consular
officer should send a letter describing the services to the person who
instructed that local interment should take place.
c. If requested, and upon receipt of funds to
accomplish it, the consular officer should arrange for a marker to be placed at
the grave site, taking care to arrange for only such marker as is indicated by
the NOK. When a marker is placed over the grave, the family may request a
photograph of the marker and instructions on the location of the cemetery
should they wish to visit the grave in the future. Also, when specifically
requested by the NOK, the consular officer may make arrangements with the
cemetery company for the upkeep of the grave. Complete details of such upkeep
should be provided to the NOK.
NOTE: The consular officer should make clear in a
letter to the NOK that the consular officer cannot be responsible personally
either for the upkeep itself or for the quality of care provided by the
cemetery or other agency. The consular officers role is strictly
facilitative.
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7 FAM 255.2 Interment Without
Instructions From NOK
(CT:CON-433; 01-18-2013)
a. When the NOK or other authorized person cannot be
reached or does not respond within the period of time provided by local law for
the interment or preservation of deceased persons, the consular officer should
seek the assistance of a local American organization, appropriate religious entity,
or charity that might provide funds for burial. Appropriate sources for such
funds might be the local American Society or the American Chamber of Commerce.
Other potential sources of funds might be local charities or welfare agencies.
b. In the absence of the NOK or legal representative or
the necessary funding, the consular officer is authorized to use the cash
resources of the personal estate of the deceased taken into possession by the
consular officer (for example, money found among the personal effects, proceeds
from the sale of the perishable property, funds received through the collection
of debts owed the decedent), and to sell at auction such portion of the
personal estate as may be necessary to pay the funeral expenses of the
deceased. If the deceased had a local bank account, the consular officer might
inquire whether local banking laws would permit local funeral expenses to be
paid directly by the bank to the funeral home.
c. Other sources of funds, although they cannot be
authorized in advance of the interment, are:
(1) Social Security Death Payment (20 CFR
404.390). Upon the death of a person covered/insured under the Social Security
Act as of August 1950, a lump-sum death payment of $255.00 may be payable after
the deceaseds death to a surviving spouse or child in the following order of
priority:
(a) To a surviving spouse if the spouse was living in
the same household as the worker at the time of death;
(b) To a surviving spouse if the spouse was entitled to
or eligible for benefits based on the deceaseds earning record in the month of
death; or
(c) If no spouse survives, to a child (or children) of
the deceased who benefits from the deceaseds earnings record for the month of
death. (See 7 FAM
520).
See How Social Security Can Help You When A
Family Member Dies
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(2) Veterans Burial Expenses VA burial
allowances are partial reimbursements of an eligible Veteran's burial and
funeral costs. When the cause of death is not service related, the
reimbursements are generally described as two payments: (1) a burial and
funeral expenses allowance, and (2) a plot or interment allowance.
(a) Service-Related Death. VA will pay up to
$2,000 toward burial expenses for deaths on or after September 11, 2001. VA
will pay up to $1,500 for deaths prior to September 10, 2001. If the veteran
is buried in a VA national cemetery, some or all of the cost of transporting
the deceased may be reimbursed.
(b) Non-service Related Death. For deaths on or
after October 1, 2011, VA will pay up to $700 toward burial and funeral
expenses (if hospitalized by VA at time of death), or $300 toward burial and
funeral expenses (if not hospitalized by VA at time of death), and a $700
plot-interment allowance (if not buried in a national cemetery). An annual
increase in burial and plot allowances for deaths occurring after October 1, 2011, begins in
fiscal year 2013 based on the Consumer Price Index for the preceding 12-month
period. See Department of Veterans Burial and Plot-Interment Allowances.
d. If the consular officer is unsuccessful in obtaining
private funds from any of these sources or from NOK or friends, there is no
alternative but to accept disposition of the remains by local authorities under
local law or regulations. When this occurs, the consular officer should
determine as promptly as possible the method of disposition and the place of
interment, in order to respond to any subsequent inquiry or request for such
information. This information should be made a part of the case file.
NOTE: If local law requires cremation, the NOK should
be informed of the requirement in advance of the cremation in writing.
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7 FAM 256 CREMATION
(CT:CON-340; 08-19-2010)
In the case of cremation, the consular officer must make
certain that all local laws and regulations are followed. After cremation,
disposition of the ashes must also comply with the instructions from the NOK.
