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Authority For Release Form
Permission To Cremate Form 1
Death Registration Application Form
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Water Cremation
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Gallery: The Gentle Way – Water Cremation
For Pets
Home
Authority For Release Form
Permission To Cremate Form 1
Death Registration Application Form
Service Areas
Water Cremation
Blog
Gallery: The Gentle Way – Water Cremation
For Pets
AUTHORITY TO RELEASE
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To: The Director of Medical Services Of (Hospital)
*
I AM THE
Personal Representative
Senior available Next Of Kin and the person responsible for making funeral arrangements
NAME of person authorised to arrange the funeral.
*
DECEASED Full Legal Name
the NAME Authorise
DECEASED Date of Birth
DECEASED Gender
*
Select
Male
Female
Indeterminate
DECEASED Last Residential Address
Authorise THE GENTLE WAY to take possession of the body of the deceased, for the purpose of conducting funeral arrangements.
*Please note that this includes funeral transfer companies selected by The Gentle Way to bring a deceased persons into our care.
Name of Person Signing
Date
Signature
Clear Signature
Submit
