Forms

Before you make any retirement benefit application, please read your PSSap Product Disclosure Statement.

What type of form do you need?

Benefit application

Form title Use this form to Product code

Early access to superannuation benefit application form [PDF: 324 KB]

Apply for early access of your PSSap benefit due to severe financial hardship

F16

Withdrawing your super [PDF: 718 KB]

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

F6

Contributions and transfers

Form title Use this form to Product code

Transfer form [PDF: 676 KB]

Transfer other super into your PSSap account

F3

Insurance

Form title Use this form to Product code

AIA Personal Statement [PDF: 235 KB]

Death claim - employer statement [PDF: 39 KB]

Make an insurance claim in the event of an employee's death (this form is for employers).

AIAGR06178

Extend your insurance form [PDF: 640 KB]

Extend your insurance cover if on leave without pay or extended leave over 12 months

F11

Income protection - initial claim form [PDF: 135 KB]

Make an income protection claim.

AIAGR06181A

Income protection claim - employer statement [PDF: 85 KB]

Make an income protection claim for an employee (this form is for employers).

AIAGR06418

Insurance variation form [PDF: 668 KB]

Change your death and total and permanent and/or income protection insurance cover

F2

Total and permanent disablement - member claim form [PDF: 131 KB]

Make an insurance claim in the event of TPD.

AIAGR06182A

Total and permanent disablement - terminal illness benefit member claim form [PDF: 99 KB]

Make a claim for the terminal illness benefit. Includes medical attendant's statement forms.

AIAGR06380A

Total and permanent disablement claim - employer statement [PDF: 85 KB]

Make an insurance claim in the event of an employee's TPD (this form is for employers).

AIAGR06418

Investments

Form title Use this form to Product code

Investment choice form [PDF: 951 KB]

Choose your preferred investment option or mix of options

F1

Other

Form title Use this form to Product code

Binding beneficiary nomination form [PDF: 683 KB]

Nominate your dependant(s) or legal personal representative to receive your benefit if you die

F4

Change your personal details form [PDF: 667 KB]

Notify PSSap of new personal details – name and contact details

F5

Elect to become a PSSap member form [PDF: 610 KB]

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

F15

Family law – application for super information [PDF: 683 KB]

Request trustee of PSSap to provide certain account information to an eligible person

FORM6

Family law – super splitting (base amount) [PDF: 109 KB]

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

90MT1a

Family law – super splitting (percentage split) [PDF: 109 KB]

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

90MT1b

Information about a non-member spouse form [PDF: 613 KB]

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

72NMS

Provision of tax file number [PDF: 686 KB]

Provide your tax file number to PSSap

TFN

Statutory declaration [PDF: 28 KB]