If shipment to the United States is requested, only the health regulations in
the country of cremation must be met. The following documents must accompany
the container of the decedents ashes:
(1) An official death certificate;
(2) A cremation certificate (a document from a
crematory certifying that the deceased was cremated on a specific date);
(3) A certificate from the crematory stating that
the container holds only the cremated remains (cremains) of the deceased; and
NOTE:
Cremations in Thailand and other Buddhist countries
are normally carried out in local temples and certificate # 2 and 3 are not
routinely available. In the absence of certificates from the temple, the
consular section may prepare and sign the certificates stating that we have
been informed by the crematory that the remains were created on xx date and
that the container holds only the cremated remains.
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(4) A permit to export (if required locally).
NOTE:
Federal Express and DHL will not ship cremated
remains. APO (Army Post Office), FPO (Fleet Post Office), DPO (Diplomatic
Post Office), and diplomatic pouch cannot be used for cremated remains (14 FAM Exhibit
723.2). Cremated remains can be shipped as air freight on a commercial
flight with a consular mortuary certificate.
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7 FAM 257 SHIPMENT OF REMAINS TO UNITED
STATES
7 FAM 257.1 Shipment Arrangements
(CT:CON-433; 01-18-2013)
a. Whenever the consular officer is instructed by the
NOK or other authorized person to ship the remains to the United States, it is
the consular officers responsibility to ensure that the remains are
appropriately/properly prepared and encased to meet the requirements of the local
government, as certified by the local funeral director, the air carrier, the
U.S. Federal government, and the U.S. State government for the initial point of
entry into the United States (22 CFR 72.7 Disposition of Remains Consular
Responsibility). Once the remains enter the United States, it is the U.S.
funeral directors responsibility to ensure that the preparation of the remains
meets the requirements for each U.S. State government through which the remains
will travel, up to and including their ultimate destination. However, the
consular officer must inform the U.S. funeral director of this responsibility.
These requirements may involve the method of preservation of the remains, the
type of container, whether and how the container must be sealed, and the
preparation or submission of all required documents. Links to U.S. State
government contacts are available through the U.S. National Funeral Directors
Association Web site. Should you need help determining U.S. State government
requirements, contact ASK-OCS-L@state.gov.
See
U.S. State Funeral Directors Association
U.S. National Funeral Directors Association
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b. As it cannot be assumed that the foreign funeral
home or other establishment caring for the remains will be fully familiar with
the U.S. State or Federal requirements, it is the responsibility of the
consular officer to place the two funeral homes in direct contact with each
other or to obtain those requirements from the U.S. funeral home receiving the
remains and to pass them to the foreign funeral home.
c. A consular officer is not trained in nor charged
with overseeing the physical preparation of the remains for return to the
United States. If, however, the wrong remains are transported to the United
States or the remains arrive improperly prepared or unclothed, the decedents
family will suffer added grief and stress. The consular officer should make
every reasonable effort to ensure that the foreign funeral home understands its
responsibility and observes the appropriate American proprieties and respect
for human remains.
d. Should the post have a choice, it should select a
foreign funeral home known for its skill or past experience to be reputable.
If there is no choice or if the remains are prepared by a funeral home about
which the post knows nothing, the consular officer should inform the family and
the American funeral home of the possibility that the remains will need further
preparation or may not be suitable for viewing.
e. After arrangements have been completed, the post should
notify the consignee by fax or e-mail regarding the date and time of shipment,
the name of the carrier, and the estimated time and place of arrival in the
United States. Fax or e-mail the arrangements information message directly to
the funeral home and to CA/OCS/ACS. CA/OCS/ACS can then make a follow-up call
to the funeral home on the next business day to confirm the arrangements. The
fax or e-mail should also contain the shipment waybill number. This will
enable the post to trace the shipment should the container be misrouted or
lost.
f. Cryogenics: The Department has limited experience
with requests for transporting cryonically prepared remains from overseas to
the United States. The policies listed above regarding the shipment of human
remains apply equally to the shipment of human remains that are cryonically
prepared. In addition, due to the lack of clarity of the U.S. State and
Federal regulations regarding the emerging issue of transportation of
cryonically prepared remains, the following steps must be taken in order to
minimize any delays and/or additional grief to the families:
(1) The consular officer must ensure that the local
funeral director and U.S. funeral director are in communication to guarantee
that the preparation of the remains complies with local, U.S. State, and
Federal requirements.
(2) The consular officer must notify and obtain
written authorization (e-mail will suffice) from the following Federal and U.S.
State agencies regarding the shipment. The authorities listed below will
likely not grant authorization unless they are aware of the type of container
in which the remains will be shipped, and the cause of death.
