Digital funeral power of attorney

Fill in the power of attorney on your phone

Please enter all details, photograph the IDs and sign below. Everything then arrives securely at the office with the right case.

✍️ Please fill in all details using Latin letters – in German or English. The information will be used for official documents.

📍 Select the responsible FURKAN branch * Please be sure to select the correct branch – responsibility depends on it.

The matching branch address is automatically added to the printable power of attorney.

AUTOPSY NOT WANTED

Deceased person

First names * Family name * Name at birth Gender * Date of birth * Place of birth Nationality Has the person passed away? Date of death * Address of place of death Place of death (city) * Preferred place of burial (city) Last address * Last address – postal code and city Marital status Last spouse – first name Last spouse – surname

Children of the deceased person

Please enter the first name, surname and date of birth of the children. For more than 3 children simply use “+ Add child”.

Child – first name Child – surname Child – date of birth

Principal / invoice recipient

First names * Family name * Relationship to the deceased * Date of birth Phone number * E-mail Street and house number * Postal code and city

Photograph the IDs

Deceased person – ID front Deceased person – ID back Principal – ID front Principal – ID back Further documents, if available

Notes How did you hear about us?

Signature

Please sign with your finger in the white box.

I instruct FURKAN Bestattungen to carry out the funeral and confirm that my details are correct.