[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-286711-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-286711-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","next-of-kin-designee-authorization-form","Next-of-Kin Designee Authorization Form","","This Next-of-Kin Designee Authorization Form, provided by the San Bernardino County Sheriff-Coroner, is a formal legal document designed to authorize a designated individual to manage the final arrangements, remains, or property of a deceased person. The form requires the legal next-of-kin or designated power of attorney to provide personal identification details, specify the scope of authorization regarding the decedent's body and property, and include witness signatures to ensure the validity and legal accuracy of the request for coroner processing.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/next-of-kin-designee-authorization-form/286711/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/next-of-kin-designee-authorization-form/286711.png","ImageObject",442,249,{"name":42,"@type":43},"Theodore","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-29","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",5,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How can the completed form be submitted to the Coroner's office?","Question",{"text":63,"@type":64},"The form can be submitted by faxing it to 909-387-2989 or emailing it to cor-wc@sbcsd.org.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What identification is required to process this form?",{"text":68,"@type":64},"The authorized representative must provide or attach a copy of a government-issued photo ID, such as a driver's license, state ID, or passport, to verify their identity.",{"name":70,"@type":61,"acceptedAnswer":71},"What aspects of the decedent's affairs can be authorized through this form?",{"text":72,"@type":64},"The form allows the designee to make arrangements specifically for the decedent's body, their property, or both.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},286711,1790558057,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":55,"slug":121},21,"Paper Templates","papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},7971461740886,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","SHANNON D. DICUS, SHERIFF-CORONER  \nNEXT-OF-KIN DESIGNEE AUTHORIZATION FORM  \n**** Please fax form to: 909-387-2989 or Email to: [cor-wc@sbcsd.org](cor-wc@sbcsd.org) **** Questions please call: 909-387-2978  \nCoroner Case \\#:   Decedent’s Name:    \nI,   , the decedent’s    \nYour Name Here Your Relationship to Decedent  \nAs the:  Legal Next of Kin  DPOA  Other:    \nAuthorize the San Bernardino County Coroner’s Office to allow:  \nName:   Relationship to decedent:    \nAddress:    \nTelephone \\#:   Date ofBirth:    \nTo make arrangements for the decedent’s: (Select One)  \nBody Property  Body and Property  \nYour Address    \nYour Phone \\#    \n Driver License: State:   Number:    ID: State:   Number:    \n Passport: Country:   Number:    \n***(Must provide or attach a copy of a government photo ID to verify your identity) ***  \nSignature:   Date:    \nYour Signature  \nI affirm that the foregoing is true and correct and that I have the legal authority to direct the disposition of the above referenced decedent’s remains and/or property as stated herein.  \nWitnesses:  \nPrint Name: Signature:  \n\n| Print Name: | Signature: |\n| --- | --- |\n\nCoroner Office Use Only  \nDate and Time Received:   Deputy:   ID Verified:    \nSAN BERNARDINO COUNTY SHERIFF’S DEPARTMENT  \n655 East Third Street • San Bernardino, California 92415-0061 Post Office Box 569 • San Bernardino, California 92402-0569","cbCaicVY96lmQ2DU","https://ap.wps.com/l/cbCaicVY96lmQ2DU","pdf",266004,"English","# Authorizing Information\n## Designee Information\n## Selection of Authorized Actions\n## Identity Verification and Legal Affirmation\n## Witness Attestation","[{\"question\":\"How can the completed form be submitted to the Coroner's office?\",\"answer\":\"The form can be submitted by faxing it to 909-387-2989 or emailing it to cor-wc@sbcsd.org.\"},{\"question\":\"What identification is required to process this form?\",\"answer\":\"The authorized representative must provide or attach a copy of a government-issued photo ID, such as a driver's license, state ID, or passport, to verify their identity.\"},{\"question\":\"What aspects of the decedent's affairs can be authorized through this form?\",\"answer\":\"The form allows the designee to make arrangements specifically for the decedent's body, their property, or both.\"}]","Next-of-Kin Designee Authorization Form | PDF",1789631460]