Removal Authorization Form

P&H FAMILEE Funeral Services, Inc.
8138 S. Cottage Grove Ave. Chicago, IL
(773) 793-1367 | (773) 858-9669

You are hereby authorized & directed to release the remains of the above decedent.

NAME

RELATIONSHIP

PHONE NUMBER

EXCUTED THIS DAY

EXCUTED THIS DATE

ADDRESS

CITY

STATE

ADDRESS

ZIP CODE

EMBALMING AUTHORIZATION

Embalming is a surgical procedure which provides disinfection, restoration & temporary preservation to allow survivors to hold a service with viewing and thus protect the general public and staff from disease and the complications of decomposition.

I do authorize embalming of the above mentioned person by P&H FAMILEE FUNERAL SERVICES, INC. Further I We acknowledge the embalming is not legally required, but is desired due to the specific type of service arrangement that I We have Selected. I do not authorize embalming of the above mentioned person by P&H FAMILEE FUNERAL SERVICES, INC. Further I We acknowledge the embalming is not legally required, but is desired due to the specific type of service arrangement that I We have selected.

Removal Authorization Form

Removal Authorization Form

EMBALMING AUTHORIZATION

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