AUTHORIZATION FOR RELEASE OF REMAINS
Representative
First Name
Last Name
Decedent
First Name
Last Name
Location of Decedent
Relationship to Decedent
Spouse
Next-of-Kin (Closest Living Relative)
Personal Representative of the Next-of Kin with written authorization of Next-of-Kin to act on his or her behalf.
Other:
If other, describe
Date
-
Month
-
Day
Year
Date
Signature
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