Authorization for John Doe - Anderson Simple Cremations

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:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

December 7, 2023 8:04 am CDT

Authorization - John Doe Uploaded by Anderson Simple Cremations - info@andersonsimplecremations.net IP 107.199.111.23

Monday	10AM – 4PM
Tuesday	10AM – 4PM
Wednesday	10AM – 4PM
Thursday	10AM – 4PM
Friday	10AM – 1PM