Power of attorney and authorisation

US marriage 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 vital records office or county clerk / city clerk (e.g., NYC City Clerk); directory: CDC NCHS 'Where to Write for Vital Records' and to order and receive for me: US marriage certificate (certified copy).

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