8/3/2019 BDM Letter of Authority

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BDM600

Registry of Births, Deaths & Marriages

Western Australia

If applying for a certificate on behalf of another person, the following must be provided:

A letter giving permission from the person named on the certificate or if deceased, the appropriateauthorised person (as stated in the Registrys Certificate Access Policy).

Identification for applicant from Lists 1, 2 or 3; (see over for table); and

Identification of the person from Lists 1, 2 or 3 who is entitled to the document (see over for table)(as stated in the Registrys Certificate Access Policy)

(The WA Registry of Births, Deaths & Marriages Certificate Access Policy and fees can be viewed atwww.bdm.dotag.wa.gov.au)

LETTER OF AUTHORITY FROM AUTHORISED PERSON

(Please print clearly in block letters)

I,(insert name of person named on the certificate or if deceased, the appropriate authorised person)

of(insert full residential address of abovenamed person)

hereby authorise(insert full name of person you are authorising to apply for the certificate)

who is(insert relationship of authorised person to the person named in the certificate)

to apply for(insert type of certificate required e.g. Birth, Death, Marriage, Change of Name)

Signed: _____________________________________________ Dated: / /(Signature of person named in certificate or if deceased, appropriate authorised person)

Daytime Contact Phone No:

Office Use Only:

SR No. ______ / ____________

Approved ID Provided? Y or N

8/3/2019 BDM Letter of Authority

2/2

BDM600

Registry of Births, Deaths & Marriages

Western Australia

IDENTIFICATION REQUIREMENTS *

Correct as at 1 July 2009

When applying for a Western Australian birth, death, marriage or change of name certificate on behalf of anotherperson, identification for the applicant from Lists 1, 2 or 3 and identification of the person from Lists 1, 2 or 3 whois entitled to the document must be provided:

ONE form of current identification from List 1; OR

TWO forms of current identification from List 2; OR

THREE forms of current identification from List 3PLUS

ONE form of current identification from List 2

LIST 1 LIST 2 LIST 3

Australian drivers licence(with photo)

Australian firearms licence(with photo)

Australian passport

Defence force or policeservice photo identity card

Department of Immigrationand Multicultural Affairs(DIMA) certificate ofevidence of residence status(with photo)

Australian drivers licence withoutphoto

Centrelink or Department ofVeterans Affairs card

Citizenship certificate

Credit or debit card

Current overseas passport withcurrent Australian entry permit

DIMA immigration papers

Health Care card

Medicare card Proof of age card

Security guard/crowd controllicence

Student card

Tertiary education student ID card

Bank statement with currentresidential address

Educational certificate/schoolreport

Electricity account with currentresidential address

Gas account with currentresidential address

Motor vehicle registration

Shire/water rates

Telephone account with currentresidential address

Trade certificate

* Subject to change without further notice

This form and suitable identification (as stated in table above) should be attached to the birth, death, marriageor change of name application form and returned with the fee to:

In person: Registry of Births, Deaths & Marriages

Level 10 Westralia Square141 St Georges TerracePerth WA 6000Ph: 1300 305 021Hours: Monday Friday 8.30 am 4.30 pm

or

By mail: Registry of Births, Deaths & MarriagesPO Box 7720Cloisters SquarePerth WA 6850