Next Of Kin Form PDF Details

Having a next of kin form on hand is critical for medical, financial, and related health decisions. This must-have document provides important information about an individual's family members or contacts in case of an emergency. It’s essential to understand what a next of kin form is and why having one can be so beneficial to everyone involved. In this blog post, we will discuss the importance of having a designated Next Of Kin Form that can help make informed decisions based on personal preferences during any kind of unforeseen event

QuestionAnswer
Form NameNext Of Kin Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesnext of kin form template in word, next of kin form template, next of kin form download, next of kin form

Form Preview Example

U. S. Department of State

CONSULAR OFFICES OF THE UNITED STATES OF AMERICA

AFFIDAVIT FOR THE SURVIVING SPOUSE OR NEXT OF KIN

*Provide information below to the extent that it is available.

VENUE

State

ss.

 

 

City

 

 

 

 

 

 

 

 

 

 

I,

 

being duly sworn according to law, declare that I reside at

 

 

 

Your Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and that on

 

 

Street Address (Including City, State/or Country)

 

 

 

 

 

 

Date of Death (mm-dd-yyyy)

 

 

 

 

had permanent legal residence at

Name of Deceased

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. I am the

 

 

Complete Address of the Deceased

 

 

 

 

 

Specify: widow, widower, child, father,

 

 

 

 

 

 

 

 

 

mother, sibling, other

and as such am entitled to receive the decedent's estate under the laws of

 

 

 

 

 

. To the best of my knowledge,

 

 

 

 

 

 

Name of state/foreign state in the

United States or foreign country where the deceased last had a permanent legal residence

did/did not have a will or trust specifying the disposition of his or her estate.

Name of Deceased

NAME(S) OF SURVIVORS, IN ORDER OF KINSHIP

Please insert the name of living relatives in the following order of relationship: surviving spouse, children, father and/or mother, brothers and/or sisters, other:

Name

Date of Birth

Telephone Number Relationship

(mm-dd-yyyy) Address

DS-5511

Page 1 of 3

10-2008

 

Name

Date of Birth

Address

Telephone Number Relationship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subscribed and sworn to before me by

 

Signature of Affiant

 

 

 

 

 

 

 

 

Type Name of Affiant

 

 

 

Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

Address of Notary Public

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Notary Public

 

 

 

Type Name of Notary Public

 

DS-5511

Page 2 of 3

PRIVACY ACT STATEMENT

The information on this form is requested to assist U.S. Consular Officers to fulfill the requirements of 22 U.S.C. 2715c and determine the next-of-kin of an American citizen who dies abroad. A U.S. Consular Officer, or a U.S. diplomatic Officer is required to serve as "provisional conservator" of the personal effects of U.S. citizens who die abroad at the time of their death if there is not a legal representative, partner in trade, or trustee appointed to take care of the decedent's estate and if the responsibilities of a "provisional conservator" are authorized by treaty by the authorities or usage of the country where the death occurs or the decedent is domiciled. Additionally, in exceptional circumstances, a U.S. Consular Officer may also serve as administrator of an estate. A U.S. Consular officer may only release the personal effects of the decedent to a person who has qualified legally to take care of the decedent's estate or, in appropriate circumstances, to the next of kin.

Providing the information in the affidavit is voluntary, but, failure to complete this form will require the person claiming to be next-of-kin to obtain and present alternative documents such as certified copies of Letters Testamentary, Letters of Administration, or trust documents.

ROUTINE USES: The information solicited on this form may be made available to federal, state, local, or foreign government entities for administrative or law enforcement purpose, including for the notification of kin or judicial matters involving contested estates and related issues.

DS-5511

Page 3 of 3

How to Edit Next Of Kin Form Online for Free

next of kin format can be filled in online without any problem. Simply make use of FormsPal PDF editing tool to complete the job promptly. The tool is consistently updated by our team, acquiring new awesome features and turning out to be better. To get the process started, consider these basic steps:

Step 1: Click on the orange "Get Form" button above. It's going to open up our pdf tool so that you can begin completing your form.

Step 2: The tool lets you customize PDF forms in a range of ways. Transform it by adding your own text, adjust original content, and place in a signature - all doable within minutes!

It is straightforward to finish the document using this helpful guide! This is what you should do:

1. First, while filling out the next of kin format, beging with the area with the subsequent blank fields:

Writing part 1 in next of kin form sample

2. Soon after the first section is done, go to enter the suitable details in these: Name of stateforeign state in the, diddid not have a will or trust, Name of Deceased, NAMES OF SURVIVORS IN ORDER OF, Please insert the name of living, Name, Date of Birth mmddyyyy, Address, Telephone Number, and Relationship.

Best ways to complete next of kin form sample part 2

3. This next step focuses on Name, Date of Birth, Address, Telephone Number, Relationship, Subscribed and sworn to before me, Signature of Affiant, Type Name of Affiant, Date, and mmddyyyy - complete each one of these blanks.

Stage no. 3 of submitting next of kin form sample

Concerning Telephone Number and Address, be sure you take another look in this current part. These two are considered the most important fields in this document.

4. To move onward, the following part requires typing in a handful of blanks. These comprise of Type Name of Affiant, Date, mmddyyyy, Address of Notary Public, Signature of Notary Public, and Type Name of Notary Public, which you'll find integral to carrying on with this form.

Stage # 4 of filling in next of kin form sample

Step 3: Go through the details you have entered into the blanks and hit the "Done" button. Join FormsPal right now and immediately use next of kin format, set for downloading. Each change made is handily saved , meaning you can edit the file later on when necessary. We don't share or sell the information that you type in when completing documents at our site.

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