Form preview

Get the free Authorization to Release Death Beneficiary Information

Get Form
COMMONWEALTH OF PENNSYLVANIA STATE EMPLOYEES RETIREMENT SYSTEM 30 N 3RD STREET SUITE 150 HARRISBURG, PA 171011716 TOLL-FREE: 18006335461 www.sers.state.pa.us AUTHORIZATION TO RELEASE DEATH BENEFICIARY
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign authorization to release death

Edit
Edit your authorization to release death form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your authorization to release death form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing authorization to release death online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps below:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit authorization to release death. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it in the list of your records. Then, move the cursor to the right toolbar and choose one of the available exporting methods: save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out authorization to release death

Illustration

How to fill out authorization to release death:

01
Obtain the necessary form: Begin by obtaining the authorization to release death form from the relevant authority, such as the hospital or funeral home. This form may also be available online for download.
02
Provide personal information: Start by filling out your personal information, including your full name, address, contact number, and relationship to the deceased. Ensure that all the details are accurate and up to date.
03
Identify the deceased: Fill in the required details about the deceased person, such as their full name, date of birth, and date of death. Include any additional information requested, such as the deceased person's social security number or identification number.
04
Specify the purpose of the release: Indicate the reason for requesting the authorization to release death. This could be for funeral arrangements, handling the deceased person's assets, or any other relevant purpose. Be clear and concise in explaining the purpose.
05
Provide consent: If you are not the legal next of kin or the executor of the deceased person's estate, you may need to obtain consent from the authorized individual. If required, have the authorized person sign and date the form to grant their consent.
06
Sign and date the form: Once you have completed all the necessary sections, carefully review the form for any errors or missing information. Sign and date the form in the designated area to verify your authorization request.

Who needs authorization to release death?

01
Immediate family members: The immediate family members, such as the spouse, children, parents, or siblings of the deceased, often require authorization to release death. This allows them to make funeral arrangements, access the deceased person's assets, and handle other relevant matters.
02
Legal representatives: Executors or administrators named in the deceased person's will or estate plan may also need authorization to release death. They are responsible for managing the deceased person's affairs and ensuring that all necessary procedures are followed.
03
Other authorized individuals: In certain cases, individuals who have been given power of attorney or designated as authorized representatives by the deceased person may require authorization to release death. This could include close friends, caregivers, or trusted advisors chosen by the deceased person.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
49 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

pdfFiller and Google Docs can be used together to make your documents easier to work with and to make fillable forms right in your Google Drive. The integration will let you make, change, and sign documents, like authorization to release death, without leaving Google Drive. Add pdfFiller's features to Google Drive, and you'll be able to do more with your paperwork on any internet-connected device.
authorization to release death is ready when you're ready to send it out. With pdfFiller, you can send it out securely and get signatures in just a few clicks. PDFs can be sent to you by email, text message, fax, USPS mail, or notarized on your account. You can do this right from your account. Become a member right now and try it out for yourself!
With pdfFiller, you may not only alter the content but also rearrange the pages. Upload your authorization to release death and modify it with a few clicks. The editor lets you add photos, sticky notes, text boxes, and more to PDFs.
Authorization to release death is a legal document that grants permission to release the body of a deceased individual to the designated person or funeral home for burial or cremation.
The next of kin or designated person responsible for handling the funeral arrangements is typically required to file the authorization to release death.
Authorization to release death must be filled out with the deceased person's information, the requester's contact details, and any specific instructions or preferences for handling the remains.
The purpose of authorization to release death is to ensure that the deceased individual's body is handled and disposed of according to their wishes or religious beliefs.
Information such as the deceased person's full name, date of birth, date of death, cause of death, and contact information for the next of kin or designated requester must be reported on the authorization to release death.
Fill out your authorization to release death online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.