Forms

Benefit forms

Before making an application for benefit you are advised to read the relevant parts of the Product Disclosure Statement.

Purpose of Form Ref No.
Age Retirement - Leaving the Scheme SAR1-PSS
Application for an associate pension by the former spouse of a PSS pensioner Assoc_pens
Associate Preserved Benefit PBA-ASS
Cessation of Employment (Resignation) SR1-PSS
Departmental Report for PSS Resignation SRD1-PSS
Early Access to Superannuation Benefit ACCESS-C
Estimate Request Form (Member use only) ESTI-PSS
Involuntary Retirement - (Retrenchment/Redundancy)  SRR1-PSS
Orphan of a Deceased Member SOM1
Orphan of a pensioner SOP-PSS
Preserved Benefit Claim PBA-PSS
Preserved Benefit - Member Contributions/Transfer Value Claim PBC-PSS
Retirement Supplement (SR Supplement) SR-PSS
Spouse and Children of a Pensioner Benefit Application S2SP-PSS
Spouse (or Spouse and Children) of Deceased Member Benefit Application SSM1-PSS

 

Invalidity Forms

Purpose of Form Ref No.
Medical Examination Report for Invalidity Retirement SM2
Application for Issue of Invalidity Retirement Certificate SPC
Approved Invalidity Retirement Claim Form SIR1-PSS
Application for Early Access on Medical Grounds ER-PSS
Approved Preserved Benefit Invalidity Retirement Claim Form PBI-PSS
Application for Partial Invalidity Pension SPP

Other forms

Purpose of Form Ref No.
Access Number Request/Change of Contact Details PAAN1
Additional Death and Invalidity Cover ( Election to take out or vary ) SE6-PSS
Application to pay in a Transfer Value SE5-PSS
Associate Preserved Benefit (Terminal medical condition or incapacity) PBI-ASS
Authority to Release Information to a Third Party AUTH-PSS
Certificate in Respect of an Allowance S17A-PSS
Certificate in Respect of an Allowance for an Employee Undertaking Prescribed Employment During Leave of Absence Without Pay S17L-PSS
Change my Super Contribution Rate SE2-PSS
Certificate in Respect of an Allowance for a Temporary Employee S17T-PSS
Certificate in Respect Shift Allowance S17S-PSS
Confidential Medical & Personal Statement CMAPS
Contributions Surcharge Remittance Advice SUR1-PSS
CSS Transfer to PSS SE7
Early Access to Preserved Superannuation Benefit on Medical Grounds ER-PSS
Election to become a Member SE4-PSS
Election to cease membership EC-PSS
Family Law/Property Settlement - Application for Information Form 6
Family Law/Property Settlement - Separation Declaration 90MP
Family Law/Property Settlement - Sample Court Order for Superannuation Splitting (percentage split) 90MT(1)(b)
Family Law/Property Settlement - Sample Court Order for Superannuation Splitting (base amount) 90MT(1)(a)
Leave Without Pay Remittance Advice S637
Overpayment Recovery Statutory Declaration  
Provision of Tax File Number (TFN) PSS-TFN
Student Pension - Review of Pension SC3
Statement of Compliance SC-PSS
Transfer (switch) to Cash Investment Option PCASH
Transfer (switch) to Default Fund PCASH-D