What is required for cremation if the cause of death cannot be determined?

The requirement for cremation when the cause of death cannot be determined is that the medical examiner must provide written authorization. This is especially important in cases where the cause is not clear, as it ensures that the death is properly investigated and documented. The involvement of a medical examiner helps maintain public health and safety, as well as legal standards. By obtaining this authorization, it allows for an official determination that the cremation can proceed without any concerns regarding the circumstances of the death.

In the context of the other options, embalming is not a prerequisite for cremation and some situations might specifically exempt the need for embalming altogether. A second opinion from another physician is generally not required by law for cremation, though it may be sought in certain circumstances for other reasons. Family approval for cremation is often a moral or ethical consideration, but it does not supersede the legal requirements when there are questions surrounding the cause of death. Therefore, the medical examiner’s written authorization plays a crucial foundational role in the process when the cause is undetermined.