BODY RELEASE AUTHORIZATION

This document authorizes the release of the body of the deceased to the authorized person or organization listed below.

Full Name

Place of Death

Date of Death

ID / Reference No

Full Name

Address

Relationship / Organization

Contact No

ID Proof No

I, the undersigned, hereby authorize the release of the body of the above-named deceased to the authorized person or organization stated above.

I understand that the receiving party assumes full responsibility for the body upon release.

Signature of Authorized Person

Sign Here

Name

Received By (Name & Signature)

Sign Here

Name

Received By (Name & Signature)

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