Authorization - Willy Brauckhoff

Name of decedent:   

Name of person identifying decedent:    

Relation to decedent:     

I agree to identify the decedent through online identification. I acknowledge that I am the
next of kin, have viewed the photo online, and identified the photo as the decedent listed

Signature of person identifying decedent:

Leave this empty:

Signature arrow

Signature Certificate
Document name: Authorization - Willy Brauckhoff
lock iconUnique Document ID: 1b37f0c703a171fec0bc0b26dcff48e3bcb0e099
Timestamp Audit
September 4, 2020 11:41 am CDTAuthorization - Willy Brauckhoff Uploaded by Milwaukee Cremation - IP