Forms

Other forms

Find out about the overall features, benefits, risks and cost of investing your super in PSSap in our product disclosure statement.

  Form title You can use this form to... Product code
Filetype: PDF Beneficiary nomination Legally nominate the dependant(s) and/or legal personal representative you would like your benefit, including any insurance proceeds, to be paid to if you die. PSSapF4
Filetype: PDF Change of personal details Update your contact details and /or change your name PSSapF5
Filetype: PDF Compliance letter Request a super rollover into the PSSap. This notice certifies the PSSap as a complying super fund that accepts rollovers, established under the Superannuation Act 2005 and Trust Deed and Rules (RSE R1004601).  
Filetype: PDF Early access to superannuation benefit Access your benefit on the ground of severe financial hardship or specified grounds, as defined under the Superannuation Industry (Supervision) Regulations. PSSapF16
Filetype: PDF Election to join Join the PSSap if you're a temporary/casual employee or Statutory Office Holder. PSSapF15
Filetype: PDF Investment choice Change your investment options. PSSapF1
Filetype: PDF Overpayment recovery statutory declaration Make a statutory declaration under the Statutory Declarations Act 1959. statdec
Filetype: PDF Provision of tax file number Give us your tax file number. PSSap_TFN
Filetype: PDF Transfers Transfer super from another fund into your PSSap super account. PSSapF3
Filetype: PDF Withdrawing your super Withdraw part or all of your benefit or transfer it to another super fund. PSSapF6

Insurance

  Form title You can use this form to... Product code
Filetype: PDF Extending your insurance Extend your insurance cover if you are planning to be:
• on approved leave without pay (LWOP) for more than 12 months
  or
• on reduced pay extended leave for more than 12 months.
PSSapF11
Filetype: PDF Variation Vary your level of Death and Total and Permanent Disability (TPD) cover and/or your income protection. PSSapF2
Filetype: PDF Personal statement/member's declaration Make a declaration/statement of personal information for insurance purposes. AIAGR06113
Filetype: PDF Death claim – employer statement Make an insurance claim in the event of an employee's death (this form is for employers). AIAGR06178
Filetype: PDF Income protection claim – employer statement Make an income protection claim for an employee (this form is for employers). AIAGR06418
Filetype: PDF Income protection – initial claim form Make an income protection claim. AIAGR06181A
Filetype: PDF Income protection – later claim notification Advise that a claim has been lodged for TPD and make a claim for Salary Continuance Insurance (SCI) or Income Protection (IP) benefit. AIAGR06419
Filetype: PDF Income protection Electronic Funds Transfer (EFT) authority form Declare your bank details so payment can be made into your account. AIAGR06482
Filetype: PDF Total and permanent disablement claim – employer statement Make an insurance claim in the event of an employee's TPD (this form is for employers). AIAGR06418
Filetype: PDF Total and permanent disablement – member Claim Form Make an insurance claim in the event of TPD. AIAGR06182A
Filetype: PDF Total and permanent disablement – concurrent or later claim notification Advise that a claim has been lodged for Salary Continuance Insurance (SCI)/Income Protection (IP) benefits and make a claim for the TPD benefit. AIAGR06420
Filetype: PDF Total and permanent disablement – terminal illness benefit member claim form Make a claim for the terminal illness benefit. Includes medical attendant's statement forms. AIAGR06380A

Family Law

  Form title You can use this form to... Product code
Filetype: PDF Information about a non-member spouse A non-member spouse should complete this form in relation to a super interest that is subject to a splitting order or a splitting agreement. PSSapF_72NMS
Filetype: PDF Standard court order – base splitting In the event of a Family Law base split the Family Law Rules 2004 requires that ARIA are supplied with a copy of the proposed splitting order. This is an example of the information ARIA needs to split a member's super. PSSap90MT1a
Filetype: PDF Standard court order – percentage splitting In the event of a Family Law percentage split, the Family Law Rules 2004 requires that ARIA are supplied with a copy of the proposed splitting order. This is an example of the information ARIA needs to split a member's super. PSSap90MT1b
Filetype: PDF Application for superannuation information Use this form if you are requesting information about your super account, or a member's super account – to do this you must be eligible under the Family Law Act 1975. Form6