Change in personal details form

Section 1

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Please use this form to inform us of changes to your personal details. You may use this form to report the death of a member of your family or household.

Please describe the change in circumstances

Marriage
Change of name
Change of address
Report the death of a family member
Other

Please state

Date of change in circumstances *

Date of change in circumstances

Your previous details
Surname
First name
Address
E-mail address
Telephone number

Your current details
Surname
First name
Address
E-mail address
Telephone number

The deceased's details
Name
Address
Date of death
Please indicate how they were related to you (optional)

The following field is optional

Please indicate how they were related to you

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Last updated: 9 January 2012 15:38 PM

Change in personal details form

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Your previous details

Your current details

The deceased's details

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