(a)The DHS Customs and Border Patrol Office at the
initial point of entry into the United States;
(b) The appropriate U.S. State health authority that has
jurisdiction over the initial point of entry; and
(c) If death was due to a communicable disease, the CDC,
Department of Global Migration and Quarantine, Policy/Regulation Office.
(3) If, despite the consular officers best efforts,
the preparation of the remains is not in compliance with the appropriate U.S.
State and/or Federal requirements, a consular mortuary certificate may still be
issued provided the appropriate authorities listed above have been notified and
have given authorization for the shipment.
(4) Should you need assistance contacting the
appropriate Federal or U.S. State authorities, contact your ACS officer in
Washington, D.C.
(5) Should you get a legal question about this
subject, contact us at ASK-OCS-L@state.gov.
NOTE: The Ideology of Cryonic
Preservation:
Currently, scientists have been successful in
cryogenically preserving human cells. Examples include stem cells, sperm,
and fertilized embryos. (Note: Generally, storage of tissue samples at below
freezing temperatures is referred to a cryogenic storage, whereas the same
storage of an entire human body is referred to as cryonic storage). Those
who utilize cryonic storage of an entire human body believe that someday, the
same science that successfully stores small samples of human cells will
advance to the point that an entire human body may be effectively revived
from cryonic storage. Cryonicists further believe that at some point medical
science will be able to reverse any damage done by the cause of the legal
death as well as any ill-effects from the cryonic storage. Therefore, after
being revived, the patient will continue to live a healthy life.
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NOTE: What is involved in
preparing human remains for cryonic storage?
According to the Cryonics Institute in Michigan (one of
the two largest cryonic storage facilities in the United States), cryonic
preservation is the storage of human remains at below freezing temperatures
in order to minimize damage to their organs and tissues. Ideally, the human
body should begin to be cooled just prior to death in order to minimize cell
damage. As soon as possible after death, an anti-clotting drug such as
heparin is administered in order to keep blood from clotting during
shipment. The body is then transported in wet ice. Special care is taken to
avoid freezing as cryonic storage specialists believe that freezing will
damage human tissues. Just prior to being placed in the permanent storage
facility, a licensed funeral director will drain the blood and replace it
with a non-toxic storage substance used to prevent ice formation.
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NOTE: Why are the policies for
the shipment of cryonically preserved remains different from remains prepared
in the more conventional ways?
U.S. State and Federal laws and regulations have not yet
caught up to the relatively new science of cryonic preservation. Therefore,
much of the regulation in this area is murky at best. In order to minimize
any potential delays and additional grief for the families, it is necessary
to obtain authorization from the relevant U.S. State and Federal authorities
on a case-by-case basis. In most instances, these authorities are likely to
be most concerned with the public health issues that can arise from the
transportation of human remains that have not been embalmed. Therefore,
before seeking authorization from the appropriate entities, it will be
helpful to note 1) the type of container in which the remains will be shipped
and 2) whether the cause of death was a communicable disease.
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7 FAM 257.2 Working with Air
Carriers
(CT:CON-340; 08-19-2010)
Air carriers have a variety of special services available
regarding special handling of death cases. This may include applying the
balance of travelers unused airline ticket to cover cargo shipping costs if
the remains are embalmed for return to the United States. Either the ACS
officer or the funeral home should query the airline in this regard.
7 FAM 258 Documents to Accompany
Remains
(CT:CON-255; 05-06-2008)
a. Under the international agreements pertaining to
transport of human remains (see 7 FAM 252 b),
some countries require that human remains are accompanied by a document, a so
called Laissez-Passer for a Corpse, which is issued by the competent local
authorities. This document may only be issued after the local undertaker has
certified that all legal requirements concerning transportation of human
remains have been met. Many European countries continue to issue a
Laissez-Passer for a Corpse, but U.S. practice is for U.S. consular officers
to issue a Consular Mortuary Certificate for remains being transported to the
United States, regardless of the nationality of the deceased. As 7 FAM 259.4
explains, there is no fee for this service for a U.S. citizen, but the Schedule
of Fees does provide for charging a fee for this service regarding the remains
of a non-U.S. citizen.
For example
Belgium Laissez-Passer for a Corpse
Austria Laissez-Passer For A Corpse and shipment of
urns
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b. The following documents should accompany the
remains: U.S. Passports Are Not Issued to Deceased Citizens.
(1) Consular Mortuary Certificate. This document is
designed to control the orderly shipment of the remains and to facilitate U.S.
Customs Clearance. It is similar to the Laissez-Passer for a Corpse provided
for in the Strasbourg agreement.
