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Autopsy Authorization

As codicil and amendment to my will, dated __________________, and witnessed by ____________, ______________, and ______________, I, ________________ declare the following:

Should the cause of my death be in question, my executor shall permit a physician to perform an autopsy in accordance with the laws and regulations of the state of _____.

Date: _____________.

___________________________

Signature

___________________________

Witnessed

___________________________

Witnessed

__________________________

Witnessed