(AFS) NSW CORONERS TRANSFER AUTHORITY

Please fill out the following form in order to authorise us to collect your loved one from the NSW Coroners Court
NSW Coroners Morgue

TRANSFER AUTHORITY
I authorise the Funeral Director below
Authority to collect the body of

First NameLast Name
Date of Birth of the Deceased.

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Of the Address: House/Unit Number
Street
Suburb
State
Country other than Australia
Please fill value in adjacent box:
Weight in Kg
Senior NOK Details

First NameLast Name
Relationship to the Deceased
Signature of Senior Next of Kin
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Or Signature of Funeral Director
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

NSW Coroners Morgue