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Get FL Miami-Dade Release Authorization 2006-2024

418 www.miamidade.gov/medexam RELEASE AUTHORIZATION Name of Deceased / Nombre del Fallecido: Nickname / Alias / Apodo: Race / Gender // Raza / Genero: Date of Birth / Fecha de Nacimiento: Age / Edad: Social Security / Seguro Social: I hereby authorize you to release the remains of the above-named decedent to the below-named funeral home and/or its agent. I hereby represent that I am of the nearest degree of relationship to the deceased and/or am legally authorized or charged with the responsi.

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