...hereby authorize:
- Company Name: Eternal Horizon by Silent Tribute Embalming
- Representative Name: Malcom Ong
- Address: 37 Sin Ming Drive, #01-579 Singapore 575711
To act as my authorized representative and liaison in all matters pertaining to the insurance claim and logistical coordination for the repatriation of the deceased.
Scope of Authorization:
- Communicating directly with the insurance provider or emergency assistance company regarding claim status and requirements.
- Providing and receiving technical and administrative documentation, such as Death Certificates, Embalming/Sealing Certificates, and Air Waybills.
- Submitting itemized quotes, pro-forma invoices, and final billing for the purpose of securing a Letter of Guarantee (LOG) or reimbursement.
- Discussing logistical arrangements and "medical necessity" justifications required for the approval of repatriation costs.
I confirm that any information shared by the above-named representative is provided in good faith to facilitate the timely repatriation of my loved one. I request that you extend full cooperation to them to ensure all necessary permits and flight arrangements are secured without delay.
This authorization shall remain valid until the final settlement of the claim or until revoked by me in writing.