(a) The certificate indicates how the shipment is
marked, the method of transport to the United States, plus the specific place
and scheduled time of arrival of the remains at the POE. The accompanying documents
should be affixed to the consular mortuary certificate, and must be signed by
the consular officer and impressed with the consular seal.
(b) Should it not be possible to prepare this document
in time to accompany the remains to the United States, notify the Department
(CA/OCS) by phone, fax or e-mail, reporting that the remains of a U.S. citizen
are being shipped without a consular mortuary certificate, along with the name
of the deceased, the carrier, date, time and POE and, if possible, the air shipment
waybill number. This enables the Department to provide telephonic notification
to appropriate U.S. officials for U.S. Customs clearance. This procedure
should only be used in emergencies; it is not an alternative method to relieve
the consular officer of the responsibility of preparing the consular mortuary
certificate and ensuring that all accompanying documents are in order. In rare
cases, the Department may request that the post prepare and submit a Consular
Mortuary Certificate even after the remains have been allowed entry into the
United States by other means.
(c) Consular Mortuary Certificate for Shipment of
Remains of Stillborn Child: Posts should make appropriate adjustments to the
language in a consular mortuary certificate to reflect that the attached
documents accompany the remains of a stillborn child. Under no circumstances
should posts use terms such as medical waste sometimes (See 7 FAM 200
Appendix C) employed by local authorities in other countries.
(2) Certificate of Death. A certificate of death
should accompany the remains to the United States. It should be issued by the
local registrar of deaths or similar local authority. It should identify the
remains by name and give the place, date, and cause of death as certified by
the attending physician or other competent authority, duly authenticated as
required under local law and/or post-specific circumstances such as fraud. If
the local death certificate is not available at the time the remains are being
shipped, a statement from the attending physician should be obtained or civil
records official/coroner should be attached if at all possible.
(3) Affidavit by the Local Funeral Director. Attach
to the consular mortuary certificate an affidavit or sworn declaration of the
funeral director or person responsible for preparing the remains for shipment.
This affidavit must state that the casket contains only the remains of the
deceased and the necessary clothing and/or packing. When necessary to comply
with any State regulations, the affidavit should also contain a statement that
the body has been embalmed or otherwise prepared. If practicable, the affidavit
should be executed before a consular officer. When this is not practicable, it
must be executed before a qualified local official whose signature can be
authenticated by a consular officer.
(4) Transit Permit. In addition to the consular
mortuary certificate, death certificate, and the funeral directors affidavit,
a transit permit may be required to accompany the remains under the laws of the
foreign country. This permit should authorize export of the remains and should
be issued by the health authority at the port of embarkation. The permit
should be dated and state the name, sex, and age of the deceased, and where
available, the cause and date of death. If not required under local law to
export the remains, this document is not required by U.S. Customs.
7 FAM 259 U.S. Entry AND EXIT
Requirements for Remains
7 FAM 259.1 Quarantine Requirements
(CT:CON-414; 07-18-2012)
a. The local certificate of death when attached to the
consular mortuary certificate accompanying the remains will satisfy U.S.
quarantine requirements. The U.S. quarantine regulations provide that the
remains of a person who died from a quarantinable communicable disease, which
include cholera, diphtheria, infectious tuberculosis, plague, smallpox, yellow
fever, viral hemorrhagic fevers, severe acute respiratory syndrome (SARS), and
influenza caused by novel or reemergent influenza viruses that are causing or
have the potential to cause a pandemic, shall not be brought into the U.S. port
unless the remains are properly embalmed and placed in a hermetically sealed
casket, cremated, or accompanied by a permit issues by the CDC Director.
b. Embalming consists of the treatment of a deceased
person with preservatives in order to prevent decomposition. Embalming by
injection with formaldehyde is the most readily acceptable method of
preservation for U.S. Customs and Border Protection clearance purposes. Other
preservation methods may result in a delay of entry into the United States
pending U.S. Customs clearance. A hermetically sealed casket is one that is
airtight and secured against the escape of microorganisms. Documentation that
the casket has been hermetically sealed must accompany the casket, and the
casket must be undamaged on arrival.
c. If the remains are accompanied by a death
certificate stating the cause of death is not a quarantinable communicable
disease, and the remains are shipped in a leakproof container, then embalming
is not required for entry in the United States. If the cause of death was a
quarantinable communicable disease and religious beliefs or other
circumstances, prohibit embalming or cremation, a permit from the CDC may be
required for entry into the United States.
