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] |



