Release Authorization Form for Immediate Need

Grant permission for us to take your loved one into our care by completing this required release authorization.

Your Contact Information

Release Authorization

Location Number - Name of Funeral Home

I, the undersigned, hereby authorize and request,

release/transfer the remains of the Decedent to:

Address of Location Deceased:

I acknowledge and agree that this release authorization permits Cremation Society of America to use the services of other funeral home/affiliates or other independent contractors in connection with the transfer of the Decedent from the place of death or Funeral Home. I represent that I have legal authority to give this authorization. I agree to indemnify and hold harmless Cremation Society of America, its affiliates and their agents and employees from any and all liability or claim which may arise as a result of this release authorization.

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