DCOME 100230 NOK Designee Authorization Electronic Version-1

COUNTY OF DELAWARE
Next of Kin Designee Authorization
Decedent's Name*
I,*
Next-of-Kin legal name
, the decedent's legal Next-of-Kin (NOK) authorize*
Designee Full Name
to be my temporary legal designee throughout the process of inquiries of death, requests for reports, the paying for the reports and/or authorize cremation.
Date*

MonthDayYear
Date
Please attach a copy of your state issued identification*

Cancelof
Should be Empty:

COUNTY OF DELAWARE