LETTER OF AUTHORITY FROM AUTHORISED PERSON by ffe15055

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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 appropriate
             authorised person (as stated in the Registry’s 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 Registry’s Certificate Access Policy)

          (The WA Registry of Births, Deaths & Marriages’ Certificate Access Policy and fees can be viewed at
          www.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
                                                                                                              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 another
person, identification for the applicant from Lists 1, 2 or 3 and identification of the person from Lists 1, 2 or 3 who
is 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 3 PLUS
                                 ONE form of current identification from List 2


                   LIST 1                                     LIST 2                                   LIST 3
      •   Australian driver’s licence        •   Australian driver’s licence without     •   Bank statement with current
          (with photo)                           photo                                       residential address
                                             •   Centrelink    or     Department    of   •   Educational certificate/school
      •   Australian firearm’s licence           Veterans’ Affairs card                      report
          (with photo)                       •   Citizenship certificate                 •   Electricity account with current
                                             •   Credit or debit card                        residential address
      •   Australian passport                                                            •
                                             •   Current overseas passport with              Gas account with current
      •   Defence force or police                current Australian entry permit             residential address
          service photo identity card        •   DIMA immigration papers                 •   Motor vehicle registration
                                             •   Health Care card                        •   Shire/water rates
      •   Department of Immigration          •   Medicare card                           •   Telephone account with current
          and Multicultural Affairs          •   Proof of age card                           residential address
          (DIMA) certificate of              •   Security     guard/crowd      control   •   Trade certificate
          evidence of residence status           licence
          (with photo)                       •   Student card
                                             •   Tertiary education student ID card
    * Subject to change without further notice

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

    In person:       Registry of Births, Deaths & Marriages
                     Level 10 Westralia Square
                     141 St Georges Terrace
                     Perth WA 6000
                     Ph: 1300 305 021
                     Hours: Monday – Friday 8.30 am – 4.30 pm

                                        or

    By mail:         Registry of Births, Deaths & Marriages
                     PO Box 7720
                     Cloisters Square
                     Perth WA 6850

								
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