Release Authorization to Simply Cremation of Colorado Springs

Authorization for Release to Simply Cremation of Colorado Springs
I hereby authorize:*
Name of Institution or Person who is to release the decease
To release the body and personal effects of:
Name of the deceased*

First NameLast Name
TO Simply Cremation:
I/we hereby represent that I am (we are) of the same and nearest degree of relationship to the deceased and/or are legally authorized or charged with the responsibilty for such cremation and/or other dispostion.
Your Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Signature*

Clear
Email
example@example.com
Should be Empty:

Authorization for Release to Simply Cremation of Colorado Springs