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Forms

Other forms
Insurance forms
Family law 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...
	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.
	Change of personal details	Update your contact details and /or change your name
	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).
	Election to join	Join the PSSap if you're a temporary/casual employee or Statutory Office Holder.
	Investment choice	Change your investment options.
	Overpayment recovery statutory declaration	Make a statutory declaration under the Statutory Declarations Act 1959.
	Provision of tax file number	Give us your tax file number.
	Transfers	Transfer super from another fund into your PSSap super account.
	Withdrawing your super	Withdraw part or all of your benefit or transfer it to another super fund.

Insurance

	Form title	You can use this form to...
	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.
	Variation	Vary your level of Death and Total and Permanent Disability (TPD) cover and/or your income protection.
	Personal statement/member's declaration	Make a declaration/statement of personal information for insurance purposes.
	Death claim – employer statement	Make an insurance claim in the event of an employee's death (this form is for employers).
	Income protection claim – employer statement	Make an income protection claim for an employee (this form is for employers).
	Income protection – initial claim form	Make an income protection claim.
	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.
	Income protection Electronic Funds Transfer (EFT) authority form	Declare your bank details so payment can be made into your account.
	Total and permanent disablement claim – employer statement	Make an insurance claim in the event of an employee's TPD (this form is for employers).
	Total and permanent disablement – member Claim Form	Make an insurance claim in the event of TPD.
	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.
	Total and permanent disablement – terminal illness benefit member claim form	Make a claim for the terminal illness benefit. Includes medical attendant's statement forms.

Family Law

	Form title	Description
	Information about a non&nmember 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.
	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.
	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.
	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.