Authorization - John Doe


Name of decedent:    

Name of person identifying decedent:     

Relation to decedent:      

I agree to identify the decedent through online identification. I acknowledge that I am the
next of kin, have viewed the photo online, and identified the photo as the decedent listed
above.


Signature of person identifying decedent:

Leave this empty:

Signature arrow


Signature Certificate
Document name: Authorization - John Doe
lock iconUnique Document ID: 84f0c08a06173d690316bb50c7bcf2954bec1361
Timestamp Audit
December 7, 2023 8:04 am CSTAuthorization - John Doe Uploaded by Anderson Simple Cremations - info@andersonsimplecremations.net IP 107.199.111.23