Going Home Cremation Services

    1120 S Pinellas Bayway

    Tierre Verde, FL 33716

    Ph. 941 320-1179   Fax 727-934-1529

    Authorization to Release Body
    District 12 Sarasota/Manatee counties

    (Print: Next of Kin Name)



    (Name of Decease)

    Hereby authorize the

    District 12 Medical Examiner’s office To Release the Body to

    (Funeral Home/Cremation Service)

    (Signature of Next of Kin)