Advice of death form (SA116)

Use these forms to advise us of the death of an adult or child. We’ll use these details to update records with Medicare, Centrelink and Child Support.

Please complete and return the relevant form to us within 28 days of the person’s death.

To fill in these forms digitally, you’ll need a computer and Adobe Acrobat Reader or a similar program. You can download Adobe Acrobat Reader for free.

You’ll need to print the form, sign it by hand and return it to us following the instructions on the form:

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 4 October 2023.
QC 19066