Release_of_Remains_form_(4).docx

DOCX document 100 KB Posted

Attached to
Indigent Decedent Services
Solicitation number
25/26-105
Issued by
Clay County, Harold CDP, Florida

About this file

This is an Authorization for Release of Remains form issued by Clay County, Florida's Administrative & Contractual Services division in connection with the Unclaimed Decedent Disposition Program (UDDP). The document serves as a formal authorization from the County Manager, acting on behalf of the Board of County Commissioners under authority granted by Florida Statutes Sections 406.49 through 406.61, directing a licensed funeral home to take possession of unclaimed human remains. The form contains blank fields for the date of request, requesting party, name of the deceased, and the specific funeral home being authorized to receive the remains, along with the funeral home's state license number. Once completed and signed by the County Manager with the date affixed, this authorization legally transfers custody of the unclaimed remains to the designated funeral establishment.

The related solicitation indicates that Clay County is seeking an experienced and qualified funeral home to administer the UDDP and provide additional related services as needed. Bidders must submit all inquiries through the designated Question and Answer section of the Request for Bids, and are prohibited from direct contact with County officials, Board members, or Evaluation Committee members during the bid period, which extends from publication until 72 hours after the bid decision becomes final, or longer if a protest is filed. The County reserves the right to reject any or all bids without cause and to waive technical or non-material defects in submissions.

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Text version

Administrative & Contractual Services

PO Box 1366 Green Cove Springs, FL 32043

Physical Address:

477 Houston Street Admin. Bldg., 4th Floor Green Cove Springs, FL 32043

Phone: 904-278-3766 904-278-3761 904-284-6388

Fax: 904-278-3728

County Manager Howard Wanamaker

Commissioners:

John Sgromolo District 1

Alexandra Compere District 2

Jim Renninger District 3

Betsy Condon, Chair District 4

Kristen Burke, DC District 5 www.claycountygov.com

UNCLAIMED DECEDENT DISPOSITION PROGRAM

AUTHORIZATION FOR RELEASE OF REMAINS

Upon the request on ________day of ________, 20 ___, made by ___________, which is in possession of the unclaimed remains of _______________________, and in reliance upon the representations in said request, the undersigned Howard Wanamaker, County Manager of Clay County, Florida, acting on behalf of its Board of County Commissioners pursuant to its authority under Sections

406.49 through 406.61, Florida Statutes, does hereby authorize and direct _____________________________________ Funeral Home, a funeral establishment lawfully operating in the State of Florida under License No.

___________________________ to forthwith take possession of said remains.

Howard Wanamaker, County Manager Date

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File details come from the government source that posted it. Updated .