Services Australia Edition SA116(a).2410 4 pages

SA116(a) — Advice of death – adult

The Services Australia form that tells Centrelink, Medicare and Child Support an adult has died, so their records can be updated.

Fill out Advice of death — adult (SA116(a)) online View the form Free on every FileIt plan
Advice of death — adult (SA116(a)) · Advice of death — adult
The official Services Australia form, edition SA116(a).2410 — blank
Page 1 of 4
Advice of death — adult (SA116(a)) (2024) Advice of death — adult — page 1 of 4
Page 1 of 4
Advice of death — adult (SA116(a)) (2024) Advice of death — adult — page 2 of 4
Page 2 of 4
Advice of death — adult (SA116(a)) (2024) Advice of death — adult — page 3 of 4
Page 3 of 4
Advice of death — adult (SA116(a)) (2024) Advice of death — adult — page 4 of 4
Page 4 of 4
Fill this form online Blank PDF from Services Australia

What is Advice of death — adult (SA116(a))?

Form SA116(a), Advice of death – adult, is how a family member, executor, friend or organisation tells Services Australia that an adult has died. One form updates the records Services Australia keeps for Centrelink, Medicare and Child Support. Services Australia asks for it to be returned within 28 days of the death.

The form asks for the deceased person's details and reference numbers (if you know them), their home address and date of death, and their relationship status. It asks whether they received or paid child support. Where known, you give details of the hospital, funeral director, executor or administrator, and next of kin. Then you give your own details and sign the declaration. A child's death uses a separate form, SA116(b).

FileIt walks you through the current edition (SA116(a).2410). Questions for details you don't know stay hidden, and FileIt checks Medicare card numbers and dates. The answers go into Services Australia's own PDF, which FileIt saves in your vault beside the person's other records. Services Australia asks for the form to be printed and signed by hand, and you return it yourself. FileIt never sends it.

Who fills it
Anyone notifying the death: next of kin, an executor, a friend, or an organisation such as a funeral home
Given to
Services Australia, by fax (+61 1300 786 102), by post (PO Box 7800, Canberra BC ACT 2610) or in person
When
Within 28 days of the death, as Services Australia's SA116 page asks
Updates
Centrelink, Medicare and Child Support records
Signatures
The person giving notice
Edition
SA116(a).2410

Who needs to fill out Advice of death — adult (SA116(a))?

  • Next of kin telling Services Australia that a parent, partner or relative has died.
  • Executors and administrators of a deceased estate.
  • Friends or carers who are handling the person's affairs.
  • Organisations such as aged care facilities or funeral homes notifying on the family's behalf.
  • Anyone who needs Centrelink payments, a Medicare card or Child Support arrangements for the deceased person to stop or be updated.

When to use Advice of death — adult (SA116(a))

  • After an adult has died, to let Services Australia update Centrelink, Medicare and Child Support records. Use SA116(b) for a child.
  • Within 28 days of the death, as Services Australia's SA116 page asks.
  • When the deceased person received a Centrelink payment, was on a Medicare card, or received or paid child support.
  • Together with an Executor/Administrator Request for information (SS524) if the executor also needs the person's Services Australia information.

What you need before you start

  • The deceased person's full name, date of birth, home address and date of death.
  • Their Medicare card number, Centrelink Customer Reference Number and Child Support reference number, if you know them.
  • Their relationship status and partner's name, and where any children they received or paid child support for are living.
  • Where known: the hospital, funeral director, executor or administrator, and next of kin, with addresses and phone numbers.
  • Your own name, relationship to the deceased person, postal address and phone number.

