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Letter of Notification of Death

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To Whom it may co= ncern

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I/We  __________________= _____________________________

wish to inform your organization of the recent death of

 

Mr/Mrs/Miss/Ms

 

Surname______________= _______________________

Given Names__________= ________________________

Date of Birth________= /_________/__________

Date of Passing______= ___/________/________

 

Address at time of de= ath

_____________________= ______________

_____________________= ______________

_____________________= ______________

 

I understand that he/= she was a member/customer of your organization.

The card/member/custo= mer no. on your records is-

_____________________= _________________

Please update your de= tails accordingly.

 

I give permission to = contact me if further information is required-

 

Name_________________= _________________

Contact Phone Number_= ____________________

Address______________= ___________________

_____________________= __________________

_____________________= __________________

Relationship to decea= sed_____________________

 

Sig= nature____________________________Date_______________
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