Cremated Remains
Release Authorization Form

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The undersigned hereby certify that they have the legal right to grant the release of the herein named deceased and have the full legal authority to grant the release of the cremated remains and hereby authorize the release of the cremated remains of:

Name of Decedent:
Released to:

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The undersigned further assumes full responsibility for the lawful and proper disposition of said cremated remains.

The undersigned hereby agree to indemnify and hold harmless the above named mortuary, its agents, owners, shareholders and employees from any and all liability, and against any loss it or any of them may sustain in connection with the receipt of, shipment of, or disposition of said cremated remains, including from any defects or faults of any container not supplied by the mortuary.

Dated this

day of, ,

Electronic Signature:

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Phone Number

OUR SIX LOCATIONS

East Lawn Memorial Park | Albert Brown Mortuary | Sierra Hills Memorial Park and East Lawn Mortuary
East Lawn Elk Grove Memorial Park and Mortuary | Andrews and Greilich Mortuary | Sierra Hills Pet Cemetery

43rd Street and Folsom Boulevard | Sacramento, CA | 916-732-2000

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GENEALOGY REQUEST FORM
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RELEASE AUTHORIZATION FORM
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