602 Birch Street Scranton, PA 18505(570) 343-0413CremationsbyCorey.comREQUEST FOR SERVICE RELEASEYour Name*Your Relationship to the Deceased*Full Name of Deceased*hereby release his/her remains to Cremations by Corey, LLC for transportation and *limited preparation for final disposition.*Limited Preparation: is disinfection of the remains, checking the remains for implanted devices(i.e. pacemakers), placing remains in an alternative container, and any other necessary preparations for the cremation process.Time* : HH MM AMPM Date* Date Format: DD slash MM slash YYYY Cremations by Corey Staff*Your Signature*
