[vc_row][vc_column][vc_widget_sidebar][vc_column_text]Please complete the form below to authorise us to formally act upon your behalf? This is an important and essential step to help us get started on make any necessary preparations.

Please Note: Without your authorisation we will not be able to make any enquiries to GPs, Hospital, Registrar or Coroner.

 [/vc_column_text][/vc_column][/vc_row][vc_row full_height=”yes” content_placement=”top”][vc_column width=”2/3″][vc_raw_html]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[/vc_raw_html][/vc_column][vc_column width=”1/3″][vc_column_text]For Further Information:
If you have any questions, please contact us or email us  at info@mercyfuneralservices.co.uk

Your Personal information:
Mercy Funeral Services (project of UKAM Community & Cultural centre, 88-90 Carlton Vale (Rupert Road), London, NW6 5DA) are committed to ensuring the security and protection of the personal information that we process, and to provide a compliant and consistent approach to data protection.

We do not and will not share your personal information without your express permission[/vc_column_text][/vc_column][/vc_row]