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Forms

Benefit forms

Before making an application for benefit you are advised to read the relevant parts of the product disclosure statement.

  Form title You can use this form to... Product code
Filetype: PDF Age retirement - leaving the scheme Claim your PSS benefit if you are voluntarily retiring or have been dismissed after reaching your minimum retiring age. SAR1-PSS
Filetype: PDF Application for an associate pension by the former spouse of a PSS pensioner Apply for a PSS pension if your former spouse is receiving a PSS pension. ASSOC-PENS
Filetype: PDF Associate preserved benefit Claim your associate preserved benefit if you've reached age 55 and retired from the workforce. PBA-ASS-PSS
Filetype: PDF Cessation of employment (resignation) Claim your benefit after resignation, dismissal (before reaching minimum retiring age), if your appointment is annulled or your contract has been completed. SR1-PSS
Filetype: PDF Departmental report for PSS resignation Let us know your employee has resigned (for employers only). SRD1-PSS
Filetype: PDF Early access to superannuation benefit Get early access to your benefit in the case of severe financial hardship or specified grounds. ACCESS-C
Filetype: PDF Early access to associate preserved superannuation benefit Get early access to your associate preserved benefit in the case of severe financial hardship or specified grounds. ACCESS-ASS-C
Filetype: PDF Election to cease membership Cease your PSS membership to join an alternative scheme. EC-PSS
Filetype: PDF Estimate request form (Member use only) Request an estimate of your PSS benefit. ESTI-PSS
Filetype: PDF Involuntary retirement (retrenchment/redundancy) Claim your benefit if you've involuntarily retired or have accepted an offer of retrenchment or redundancy. SRR1-PSS
Filetype: PDF Orphan of a deceased member Make a claim if you have care, control and custody of the child of a deceased member. SOM1-PSS
Filetype: PDF Orphan of a pensioner Make a claim if you have care, control and custody of the orphan of a deceased pensioner. SOP-PSS
Filetype: PDF Preserved benefit claim Claim your preserved benefit if you've reached age 55 and are retired from the workforce. PBA-PSS
Filetype: PDF Preserved benefit - member contributions/transfer value claim Claim member contributions or have a transfer value paid to an eligible super fund if you have a preserved benefit. PBC-PSS
Filetype: PDF Retirement supplement (SR supplement) Have your transfer amount paid differently to the default arrangement. SR-Supplement
Filetype: PDF Spouse and children of a pensioner benefit application Apply for a pension if you are the spouse of a deceased PSS pensioner or act on behalf of a child of a deceased PSS pensioner. S2SP-PSS
Filetype: PDF Spouse (or spouse and children) of deceased member benefit application part 1 Apply for a pension if you are the spouse of a deceased PSS member or act on behalf of a child of a deceased PSS member. SSM1a-PSS
Filetype: PDF Spouse (or spouse and children) of deceased member benefit application part 2 Apply for a pension if you are the spouse of a deceased PSS member or act on behalf of a child of a deceased PSS member. SSM1b-PSS

 

Invalidity forms

  Form title You can use this form to... Product code
Filetype: PDF Application for issue of invalidity retirement certificate Apply for an invalidity retirement certificate on behalf of an employee (for employers only). SPC-PSS
Filetype: PDF Approved invalidity retirement claim form Claim or apply for an invalidity benefit after your invalidity retirement has been approved by ARIA and are formally retired on invalidity grounds by your employer. SIR1-PSS
Filetype: PDF Application for early access on medical grounds Apply for early access to your preserved benefit due to total and permanent incapacity. ER-PSS
Filetype: PDF Approved preserved benefit invalidity retirement claim form Claim your preserved benefit once you've been given approval to access your benefit on invalidity grounds. PBI-PSS
Filetype: PDF Application for partial invalidity pension Apply for a partial invalidity pension following a permanent decrease in pay due to physical or mental incapacity. SPP-PSS
Filetype: PDF Medical examination report for invalidity retirement Assessment form to be completed by a medical practitioner. SM2-PSS
Filetype: PDF Partial invalidity pension estimate request form Request a partial invalidity pension estimate. PIP-PSS

