At-Need Authorization

Wright Funeral & Cremation Services, Inc.
| 725 Merchant Street
| Coatesville, PA 19320
| Tel: 610-384-0341
| Fax: 610-383-7523

We are very sorry for your loss and stand ready to assist you in your time of need. If you have not already contacted us, please call us at 610-384-0341.

At Need Authorization Form

Information about the deceased

Deceased Person's Name (First Middle & Last Name)

Deceased Person's Address

Street

City

State/Province

ZIP/Postcode

I hereby authorize Wright Funeral & Cremation Services, Inc. to assist in the necessary funeral and/or cremation arrangements for the above-named person, and I authorize the release and removal of the remains to the same establishment at the time of death.

I authorize Wright Funeral & Cremation Services, Inc. to embalm.

I represent that I am the next of kin or am acting as an authorized agent for the next of kin.

Name of authorizing person

Other Specify

Today's Date