Going Home Cremation Services - General Release

    1120 S Pinellas Bayway, Tlerre Verde Florida 33715 Ph 941-320-1179 Fax: 727-934-1529

    CALL US AT 941-320-1179 TO PICK UP.

    Release of Deceased to Going Home Cremations.

    Name of Deceased 

    Location of deceased  (funeral home)

    Address 

    I,  give permission to the above Facility to allow a representative

    Of Going Home Cremation Services to remove and transport the above decease to another facility

    I am related to the deceased as 

    Printed name of signee 

    Signature 

     date 

    Signature 

     date