Phone 1800 444 396
Web brightersuper.com.au
Email info@brightersuper.com.au
Post GPO Box 264, Brisbane QLD 4001

Death Notification Form

To allow us to commence the Death Benefit Claim process, please provide us with the deceased members details and your Notifier details below. We will contact you within 3 business days of receiving your claim with further information.

Deceased member's details

Deceased member's first name

Deceased member's last name

Do you have the deceased's member number?

Yes

No

Deceased member's mobile phone number

Deceased member's email address

Deceased member's date of birth

Deceased member's date of death

Does the deceased member have a spouse or de-facto partner?

Yes

No

Does the deceased member have any dependents? e.g. children

Yes

No

Notifier's details

Your first name

Your last name

What is your relationship with the deceased?

Your mobile phone number

Your email address

Your postal address

Your preferred method of communication

Email

Post