602 Birch Street Scranton, PA 18505(570) 343-0413CremationsbyCorey.com REQUEST FOR SERVICE RELEASE Your 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* : Hours Minutes AM PM AM/PM Date* DD slash MM slash YYYY Cremations by Corey Staff* Your Signature* Reset signature Signature locked. Reset to sign again Δ