Other forms

  Form title You can use this form to... Product code
Filetype: PDF Access number request/change of contact details Request an access number so you can log on to member services online or if you'd like to update your details. PAAN1
Filetype: PDF Additional death and invalidity cover (election to take out or vary) Apply for or change your ADIC cover. SE6-PSS
Filetype: PDF ADIC application to continue
while on leave without pay
To continue your Additional Death and Invalidity Cover (ADIC) if you are going onapproved leave without pay (LWOP). SE8-PSS
Filetype: PDF Application to have pre-July 1983 excess contribution included in tax-free amount Get a recalculation of your tax-free amount - this includes your pre-July 1983 excess contributions. P83
Filetype: PDF Application to pay in a transfer value Transfer money from another super fund into the PSS. SE5-PSS
Filetype: PDF Associate preserved benefit (terminal medical condition or incapacity) Claim an associate preserved benefit after you're approved to receive the Benefit as a result of a terminal medical condition or incapacity. PBI-ASS-PSS
Filetype: PDF Authority to release information to a third party Authorise a third party to access information on your super entitlements. AUTH-PSS
Filetype: PDF Certificate in respect of an allowance Determine that an employee will receive a recognized allowance (for delegates of the board only). S17A-PSS
Filetype: PDF Certificate in respect of an allowance for an employee undertaking prescribed employment during leave of absence without pay Determine that an employee undertaking prescribed employment during a leave of absence without pay has been or will continue to receive a recognised allowance (for delegates of the board only). S17L-PSS
HTML page Change my super contribution rate Change your contribution rate if you're a contributing member.  
Filetype: PDF Certificate in respect of an allowance for a temporary employee Determine the eligibility of a temporary employee for a Recognised allowance (for delegates of the board only). S17T-PSS
Filetype: PDF Certificate in respect shift allowance Determine that an employee is eligible to have shift allowance included as salary for superannuation purposes (for delegates of the board only). S17S-PSS
Filetype: PDF Confidential medical & personal statement Supply details of your medical history when you join the PSS. CMAPS
Filetype: PDF Contributions surcharge remittance advice Pay your contributions surcharge by cheque. SUR1-PSS
Filetype: PDF CSS transfer to PSS Cease your CSS membership and transfer into the PSS. SE7-PSS
Filetype: PDF Early access to preserved superannuation benefit on medical grounds Gain access to your preserved benefit on the grounds of total and permanent incapacity. ER-PSS
Filetype: PDF Election to become a member Join the PSS if you're a temporary or casual employee or a statutory office holder. SE4-PSS
Filetype: PDF Family law/property settlement - application for information Access information about your super or a member's super (if you're eligible). FORM6
Filetype: PDF SMARTFORM Family law/property settlement - application for information Access information about your super or a member's super (if you're eligible). What's a SmartForm? FORM6
Filetype: PDF Family law/property settlement - separation declaration Declare separation from your spouse. 90MP-PSS
Filetype: PDF Family law/property settlement - sample court order for superannuation splitting (percentage split) See an example of a standard court order for a percentage split. 90MT1b
Filetype: PDF Family law/property settlement - sample court order for superannuation splitting (base amount) See an example of a standard court order for a base amount split. 90MT1a
Filetype: PDF Family law/property settlement - notice to Trustee required by regulation 72 Supply us with your details if you're not a PSS member but have an interest in your spouse's benefit due to a splitting order or splitting agreement. 72NMS-PSS
Filetype: PDF Leave without pay remittance advice Make a cheque payment for an employee who is on LWOP (for employers only). S637-PSS
Filetype: PDF Overpayment recovery statutory declaration Supply details of income, expense, assets and liabilities. STATDEC
Filetype: PDF Provision of tax file number (TFN) Supply us with your TFN. PSS-TFN
Filetype: PDF Student pension - review of pension Supply education arrangement details when a child turns 16. SC3-PSS
Filetype: PDF Statement of compliance See the PSS statement of compliance for rolling money from other funds into the PSS. SC-PSS
Filetype: PDF Transfer (switch) to Cash Investment Option Switch from the Default Fund to the Cash Investment Option. PCASH
Filetype: PDF Transfer (switch) to Default Fund Switch from the Cash Investment Option to the Default Fund. PCASH-D