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.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please attach a copy of your state issued identification

Cancelof
Should be Empty:

COUNTY OF DELAWARE