Pursuant to Minnesota Statute, Section 390.11, Subd. 2b, I hereby execute this affidavit, affirming my loved ones objection to an autopsy on religious grounds.

By completing this affidavit, I am affirming that an autopsy examination is contrary to my loved one’s religious beliefs. I understand that by honoring my loved ones religious right, the manner and cause of death may remain Undetermined. As a result of this religious objection, I understand that the Medical Examiner is not liable in any action for the failure to perform an autopsy. As the legal representative I will assume responsibility for the lawful disposition of the body of the deceased. 

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