Connecticut Disposition of Remains and Appointment of Agent

Connecticut Estate Planning & Wills Updated October 25, 2026 Free Word and PDF

DISPOSITION OF REMAINS AND APPOINTMENT OF AGENT

Before you use this: Name an agent and, if desired, an alternate. State your disposition directions or write “No specific directions” so the agent may decide. Sign this document in the presence of two witnesses, who should then sign below. Give copies to the agent, alternate, and the person likely to arrange your funeral.

I, [YOUR FULL LEGAL NAME], of [YOUR ADDRESS], being of sound mind, make known that upon my death my body shall be disposed of in the following manner:

Disposition directions: [DESCRIBE DESIRED DISPOSITION OR WRITE “NO SPECIFIC DIRECTIONS”]

I appoint [AGENT'S FULL NAME], whose address is [AGENT'S ADDRESS] and whose telephone number is [AGENT'S PHONE NUMBER], to have custody and control of my body and to act as my agent to carry out the disposition directions expressed in this document. In the absence of disposition directions, my agent shall have custody and control of my body and shall determine its disposition.

If my agent declines to act or cannot be located within forty-eight hours after my death or the discovery of my body, I appoint [ALTERNATE'S FULL NAME], whose address is [ALTERNATE'S ADDRESS] and whose telephone number is [ALTERNATE'S PHONE NUMBER], to act in the agent's place.

Executed at [CITY OR TOWN], Connecticut, on [__/__/____].

Your signature: [________________________________]

Witnesses

The person named above signed this document in our presence and, at the time of signing, appeared to be of sound mind and over eighteen years old.

Witness 1 name: [________________________________]

Witness 1 address: [________________________________]

Witness 1 signature: [________________________________] Date: [__/__/____]

Witness 2 name: [________________________________]

Witness 2 address: [________________________________]

Witness 2 signature: [________________________________] Date: [__/__/____]

Source

Conn. Gen. Stat. § 45a-318 supplies the optional model form and execution rule.

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About this template

Last updated
October 25, 2026
Citations checked
October 25, 2026
Jurisdiction
Connecticut
Category
Estate Planning & Wills

Legal authority

  • Conn. Gen. Stat. § 45a-318(a)(1), (d), (f)-(h)

Estate planning documents decide what happens to your property, your children, and your medical care when you cannot make those decisions yourself. Wills, trusts, powers of attorney, and health care directives each serve different purposes and each have to meet state law requirements for signing, witnessing, and notarization. A document that looks fine on the page but was not executed correctly can be rejected in probate, which is exactly when it is too late to fix.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on October 25, 2026.

Conn. Gen. Stat. § 45a-318(a)(1) (checked October 25, 2026): "Any person eighteen years of age or older, and of sound mind, may execute in advance of such person's death a written document, subscribed by such person and attested by two witnesses"

Conn. Gen. Stat. § 45a-318(d) (checked October 25, 2026): "In the absence of a written designation of an individual pursuant to subsection (a) of this section, or in the event that an individual and any alternate designated pursuant to subsection (a) of this section decline to act or cannot be located within forty-eight hours after the time of death or the discovery of the body"

Conn. Gen. Stat. § 45a-318(f) (checked October 25, 2026): "A document executed by a person for the purposes of subsection (a) or (h) of this section shall revoke any document previously executed by such person for the purposes of said subsections or any prior cremation authorization or other authorization for the disposition of remains executed by such person."

Conn. Gen. Stat. § 45a-318(g) (checked October 25, 2026): "A document executed by a person for the purposes of subsection (a) of this section may be in substantially the following form, but the use of such form shall not preclude the use of any other form: DISPOSITION OF REMAINS AND APPOINTMENT OF AGENT"

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