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1. Date and Place: Current date and location where the letter is being executed
2. Authorizing Party Details: Full name, address, and identification details of the person granting the authorization
3. Authorized Representative Details: Full name, address, and identification details of the person being authorized to obtain the death certificate
4. Deceased Person Details: Full name, date of death, place of death, and last known address of the deceased person
5. Purpose Statement: Clear statement of the purpose - obtaining death certificate from PSA
6. Scope of Authorization: Specific powers being granted regarding obtaining and handling the death certificate
7. Duration of Authorization: Validity period of the authorization
8. Signature Block: Space for signature, name, and date for the authorizing party
1. Relationship Declaration: Statement of relationship between the authorizing party and the deceased (used when the authorizing party is a family member)
2. Apostille Clause: Special clause needed if the authorization letter will be used internationally
3. Witness Section: Space for witnesses to sign if required by local authorities or for additional verification
4. Revocation Terms: Terms under which the authorization may be revoked (used for longer-term authorizations)
5. Language Clause: Statement about translation if the document needs to be used in non-Dutch speaking jurisdictions
1. Identification Documents: Copies of valid ID documents of the authorizing party and authorized representative
2. Proof of Relationship: Documents proving relationship to the deceased (if authorizing party is a family member)
3. Death Notice: Copy of death notice or preliminary death registration if available
4. Previous Correspondence: Copies of any relevant correspondence with PSA regarding the death certificate (if applicable)
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