Authorization by the legally recognized next of kin for a hospital or private autopsy, covering the scope of examination, organ and tissue retention policies, educational and research use, report turnaround, and right to limit or restrict the examination. Next-of-kin signer.
The Autopsy Authorization is a ready-to-use senior & elder care template you can send for signature in minutes. It is written for 1 signer (next of kin) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, senior care, autopsy, post mortem, next of kin, pathology. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
Document Preview
# Autopsy Authorization > **Important — not medical advice.** For use by a licensed provider; tailor to the patient, your protocols, and state law. **Date:** ___________ **Hospital / Pathology Department / Funeral Home:** ___________ **Pathologist / Medical Examiner:** ___________ **Deceased's Full Legal Name:** ___________ **Date of Birth of Deceased:** ___________ **Date of Death:** ___________ **Time of Death:** ___________ **Place of Death:** ___________ **Medical Record Number:** ___________ --- ## 1. Authorizing Next of Kin I, the undersigned, am the next of kin (or legally authorized representative) of the deceased named above. I have the legal authority to authorize this autopsy. **Authorizing Party Name:** ___________ **Relationship to Deceased:** ___________ **Address:** ___________ **Phone:** ___________ **Email:** ___________ **If relationship is "Other," describe legal authority:** ___________