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Authority For Release Form
Permission To Cremate Form 1
Death Registration Application Form
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Gallery: The Gentle Way – Water Cremation
Service Areas
Water Cremation
For Pets
Home
Authority For Release Form
Permission To Cremate Form 1
Death Registration Application Form
Blog
Gallery: The Gentle Way – Water Cremation
Service Areas
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
DECEASED Date of Birth
DECEASED Gender
*
Select
Male
Female
Indeterminate
DECEASED Last Residential Address
authorised Signing Director
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
