Please fill in the below form completing Steps 1-5 to finalise your Foresters Financial Funeral Bond Application Form. The form should only take 5-10 minutes to complete.
All fields marked with an asterisk (*) are mandatory.
This application form is for both the Foresters Financial Funeral Benefit Fund and, if selected, the Funeral Transfer Fund (Away From Home Cover). For more information on the benefits of our single premium insurance for body transportation if you are traveling around Australia, please refer to our Away From Home Cover included on pages 26-28 of the Product Disclosure Statement
I wish to apply for membership of the Foresters Financial Funeral Benefit Fund and, if selected, the Funeral Transfer Fund (Away From Home Cover). This application is for a:
Prior to signing this application, applicants should read and have a copy of Foresters Financial Funeral Benefit Fund Funeral Bond Product Disclosure Statement dated 21 July 2021.
Before completing your application please confirm you have read the PDS below:
This will be a single Application (Applicant 1 only)
This will be a Joint Application between Applicant 1 and Applicant 2
This enables you to enter into a Funeral Bond in your name for the life insured of another person. Investors to provide their details under Applicant 1 and the Life Insured’s details under Applicant 2. For full details please read the PDS
If you are entering into this Funeral Bond as an Investor please provide details of the person who is the Life Insured as Applicant 2
Complete this section only if correspondence is to be sent to someone different to Applicant 1
Mark only one box and if appropriate fill in the Funeral Director Details below
A Non-Assigned Funeral Bond is where no specific funeral director has been nominated. All information relevant to your investment will be forwarded to you. If you have chosen this option please proceed to Step 3.
By nominating a funeral director as your beneficiary, you agree to the funeral director having access to your investment information. The Nominated Funeral Director can be changed at any time prior to death. All investment information will be sent to both yourself and your Nominated Funeral Director. If you have chosen this option you need to fill in the Funeral Director Details below.
I/We in accordance with Foresters Financial Constitution do hereby nominate my/our investment in the Foresters Financial Funeral Bond to:
When you set aside additional monies to contribute towards non-fixed price funeral expenses, your
investment is automatically invested in the Capital Guaranteed investment option
As I/we have not assigned the ownership of the investment to a funeral director, I/we select the following investment option for the Bond as:
I/We understand and assume full responsibility for the risks attaching to a decision as to the investment allocation of the Bond
If you do not select an investment option for the Bond, then the default investment option of the Capital Guaranteed will be automatically applied. A future switch in or out of the Capital Guaranteed investment option is permitted.
Note: Only one option is selectable, but an selection does not have to be made.
Please indicate below how the allocation of the total amount invested will be distributed to Foresters Financial.
This is the amount you intend to invest in the Funeral Bond.
Foresters Financial's Away From Home Cover guards against transportation costs, back to the selected Funeral Director (up to a maximum of $3,000). Please see Product Disclosure Statement for more infomation. (Flat Fee of $120. GST Free).Away From Home Cover can be added to your application here.
This is the total amount you will be investing with Foresters Financial. Your Funeral Bond Investment + Away From Home Cover (if applicable)
This is the first payment amount you’re prepared to pay. You might choose to pay the entire amount now, or a portion. Please enter your preferred amount.
If you have chosen not to pay the full amount in your Initial Amount Paid you will see an amount owing in this field.
PLEASE NOTE: The Funeral Bond and the Funeral Transfer Fund policy will remain in effect until the death of the applicant or the life insured or in the case of joint applicants, the first death to occur and no money can be withdrawn from the Funeral Benefit Fund or will be paid from the Funeral Transfer Fund before that time, except during the 30 day cooling-off period.
Choose your preferred payment type(s) for the initial (one-off) payment amount:
Choose your preferred payment type(s) for the Instalments (Ongoing) payment amounts:
Foresters Financial Limited, User ID 028104
PO BOX 7702
Melbourne VIC 3004
I/We, request and authorise you, Foresters Financial Limited, until further notice in writing to debit the nominated account described in the schedule below to pay for investment or insurance policies.
I/We acknowledge that:
Note: Visa and Mastercard accepted
Frequency of deductions
This document outlines Foresters Financial Limited, User ID 028104, ABN 27 087 648 842 obligations to you, in respect of the DDR arrangements made between Foresters Financial and you. It sets out your rights and obligations to us, together with where you should go for assistance. Please keep this agreement for future reference. It forms part of the terms and conditions of your Direct Debit Request (DDR) and should be read in conjunction with your DDR authorisation.
You have accepted the DDR Service Agreement
You have declined the DDR Service Agreement
account means the account held at your financial institution from which we are authorised to arrange for funds to be debited.
agreement means this Direct Debit Request Service Agreement between you and us.
banking day means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia.
debit day means the day that payment by you to us is due.
debit payment means a particular transaction where a debit is made.
Direct Debit Request (DDR) means the written, verbal or online request between us and you to debit funds from your account.
us or we means Foresters Financial, (the Debit User) you have authorised by requesting a Direct Debit Request.
you means the customer(s) who has authorised the Direct Debit Request.
your financial institution means the financial institution at which you hold the account you have authorised us to debit.
INITIAL TERMS OF AGREEMENT
In terms of the DDR arrangements specified on your DDR Form we undertake to periodically debit the nominated account for the agreed amount for contributions to your Policy.
DIRECT DEBIT ARRANGEMENTS
The first direct debit under this DDR arrangement will occur in accordance with your DDR form. If any direct debit falls due on a non-banking day, it will be debited to your account on the next business day following the scheduled direct debit date.
We will give you at least 14 days’ notice in writing when changes to the initial terms of the arrangements are made. The notice will state relevant changes to the initial terms.
CHANGES TO THE ARRANGEMENT
All changes to the DDR arrangements must be in writing and forwarded directly to Foresters at least 7 business days prior to the date of your specific change. These changes may include:
If you wish to discuss any changes to the initial terms, telephone us on 03 8580 4000 or 1800 645 326 (free call).
YOUR COMMITMENT TO US
It is your responsibility to ensure that:
If a direct debit is returned or dishonoured by your financial institution, you will be advised in writing that we will add that debit amount on the next scheduled direct debit date. Any transaction fees incurred by us in respect to the above may be recovered by adding that amount to the next scheduled direct debit.
If you believe that a direct debit has been initiated incorrectly, we recommend that you take the matter up directly with us by contacting us on 03 8580 4000, or 1800 645 326 (free call), during office hours.
If the dispute is unresolved and/or you are dissatisfied with the response, contact your financial institution who will respond to your claim. You will receive a refund of the direct debit amount if we cannot substantiate the reason for the direct debit.
Direct all enquiries to us, rather than your financial institution, at least 5 business days prior to the next scheduled direct debit date. All communication should include your member and policy numbers.
Simply contact us on 03 8580 4000, or 1800 645 326 (free call), during office hours.
We will keep any information (including your account details) in your Direct Debit Request confidential. We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you do not make any unauthorised use, modification, reproduction or disclosure of that information.
We will only disclose information that we have about you to the extent specifically required by law; or for the purposes of this agreement (including disclosing information in connection with any query or claim).
It’s important you read and acknowledge the Declaration below so you can complete your Bond Application.
*Where applicant is aged from 10 and under 16 years of age, a parent or guardian must sign. QUEENSLAND RESIDENTS: It is a regulatory requirement of the Queensland Government for you to complete a Client Care Statement which must accompany your application. Visit www.forestersfinancial.com.au/qccs to download the form.