Power of attorney and authorisation

US death certificate (certified copy)

I, the undersigned, ____________________ (full name), ID / passport number ____________________, authorise Neos Tech Ltd (Joy Work OS), and the lawyers and agents it engages, to apply in my name to State (or city) vital records office where the death occurred; directory: CDC NCHS 'Where to Write for Vital Records' and to order and receive for me: US death certificate (certified copy).

This authorisation is valid for 90 days from signing and for this request only.