In Ohio, a cremation can only happen after we have written permission from the legal next-of-kin and a cremation permit from the county where the death occurred. Obtaining a cremation permit requires that a death certificate be prepared by a cremation (or funeral) provider, completed and signed by the treating physician (or the coroner), and that the death certificate has been certified by the local Health Department. This process can often take five or more business days (and can also vary greatly depending on individual circumstances).