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Forms

We get that sometimes you’d like to make changes to your insurance cover or the way we manage your super. Here are some forms to help you do just that.

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  • ADF Super
  • CSS
  • DFRDB
  • MilitarySuper
  • PSS
  • PSSap
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Accessibility notice

We are working towards publishing our forms in a format compatible with assisstive technology. In the meantime, if you need assistance, please contact us by phone or through our contact form.

benefit application

EAFR02 Early access – severe financial hardship

Benefit access for severe financial hardship

PDF, 1324KB

EAFR01 Early access – specified compassionate grounds

Benefit access for compassionate grounds

PDF, 1178KB

F6 Withdrawing your super

Apply to withdraw all or part of your PSSap benefit or transfer it to another fund

PDF, 875KB

Transfers to pssap

F20 Splitting your contributions

Use this form to provide us with instructions to split your contributions to be transferred into your spouse’s super fund.

PDF, 492KB

F3 Transfer your super to PSSap

Transfer other super into your PSSap account

PDF, 1118KB

insurance

LPC04 Extension of Cover Form

Use this form if you intend on taking leave greater than 24 months to continue your cover under the current conditions

PDF, 935KB

LPCF2 Application and variation form

Use this form to apply for or vary your lifePLUS cover or to advise of a salary change

PDF, 622KB

LPC03 Transfer of cover form

Use this form to transfer cover from another super fund into PSSap.

PDF, 1883KB

PSSapLPC02 Cancellation of Cover

Use this form to cancel or opt out of Death, Total and Permanent Disability (TPD) or Income Protection Insurance

PDF, 1055KB

Investments

PSSapF1 Investment choice

Choose your preferred investment option or mix of options

PDF, 1082KB

other

F5 Change of personal details

Notify PSSap of new personal details – name and contact details

PDF, 436KB

F15 Election to become a member

Elect to join PSSap if you are a temporary employee, casual employee or statutory office holder

PDF, 827KB

FORM6 Family law application for superannuation information

Request the trustee to provide certain account information to an eligible person

PDF, 3311KB

90MT1a Family Law Act 1975 Standard court order – base amount splitting

Re-allocate (in dollar terms) holdings in accordance with super split order

PDF, 154KB

90MT1b Family Law Act 1975 Standard court order – percentage splitting

Re-allocate (percentage split) holdings in accordance with super split order

PDF, 154KB

72NMS Family law notice from a non-member spouse

Provide details of non-member spouse in relation to a super splitting order

PDF, 831KB

TFN Provision of Tax File Number

Provide your tax file number to PSSap

PDF, 893KB

NAT 3092 Tax file number declaration

ATO Tax File Number Declaration Form

PDF, 401KB

AUTH Third Party Authority form

Give a third party the right to access your information or act on your behalf

PDF, 856KB

PSSap/ADFS Voluntary contributions

Make a voluntary or spouse contribution by cheque

PDF, 1030KB

CSCri forms

forms

RI01 Apply for CSC retirement income for CSS, PSS and PSSap members (including Ancillary)

Apply for CSC retirement income For CSS, PSS and PSSap members (including Ancillary)

PDF, 762KB

TFN Tax file number declaration

Tax file number declaration

PDF, 546KB

BNF2 Beneficiary nomination

Beneficiary nomination

PDF, 1228KB

RI03 Make a lump sum withdrawal or rollover for a standard retirement income stream

Make a lump sum withdrawal or rollover For a standard retirement income stream

PDF, 585KB

RI04 Make a lump sum withdrawal or rollover for a transition to retirement income stream

Make a lump sum withdrawal or rollover For a transition to retirement income stream

PDF, 580KB

TCP Transfer from CSCri to PSSap

Rollover a partial or full amount from your CSCri to PSSap

PDF, 508KB

72NMS Family law notice from a non-member spouse

Provide details of non-member spouse in relation to a super splitting order

PDF, 831KB

FORM6 Family law application for superannuation information

Request the trustee to provide certain account information to an eligible person

PDF, 3311KB

90MT1a Family Law Act 1975 Standard court order – base amount splitting

Re-allocate (in dollar terms) holdings in accordance with super split order

PDF, 154KB

90MT1b Family Law Act 1975 Standard court order – percentage splitting

Re-allocate (percentage split) holdings in accordance with super split order

PDF, 154KB

RI02 Change your account details

Change your account details

PDF, 310KB

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