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Next of Kin Form Template

Efficiently gather essential contact information with our template

Finding the right information about an individual's closest relatives can be challenging, especially during crucial times. This Next of Kin Form Template helps you easily collect and record details about key contacts that matter most to individuals and organizations alike. You can streamline the data collection process, ensure clear communication, and maintain vital records for emergencies, estates, or health matters with ease. Plus, our template features WCAG-aligned labels for accessibility. Discover how simple it is to use the live template today.

Your full name
Date of birth (optional)
Your email (optional)
Your phone (optional)
Reference number or ID (optional)
Next of kin full name
Relationship to you
If other or self-described, please specify (optional)
Is this person your legal next of kin?
Yes
No
Is this person your primary emergency contact?
Yes
No
Preferred methods of contact
Mobile phone
Home phone
Work phone
Email
SMS/text
Postal mail
Messaging app
Any
Phone (primary)
Alternate phone (optional)
Email
Address line 1
Address line 2 (optional)
City/Town
State/Province/Region
Postal/ZIP code
Country
Language preference (optional)
Accessibility or communication needs (optional)
Best times to contact
Morning
Afternoon
Evening
Any time
Weekdays
Weekends
I confirm I have consent from the next of kin to share their contact details for this purpose
Yes
No
I consent to the organization storing and using this information for legitimate contact in emergencies and administrative matters
Strongly disagree
Disagree
Neither
Agree
Strongly agree
May we share your next of kin details with emergency services when necessary?
Yes
No
How would you like us to confirm any changes to your next of kin details?
Email confirmation
SMS/text confirmation
Phone call
Written letter
No confirmation needed
Type your full name to sign
Date of signature
Location (optional)
I declare that the information provided is accurate and up to date
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration related to next of kin form template for FormCreatorAI article

When to use this form

Use this template when you need a reliable person to contact or authorize decisions if you cannot respond. HR teams collect it during onboarding to reach a spouse or parent fast during emergencies. Clinics and care providers add it to intake so they can notify family and confirm consent. Landlords and resident managers keep it on file to handle urgent repairs or welfare checks. To round out records, pair it with a Digital emergency contact form and a Personal data sheet form. For families and shared housing, the Household information form helps map who lives together so you contact the right person. The result: clear, up-to-date details that speed help and reduce risk.

Must Ask Next of Kin Questions

  1. What is your designated contact's full name and relationship to you?

    Names and relationships confirm identity and priority, reducing confusion between relatives with similar names. Clear labels help staff know who to call first.

  2. What are their primary phone number and backup number?

    Phone numbers are the fastest way to reach someone in a crisis. Asking for a backup reduces delays if a device is off or out of coverage.

  3. What is their email address and preferred contact method?

    Email helps with non-urgent updates and written consent. Asking the preferred channel improves response rates and respects boundaries.

  4. What is their home address and city/state (or country)?

    An address verifies identity for hospitals, schools, or insurers. If the contact moves, keep records in sync with an Employee change of address form.

  5. Do you authorize this person to make medical or administrative decisions on your behalf, and are there any limits?

    Clear authority prevents delays when decisions are needed. Stating limits (for example, medical only) protects privacy and guides staff.

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