A Better Place Funeral & Cremation

7261 Washington St. Denver, CO 80229

303-657-5989 / FAX 720-510-2911

Release of Cremation Form

I/We, *

hereby state that the cremated remains of, *

are to be released to. *

Who must present proper picture identification when picking up the cremains.

*If you choose for the cremains to be shipped, list the mailing address below. ** Additional fees apply for shipping:

Shipping address

Family/ Beneficiary Signature:

Signature: *

clear

Date: * +

Signature:

clear

Date: * +

(This section to be filled out by Funeral Home)

Cremains release to:

I hereby state that I received the cremated remains of:

From A Better Place Funeral & Cremation Service in Denver, Colorado.

Signature:

Date:

Time:

Funeral Home Staff:

Signature:

Date:

Time: