Such transfer shall be made under the direction of a funeral director, next-of-kin as defined in N.H. Rev. Stat. § 290:16, IV, or designated agent under N.H. Rev. Stat. § 290:17, and the funeral director, funeral director’s representative, next-of-kin, or designated agent shall leave with the institution from which or the person from whom such body is received, on forms supplied by the department of health and human services, the name of the funeral director, next-of-kin, or designated agent, the name of the person making the transfer, such person’s address, the funeral director’s license number or the address of the next-of-kin, or designated agent, and the date and hour such body was delivered.