Funeral Checklist

No Funeral, No Flowers. No Fuss. Telephone: 1300 854 971 Information Statement page 3
I certify that the information given is correct, and I understand the Law provides
a penalty for failure to provide information or for the provision of false
information.
Name ....................................................................
Address ........................................................................................ ....................
Telephone ..................................Signed...........................................................
Relationship to the named person: .....................................................................
Date: .............................................
Please note: once the death has been registe red b y us with the Registrar of Births, Deaths and
Marriage s, amendments will incur a fee.
Fax this document to: 02 9484 4060
E-mail as an attachment to: [email protected] ono.com.au
Notes
Subsequent
Marriage
Details:
Subsequent
Children's
Details:
Page 5/5
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