Potential beneficiary statutory declaration 2026

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  1. Click ‘Get Form’ to open the Potential beneficiary statutory declaration in the editor.
  2. Begin with Section A, where you will enter the deceased member’s details. Fill in their first name, middle name, last name, and date of birth. Ensure accuracy as this information is crucial.
  3. Indicate the marital status of the deceased at the time of death by selecting one of the options provided. If applicable, provide details about their spouse or de-facto partner.
  4. Proceed to Section B to list potential beneficiaries. For each beneficiary, include their full name, relationship to the deceased, and contact information such as address and phone numbers.
  5. In Section C, provide your own details as the claimant. Specify your relationship to the deceased and any claims you wish to make regarding benefits.
  6. Complete Section D by signing and dating the declaration. This confirms that all statements made are true.

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2019 4.3 Satisfied (56 Votes)
2010 4 Satisfied (27 Votes)
2007 4 Satisfied (52 Votes)
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