35 Pa. Stat. § 1122
Before such permit shall be granted, every person applying therefor shall deposit and file in the office of such board or department of health or local health authorities a certificate signed in ink by the physician attending during the last illness of such deceased person (or the certificate of the coroner), and the undertaker and proprietor or person in charge of such crematory, furnace or place, setting forth the decedent's name, age, sex, birthplace, color, last residence by ward, street and number, if such residence was in a city, otherwise, as nearly as may be, the time of residence therein, the place of last previous residence, the cause, place and time of death, the place, date and hour of the intended cremation or incineration and, when practicable, the names of the father and mother of deceased.
35 P.S. § 1122