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Insurance Claims
Letter of Authorization

Digital submission for insurance coordination & repatriation claims.

Important Note: This is an official authorized form that legally empowers Eternal Horizon (by Silent Tribute Embalming) to act as your representative and liaison on behalf of your family with insurance providers and emergency assistance companies.

LETTER OF AUTHORIZATION

FOR INSURANCE COORDINATION & REPATRIATION CLAIMS

Insurance Details

Leave this blank if you haven't received a Case Reference number yet. We will link this form to your case automatically.

RE: Authorization for Representative in the Matter of:

Next-of-Kin Details

...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.

Sign inside the box

By clicking submit, you agree that this electronic signature is the legally binding equivalent to your handwritten signature.