Next Of Kin Form Template UK

The Next Of Kin Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, along with customizable and printable examples.

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Sample

Next Of Kin Form Template UK

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PDF – 1 PDF – 2

Next Of Kin Form Template UK

1. Personal Information of Individual



2. Next of Kin Information



3. Emergency Contact Information



4. Medical Information

5. Consent for Medical Treatment

6. Language and Communication Preferences

7. Witness Declaration

8. Declaration and Signature



PDF

WORD

Examples

Next Of Kin Form Template UK (1)
Form Title:
Next of Kin Information Form
Purpose:
This form is intended to collect the details of the next of kin to ensure they can be contacted in case of an emergency or relevant circumstances.
Personal Information of the Individual:
  • Full Name: [Full Name of the Individual]
  • Date of Birth: [DD/MM/YYYY]
  • Address: [Full Address]
  • Phone Number: [Phone Number]
  • Email Address: [Email Address]
Next of Kin Details:
  • Full Name: [Full Name of Next of Kin]
  • Relationship: [Relationship to Individual, e.g., spouse, parent, sibling]
  • Address: [Full Address of Next of Kin]
  • Phone Number: [Phone Number of Next of Kin]
  • Email Address: [Email Address of Next of Kin]
Additional Emergency Contact:
  • Full Name: [Full Name of Emergency Contact]
  • Relationship: [Relationship to Individual]
  • Phone Number: [Phone Number of Emergency Contact]
  • Email Address: [Email Address of Emergency Contact]
Consent Statement:
I, [Full Name of Individual], consent to the collection and sharing of my next of kin and emergency contact information as outlined above.
Signed on: [Date]
Signature:
[Signature of the Individual]
Next Of Kin Form Template UK (2)
Form Title:
Next of Kin Contact Information Form
Purpose:
This form facilitates the registration of next of kin details for purposes of emergency communication and support.
Personal Information of the Individual:
  • Full Name: [Full Name of the Individual]
  • Date of Birth: [DD/MM/YYYY]
  • Current Address: [Full Address]
  • Contact Number: [Phone Number]
  • Email: [Email Address]
Next of Kin Information:
  • Full Name: [Full Name of Next of Kin]
  • Relationship: [Relationship to Individual]
  • Home Address: [Full Address of Next of Kin]
  • Contact Number: [Phone Number of Next of Kin]
  • Email: [Email of Next of Kin]
Alternative Contact:
  • Full Name: [Full Name of Alternative Contact]
  • Relationship: [Relationship to Individual]
  • Contact Number: [Phone Number of Alternative Contact]
  • Email: [Email of Alternative Contact]
Declaration:
I, [Full Name of Individual], hereby declare that the information provided is accurate and complete, and I give consent for my next of kin details to be used as described.
Signed on: [Date]
Signature:
[Signature of the Individual]

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PDF – 1 PDF – 2

Next Of Kin Form Template UK