Forms

• Benefit forms
• Invalidity Forms
• Other 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
Early Access to Associate Preserved Superannuation Benefit	ACCESS-ASS-C
Election to cease membership	EC-PSS
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 Part 1	SSM1a-PSS
Spouse (or Spouse and Children) of Deceased Member Benefit Application Part 2	SSM1b-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
Tax free amount variation form (Pre-July 1983 excess contributions)	P83
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
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