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The need to be buried, facing the east is largely a religious belief. It is believed by many Christians that when Christ returns his face will be seen in the rising sun, and all will be brought forth from their grave and reunited with their soul and reside with the Lord in unity for eternity.
This belief is one reason that many criminals that were executed in prison are buried facing the north as they will forever be condemned to hell or have no soul.
Personally It makes no sense to me to want a can of ashes and say that is the remains of a person in my family. Except for being legal, I feel like it is abuse of a corpse.
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I'm very sorry to read this, Lilly. Horrible, and yes I'm not surprised it makes you feel ill.

Your sister wants the NH to take care of it... H'mm. Now there's an idea.

The NH, being on hand, need to have clear instructions from the resident and his/her family about what to do when the time comes. Try this. Take the form that your father has been unable to sign to the NH administration team, and explain that these are his wishes, and request that they process the information as they think best. They may continue to try to catch him at a good moment and get his signature. They may file the form and regard it as advisory only. But meanwhile, they must have something in your father's records about what to do in the event of his passing - do you know what it is? If that box hasn't yet been completed, your father's unsigned form could become the default option.

So, in brief: hand over to NH. The reason you shouldn't attempt to get the form signed yourself is that if you do, your sister will claim that you forged the initial or the signature or co-erced your father inappropriately, and she will feel entirely justified in ignoring it altogether. It will be counterproductive.

If your sister said these cruel, cold things at the peak of a blazing row with you then she may reflect and reconsider in her own time. If not, and the row only arose because of her plans, she will still find it difficult to interfere with instructions that the NH have already begun to act on.

But either way, this battle is not worth your having. I am not an atheist, and I feel as indignant as you must about your father's wishes being treated with such contempt. But STILL it is not worth the fight. Funerals are for the living, not the dead. Your father will neither know nor care what takes place. All you will have to do is be there to pay your own respects, and afterwards you can choose to tell your sister what you think of her or not, as you see fit. What happens to your father's body after his passing is the very least important aspect of caring for him. Save all your energy for comforting and supporting him now, while he's able to benefit.
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To clarify, your father is alive, but has a court ordered guardian? I am guessing that means he is not competent to make decisions?

Is the guardian also a beneficiary to the estate? Or is the guardian a public trustee? If the guardian is a beneficiary of the estate then her choice to ignore his wishes could be called into question if it is just a matter of money.

How do the other siblings feel about this? Did you father discuss his wishes with others who could back you up?

Does your dad have a cemetery plot? If he is cremated who will have the cremains? Perhaps if you cannot have your father's wishes acknowledged, you can take care of his cremains?

Personally I do not understand the desire to be buried, it is not how 'we do things' in my family, but if this is important to you, you may have to adapt to a reality you cannot easily change.
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Thanks for your responses. I contacted the court and was advised by the auditor who reviews the estate's invoices NOT to contact them regarding such issues, as it's considered "exparte communication" and that I should hire my own attorney. I thought her reply was rude. The motive for the guardian not to honor our father's wishes is for personal gain, as she's one of the beneficiaries.
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What would the guardian's motive be for "saving money" on funeral costs? Does the guardian stand to inherit?

Definitely contact the court.
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Contact the court that appointed her guardian and ask how to intervene.
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