Executor/Administrator Request for information (SS524) When to use this form Deceased person’s details Use this form to request information from Services Australia regarding a deceased person. 1 Customer Reference Number (if known) Information will only be disclosed to: • the executor as named in the Will • the Public Trustee 2 Mr Mrs Miss Ms Other and/or • a court, Family name • the administrator of the estate. If you are not one of the above, contact us. First given name What else will you need to provide Second given name You will need to provide proof you have ...
SAMPLE FOIA REQUEST LETTER FOR RECORDS ON A DECEASED BENEFICIARY To hasten the processing of your request, address your request to the CMS Regional Office which has jurisdiction over the state where the beneficiary lived. The list of Regional Offices and the respective states they have jurisdiction over can be found at: http://www.cms.gov/foia/downloads/WheretoFile.pdf. Date CMS FOIA Officer (Address to the Regional Office as explained above) Dear __________________: Under the Freedom of Information Act, 5 U.S.C. subsection 552, I am requesting access to [identify the records as clearly and specifically as possible]. Select either A, or ...
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