One of Florida's Most Respected & Trusted Cremation Service

AUTHORIZATION FOR CUSTODY

FLORIDA'S MOST RESPECTED

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AUTHORIZATION FOR CUSTODY

The undersigned hereby authorize Just4Cremation.com and or its representatives to bring into their care the remains of the named deceased below, and understands that embalming or viewing of the deceased is not permitted.

Date

Print Deceased Name

Print Deceased Last Name

If pacemaker or other implant that contains nuclear material has been placed in loved one we give permission for this to be removed and discarded according to protocol.

Signature of person in charge of arrangements

Print the Name of the Person in Charge of the Arrangements

Print the Last Name of the Person in Charge of the Arrangements

Print the Sddress of Person in Charge of the Arrangements

By signing below, I agree that the above information is true and correct. Any errors may lead to additional costs in correcting state documents.

Your Signature

Thank you for filling out the Authorization for Custody Form.

Please make sure all forms are complete and submits, along with full payment.

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Volusia County's most respected & trusted crematory services.

Volusia County's most respected & trusted crematory services.

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One of Florida's Most Respected & Trusted Cremation Service