7 FAM 259.2 Customs Requirements
(CT:CON-153; 01-11-2007)
a. Remains transported to the United States are
considered part of the carrier cargo and a record of the shipment should appear
in the carriers manifest. The affidavit of the funeral director which is
attached to the consular mortuary certificate complies with the customs
requirement that the casket and case contain only the remains.
b. If the remains are accompanied by a passenger, the
casket may be entered on that passengers baggage declaration provided the
quarantine requirements have been met. If the remains are not accompanied by a
passenger, a bill of lading must be issued by the carrier to cover the
shipment. The custom house permit for entry into the United States should be
obtained by the carrier at the point of departure.
7 FAM 259.3 Transit Label
(CT:CON-153; 01-11-2007)
A transit label must be affixed to the outer container.
This label should state the date, the name of the deceased, the date of death,
the name of the consignee or escort (and telephone number, if known), any
points of transshipment and a reference to the transit permit authorizing the
export of the remains from the country where the death occurred.
7 FAM 259.4 Fees
(CT:CON-153; 01-11-2007)
a. Remains of U.S. Citizens: No fees are prescribed
for consular services in connection with the disposition of remains except
those specifically noted for transmittal of funds from NOK or legal
representatives.
b. Remains of Non-U.S. Citizens Being Shipped to the
United States: See Schedule of Fees 22 CFR 22.1 for current fees.
7 FAM 259.5 Shipment of Human
Remains from the United States to Foreign Countries
(CT:CON-255; 05-06-2008)
From time to time, CA/OCS receives inquiries about procedures
for shipping human remains from the United States to a foreign country. The
procedures are quite similar to those used to ship remains to the United
States. Inquirers should be directed to the embassy of the foreign country in
the United States. Many foreign embassies in Washington DC have specific
information on their Web sites about this subject. 7 FAM 200 Appendix F
provides further guidance about deaths of foreign nationals in the United
States.
For example:
Embassy of the Netherlands Shipment of Human Remains to The
Netherlands, Netherlands Antilles and Aruba
Consulate General of Jamaica New York Shipment of Human
Remains to Jamaica
Consulate General of Poland New York Transportation of Human
Remains to Poland
Embassy of Zambia Procedures for Authority to Transport Human
Remains to Zambia
Consular Section of the Embassy of Mexico Sanitary Procedures
for the Transfer to Mexico of Human Remains
Consulate General of Brazil Transfer of Human Remains
Embassy of Italy Shipment of Human/Exhumed Remains or Ashes to
Italy
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7 FAM EXHIBIT 257(B)(1)
SAMPLE CONSULAR MORTUARY CERTIFICATE
(CT:CON-153; 01-11-2007)
Consular Mortuary Certificate
Venue.
Name of Country )
Name of province, state )
Name of City )
Name of Consular Post )
I (Name of consular officer), (Title of Consular officer)
of the United States of America in and for the consular district of (City),
(Country), duly commissioned and qualified, hereby certify that the attached
documents are to accompany the remains of (Name of Decedent), citizen of the
United States, who died at (Name of Place) on (Date of Death); that the remains
are to be shipped from (Name of Place) on or about (Date of Shipment); that the
remains are encased in a container to which is affixed a transit permit; and
that the remains are to enter the United States at (City) by (Name of Air
Carrier) on or about (Date of arrival).
The following documents are attached and made part of this
certificate:
(1) Official Death Certificate;
(2) Affidavit of (Name), (Title), (Location)
(3) A copy of the transit permit affixed to the coffin
or container if required under local law.
In witness whereof I have hereunto set my hand and
official seal this (date) day of (month), (year).
Signature of Consular Officer
Typed Name of Consular Officer
Title of consular officer
Seal
7 FAM EXHIBIT 257(b)(3)
SAMPLE AFFIDAVIT BY LOCAL FUNERAL DIRECTOR
(CT:CON-153; 01-11-2007)
Venue
Country
State, Province, etc.
City
Name of Consular Post (Embassy/Consulate)
Before me, (Name of consular officer), (title of consular
officer) of the United States of America in and for the consular district of
(name of consular district) duly commissioned and qualified, appeared in person
(name of affiant) who stated under oath as follows:
My name is (name of affiant). I am the (title, if any) at
(name of mortuary or funeral home) in (city, country). I certify that I
embalmed (or other appropriate preparation) the remains of (name of decedent),
a citizen of the United States of America, who died at (city, country) on (date
of death); that I witnessed the packing of the remains of (name of decedent)
together with the necessary clothing and packing; and the outer container is
marked and addressed to (U.S. funeral home, street address, city, state, United
States of America.)
Signature of Affiant
Typed Name of Affiant
Subscribed and sworn to before me this (date) day of
(month), (year).
Signature of consular officer
Typed name of consular officer
Title of consular officer
Seal