Release Form

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Release Form

STRAGHN & SON TRI-CITY FUNERAL HOME
26 SW 5TH AVENUE DELRAY BEACH, FL 33444
PH: 561-272-8396 FAX 561-272-0774
This is required

I hereby designate the above named funeral home establishment to take charge of funeral

arrangements for:

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I DO AUTHORIZE THE RELEASE AND REMOVAL OF THE REMAINS

TO SAID FUNERAL HOME FOR THE PURPOSE OF EMBALMING AND OTHER PREPARATION.

I REPRESENT, THAT I AM THE NEXT OF KIN OR THAT I AM ACTING AS A DULY AUTHORIZED AGENT FOR

THE NEXT OF KIN.

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VERBAL TELEPHONE AUTHORIZATION

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Embalm?
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