NEW HAMPSHIRE FUNERAL RESOURCES & EDUCATION
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Designation of Agent Form

Download here

Designation of Agent for After Death Arrangements
 
My Agent shall have full power and authority to act on my behalf, but only to the extent permitted by this Designation of Agent. 
 
I hereby grant to my Agent the full right, power, and authority to do every act, deed, and thing necessary or advisable to be done regarding the above power, as fully as I could do if personally present and acting.
 
My agent shall not be liable for any loss that results from a judgment error that was made in good faith. However, my agent shall be liable for willful misconduct or the failure to act in good faith while acting under the authority of this power of attorney.
 
(Print) I, ___________________________________________, of ______________________________ do hereby designate ___________________________________________________of ______________________________ as my Designated Agent.
Signature: ___________________________________________________________________Date: ____________________________
Address: _______________________________________________________________________________________________________
 

WITNESSES
I declare under penalty of perjury under the laws of the State of ____________________________________   that the person who signed or acknowledged this document is personally known to me to be the principal, or that the identity of the principal was proved to me by convincing evidence; that the principal signed or acknowledged this durable power of attorney in my presence, that the principal appears to be of sound mind and under no duress, fraud, or undue influence; that I am not the person appointed as attorney in fact of this document; and that I am not the principal’s health care provider, an employee of the principal’s health care provider, the operator of a community care facility or a residential care facility for the elderly, nor an employee of an operator of a community care facility or residential care facility for the elderly.
 
I further declare under penalty of perjury under the laws of this State that, to the best of my knowledge, I am not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law.
                                                                                                                                                                                                                                                                                                
Witness 1 Signature: ____________________________________________________                                                                                     
Print name __________________________________________________ Date _____________________________
Address _________________________________________________________________
 
Witness 2 Signature: ____________________________________________________
Print name __________________________________________________ Date ______________________________
Address _________________________________________________________________

                                                                                               

How To

Learn About the Law
Have a Home Funeral
Complete Paperwork
Perform Body Care
Arrange Disposition
​Transport the Dead
Create Ceremony
​Go Out Greener
​
Pay for a Funeral
​
Work With Professionals

Resources

Articles, White Papers, Books
In the News
​Community Advocacy
​Find Locally Made Products
Find a Green Burial Cemetery
​Find It Fast

Presentations

Find a Speaker for In-Services, Presentations, Events

Website design

​Funeral Partnership.org
​Side Effects Publishing

Learn More

About Green Burial
Home Funeral Stories
Funeral Price Survey
​Pandemic Care
​For Professionals
​Glossary
FAQs

Contact

Lee Webster
[email protected]
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All rights reserved  © FuneralPartnership.org
  • Home
  • How To
    • Find Help Fast
    • Learn the Law
    • Have a Home Funeral >
      • State Requirements for Home Funerals
      • New England Legal Requirements
    • Perform Body Care >
      • Cooling Techniques
    • Complete Paperwork
    • Arrange Disposition >
      • Comparison of Disposition Methods
    • Transport the Dead
    • Create Ceremony
    • Go Out Greener
    • Pay for a Funeral
    • Work with Professionals
  • Resources
    • FAQs
    • 2020 Funeral Home Price Survey
    • Tools for Community Education >
      • Infographics
    • Sample Forms
    • Glossary
    • Articles, Interviews, Podcasts, Videos
    • Writings, Books, and Forms
    • Disposition Statistics
    • Memorial Forests
    • Shop Local
    • Stories >
      • Read Their Stories
      • Heidi's Story
      • Penney's Story
      • Kathleen's Story
    • For Professionals
    • Special Circumstances >
      • Guidance for Care in the Home
      • Practical Guidelines
      • Ceremony Resources
  • Green Burial
    • Green Burial in NH
    • Green Burial Statistics
    • Green Burial Cemeteries in the US and Canada
    • Green Burial Resources >
      • Natural Burial Bylaw Language
      • Start Up Tips for Green Burial Cemeteries
      • 10 Things You Can Say or Do to Promote Natural Burial
      • Offering Green Burial in Your Hybrid Cemetery
      • Legal Burial Requirements by State
      • Green Burial Books
      • Photographs
      • Winter Burial
    • Conservation Burial
    • New Hampshire Embalming Law
    • Green Burial Survey
  • Presentations
    • Find a Speaker
  • Websites
    • Side Effects Publishing Website Design
    • Funeral Partnership.org >
      • What We Do
  • Contact