I   First Name   Last Name   (Client), authorize Final Affairs Concierge to act on my behalf for the limited purpose of:

Contacting medical providers, pharmacies, and suppliers

Communicating the death of   First Name   Last Name   (Deceased Name)

Requesting cancellation of services

Obtaining confirmation of closures

Limitations

This authorization:

Does NOT grant Power of Attorney

Does NOT allow financial, legal, or medical decision-making

Is limited strictly to administrative notifications

Effective Period
This authorization is valid for 90 days from the date signed.

Acknowledgment
I confirm I am authorized to act on behalf of the deceased individual.