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The County of DuPage
Wheaton, Illinois

Funeral Home Release Form

 NOTE: All fields are required.

Date:  Tuesday, October 1, 2019 Select a Date Delete the Date

I hereby authorize the DuPage County Coroner’s Office to release the body of:

Name of Deceased:

Date of Death:  [None] Select a Date Delete the Date

To the following Funeral Home:

Name of Funeral Home:

Address of Funeral Home:

Phone Number of Funeral Home:   Enter phone number without dashes.  Ex. 6305551234

NOTE: **Body removals will be made from Monday – Friday from 8:00am – 4:30pm. If a removal needs to be made after hours or on the weekends, please call the office during normal business hours to schedule a time.