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AFTERLIFE FUNERALS PERMISSION TO TRANSFER DECEASED .pdf


Original filename: AFTERLIFE FUNERALS PERMISSION TO TRANSFER DECEASED.pdf
Title: PERMISSION TO TRANSFER
Author: YANSCO

This PDF 1.5 document has been generated by RAD PDF / RAD PDF 2.32.6.0 - http://www.radpdf.com, and has been sent on pdf-archive.com on 07/03/2016 at 04:33, from IP address 61.28.x.x. The current document download page has been viewed 1046 times.
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PERMISSION TO TRANSFER DECEASED
I, the undersigned, hereby give permission to Afterlife Funerals to transfer into their care the late:
___________________________________________________________________________________
DOB: ____/____/______

DOD: ____/____/_____

Last Known Address:__________________________________________________________________
From:

Hospital

Nursing Home

Glebe Coroners

I understand that either Afterlife Funerals staff or their associated transfer company will collect the
deceased body when available and/or all paperwork has been completed as required.
Paperwork required by Afterlife Funerals
Coroner’s Burial Order to Dispose
Coroner’s Cremation Permit
Non-Infectious Letter
Medical Certificate of Cause of Death
Attending Practitioners Cremation Certificate
Medical Referees Cremation Permit
Authorizing person
Name:

______________________________________________________________________

Relationship: ______________________________________________________________________
Address:

______________________________________________________________________

Phone:

(H) ____________________

Signature:

_______________________________

(M) ___________________
Date: ____/____/______


Document preview AFTERLIFE FUNERALS PERMISSION TO TRANSFER DECEASED.pdf - page 1/1

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