Tranzact Supertec Dependant Death/Disability Benefit Deduction
 
DETAILS OF MEMBER    
       
Name    
       
      Day Month Year  
Date of Birth      
Service Start Date eg 15/1/1940    
Date of Death/Disability eg 1/7/2003    
         
Lump Sum Payout to Dependants    
       
Tax deduction to Fund      
           
E-mail admininfo@totalsuper.com.au Phone 1800 644 804 Fax 07 3211 1455  
 
www.totalsuper.com.au