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Contact Blind Low Vision NZ
Update your details
Notify us of a deceased person
Our locations
Request services
Ophthalmic referral
Notify us of a deceased person
Use this form to let us know about someone who might be on our database who has died.
Their name
*
Required
First name
Last name
Street Address
*
Required
City
*
Required
Country
*
Required
Postal Code
Their closest office
*
Required
This is so we can make sure the local office updates these details
Auckland - Central
Auckland - Albany
Auckland - Henderson
South Auckland - Fale
Christchurch
Dunedin
Gisborne
Hamilton
Invercargill
Napier
Nelson/Marlborough
New Plymouth/Taranaki
Palmerston North
Tauranga
Wanganui
Wellington - Braille House
Kapiti Coast
Whangarei
Their client number if you know it
Date of Death
Estimated
The date of death is estimated (please tick the box if yes)
How do you know about their death
e.g. you are a family member, friend, read a death notice.
Your name
Your relationship to the client
Your contact phone number
Name
This field is for validation purposes and should be left unchanged.