Notification Of Death Letter Template

Notification of Death

For informing people and organizations of a persons death.

You & Widowhood

Photocopy the required number of form/s below to inform people and organizations of a persons death. Complete their personal

details and include your contact details. *Attach a copy of the death certificate. Note: Some organisations will require certified

copies of the death certificate and/or enduring power of attorney.

To Whom it may concern:

I wish to notify you of the death of:

Mr o Mrs o Ms o Other:

Surname:

Given names:

Date of Birth:

/

/

Address:

Suburb:

Postcode:

Date of death:

/

/

Please amend your records.

The reference number/membership/client number for your organisation was:

If you need to contact me for further information:

Given Names:

Surname:

Address:

Suburb:

Mobile:

Home:

Other:

Email:

Signature:

Relationship to the deceased:

Date:

/

/

Readers and users of this leaflet should refer for advice on particular matters and aspects of their circumstances. This leaflet is not intended to provide such advice and the author does not accept

any responsibility for any action taken (or inaction) by reason of what is set out in this leaflet.