SMSF Death Benefit Nomination Form
Use this form to record a superannuation death benefit nomination for an SMSF member. Complete the member details, nomination details, and beneficiary nomination details carefully.
Member and SMSF Details
Member's Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
SMSF Name
*
Contact Email or Phone Number
*
Nomination Details
Nomination type
*
Binding
Non-binding
Lapsing
Nomination date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Revokes all prior nominations
*
Yes
No
Beneficiary Nominee Details
Beneficiary Nominee Details
*
Nominee full name
*
Relationship to member
*
Submit Form
Should be Empty: