Death claim notification

Make a claim

Use this form to notify us that a UniSuper member has passed away. Once you’ve completed the form, a dedicated case manager will email you within 3 working days to confirm what’s required to progress the claim.

We know dealing with the death of a loved one can be a difficult time. We’re committed to giving you the support you need to make the claims process as fast and easy as possible.

Deceased member's details

*Required information

First name*

Last name*

Date of birth*

Date of death*

Last known residential address

Member number

Has a death certificate been issued? Yes No

Your details

First name*

Last name*

Phone number*

Email address*

Residential address*

Is your postal address the same as your residential address? Yes No

Postal address*

Which address do you prefer communication to be sent to? *

What is your relationship to the deceased member? For definitions of some listed relationships, visit our Make a claim page

Please confirm your relationship to the deceased member

Are you a solicitor or a third party acting on behalf of the estate or the executors of the estate? Yes No

Name of organisation / firm

Did the deceased member have a spouse at the date of their death? Yes No

Are you the member’s spouse? Yes No

Please provide the name and contact details of the deceased member’s spouse

Did the deceased member have any children? Yes No Unsure

How many children did the deceased member have (regardless of age, includes step-children and adopted children)?

Adult children (aged 18 or over when the member passed away)

Minor children (aged under 18 when the member passed away)

Your case manager will email you in the next 3 working days to confirm the initial documents we need to progress the claim.

Do you need a member of our Claims team to call you before then?* Yes No

PRIVACY STATEMENT

UniSuper is committed to protecting your personal information in accordance with privacy law obligations. The information that you provide on this form is collected and used in accordance with our Privacy Policy which can be found online at unisuper.com.au/privacy. If you have any privacy related questions, call 1800 825 246.

Terms and conditions

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Death claim notification

Deceased member's details

Your details

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