What’s on Advice of death — adult (SA116(a))

The 2024 edition has 4 pages. FileIt asks for it in 8 parts, and it is signed by Person giving notice:

  1. Deceased person's details (questions 1–7)Person giving notice
  2. Relationships and background (questions 8–12)Person giving notice
  3. Hospital details (questions 13–17)Person giving notice
  4. Funeral director's details (questions 18–22)Person giving notice
  5. Executor/Administrator details (questions 23–28)Person giving notice
  6. Next of kin details (questions 29–33)Person giving notice
  7. Your details — the person giving notice (questions 34–38)Person giving notice
  8. Declaration (question 40)Person giving notice

How to fill out Advice of death — adult (SA116(a)), step by step

1 Deceased person's details (questions 1 to 7)

Their name, date of birth, Medicare card number and reference number, Centrelink Customer Reference Number, Child Support reference number, home address and date of death. The reference numbers are only needed if you know them. FileIt can prefill the name and date of birth from the person's record in your vault.

2 Relationships and background (questions 8 to 12)

Their relationship status and partner's name. Questions 9 and 10, about Aboriginal, Torres Strait Islander and Australian South Sea Islander descent, are voluntary. Question 11 asks whether they received child support for a child in their care, or paid child support. If they did, question 12 asks where the children are living.

3 Hospital and funeral director (questions 13 to 22)

If known, the hospital's name, address, phone number and contact name, and the funeral director's business name, address, phone number and contact. Answer 'Not applicable' or 'No' to skip them.

4 Executor or administrator (questions 23 to 28)

If the executor or administrator of the estate is known, give their name, organisation, postal address and phone number. Question 28 asks whether they'll request information from Services Australia. If so, they'll need to complete an Executor/Administrator Request for information (SS524).

5 Next of kin (questions 29 to 33)

If known, the next of kin's relationship to the deceased person, name, address and phone number.

6 Your details and declaration (questions 34 to 40)

Your relationship to the deceased person, name, organisation (if you're notifying for one), postal address and phone number. FileIt fills in the full name on the declaration from your name and dates it. You sign it by hand after printing.

Common mistakes to avoid

  • Using SA116(a) for a child. A child's death is notified on SA116(b).
  • Leaving it too long. Services Australia asks for the form within 28 days of the death.
  • Assuming this form gets the executor the deceased person's information. That needs a written request or an SS524.
  • Forgetting to sign the declaration after printing.
  • Leaving out the child support question when the person received or paid child support.

After you fill it out

Print the form and sign the declaration by hand.

Return it by fax to +61 1300 786 102, by post to Services Australia, PO Box 7800, Canberra BC ACT 2610, Australia, or in person at a service centre.

If you're the executor or administrator and need information such as bank details, entitlements, money owed or claims on the estate, also complete an Executor/Administrator Request for information (SS524).

FileIt keeps a copy of the completed form in the person's folder in your vault, alongside the other records you're managing for the estate.

Fill out Advice of death — adult (SA116(a)) online with FileIt

  1. Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
  2. Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 86 fields in all. Your answers save as you go.
  3. Check the live preview. Watch your answers land on the real Services Australia form, and let FileIt do any worksheet arithmetic.
  4. Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault. Sign it, or send it for e-signature.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start Advice of death — adult (SA116(a)) now — it’s free

Advice of death — adult (SA116(a)): frequently asked questions

What is the SA116(a) form?

It's Services Australia's Advice of death form for an adult. It tells Centrelink, Medicare and Child Support that the person has died so their records can be updated.

How soon do I need to send it?

Services Australia's SA116 page asks for the form to be returned within 28 days of the person's death.

Who can complete it?

Anyone giving notice of the death, such as next of kin, an executor or administrator, a friend, or an organisation. You give your own details and relationship to the deceased person at questions 34 to 38 and sign the declaration.

What if I don't know their Medicare or Centrelink numbers?

The reference numbers are asked 'if known'. Leave them blank and give the name, date of birth, address and date of death.

Where do I send SA116(a)?

Fax it to +61 1300 786 102, post it to Services Australia, PO Box 7800, Canberra BC ACT 2610, or take it to a service centre. FileIt doesn't send it for you.

Can I sign it electronically?

Services Australia's SA116 page says to print the form, sign it by hand and return it, so FileIt prepares the filled PDF for you to print and sign.

Official sources

FileIt is not affiliated with or endorsed by Services Australia or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-09-28.

Fill out Advice of death — adult (SA116(a)) online