Forms

Additional Death and Invalidity

Form title Use this form to Last updated Product code

ADIC application to continue while on leave without pay [PDF 635 KB]

Elect to continue your additional death and invalidity cover while on leave without pay

Sep 2013

SE8

Election to take out or vary additional death and invalidity cover [PDF 888 KB]

Change your additional death and invalidity cover through your PSS super

Sep 2013

SE6

Benefit application

Form title Use this form to Product code

Age retirement claim [PDF 1 MB]

Claim your PSS benefits as an age retiree

SAR1

Associate preserved benefit [PDF 1 MB]

Claim your preserved benefit as an age retiree for associate members

PBA-ASS

Cessation of employment [PDF 1 MB]

To make a benefit election after you have resigned or have been dismissed from the workforce

SR1

Early access to associate preserved superannuation benefit [PDF 1 MB]

Apply for early access to your preserved benefit on the grounds of severe financial hardship if you are an Associate member

ACCESS-ASS-C

Early access to superannuation benefits [PDF 1 MB]

Apply for early access to your benefit on the grounds of severe financial hardship

ACCESS-C

Election to cease membership [PDF 1 MB]

EC-PSS

Orphan of a deceased member [PDF 1 MB]

Apply for deceased member benefits for an eligible child (not survived by spouse)

SOM1

Orphan of a pensioner [PDF 1008 KB]

Apply for deceased pensioner benefits for an eligible child (not survived by spouse)

SOP

Preserved benefit (age benefit) [PDF 1 MB]

Claim your preserved benefit as an age retiree

PBA

Preserved benefit (member contributions/transfer value) [PDF 1 MB]

PBC

Redundancy [PDF 1 MB]

Claim your PSS benefit after receiving a redundancy package

SRR1

Review of student pension [PDF 274 KB]

Extend payment of student pension on behalf of an eligible child (or children) of a deceased PSS member who is engaged in full-time education

SC3

Spouse (or spouse and children) of a deceased member - Part 1 of 2 - Identification [PDF 1 MB]

Identify spouse (or spouse and children) of deceased member to claim benefits

SSM1a

Spouse (or spouse and children) of a deceased member - Part 2 of 2 - Benefit options [PDF 940 KB]

Claim benefits as spouse (or spouse and children) of deceased member

SSM1b

Spouse (or spouse and children) of deceased pensioner [PDF 1 MB]

Claim deceased pension benefits as an eligible spouse of a deceased pensioner

S2SP

SR-Supplement [PDF 648 KB]

Elect payment form for PSS entitlements to be paid out

SR

 

Contributions and transfers

Form title Use this form to Product code

Application to pay in a transfer amount [PDF 837 KB]

Roll other super into your PSS account

SE5

CSS election to transfer to PSS form [PDF 821 KB]

Transfer CSS holdings into PSS as a CSS member re-joining CSS

SE7

LWOP remittance advice [PDF 638 KB]

Arrange payment of super contributions from employer while on leave without pay

S637

Statement of compliance [PDF 102 KB]

Confirm PSS conformance with SIS standards

SC

 

Investments

Form title Use this form to Product code

Cash investment option transfer (switch) [PDF 613 KB]

Switch your PSS holdings from Default Fund to Cash Investment Option

PCASH

Default fund transfer (switch) [PDF 612 KB]

Switch your PSS holdings from Cash Investment Option to Default Fund

PCASH-D

 

Invalidity

Form title Use this form to Product code

Application for issue of invalidity retirement certificate [PDF 676 KB]

Determine if a seriously injured PSS member is unable to work again

SPC

Approval of early access to preserved superannuation benefits on medical grounds application [PDF 741 KB]

Apply for early access to your preserved PSS benefit as an incapacitated member

ER-PSS

Approved invalidity retirement benefit application [PDF 1 MB]

Apply for release of your PSS benefit as a member incapacitated by injury

SIR1

Associate preserved benefit claim [PDF 1 MB]

Apply for release of your preserved benefit component as an associate member who has gained approval as a result of a terminal medical condition or incapacity

PBI-ASS

Medical examination report for invalidity retirement [PDF 943 KB]

Determine if a serious injury suffered by a PSS member has caused total and permanent incapacitation

SM2

Partial invalidity pension approval application [PDF 214 KB]

Apply for a partial invalidity pension if you experience a significant reduction in your earning capacity

SPP

Preserved benefit approved invalidity claim [PDF 1 MB]

Apply for release of your preserved benefit as an incapacitated member unlikely to work again

PBI

 

Tax

Form title Use this form to Product code

Application to have pre-July 1983 excess contributions included in tax-free amount [PDF 858 KB]

Adjust your taxable pension portion (factoring in pre-July 11983 component) as a PSS pension recipient

P83

Contributions surcharge remittance advice [PDF 571 KB]

Pay off your superannuation surcharge debt via cheque

SUR1

Provision of tax file number [PDF 591 KB]

Provide your tax file number to PSS

TFN

 

 

Online services

Form title Use this form to Product code

Access number request and personal details [PDF 816 KB]

Receive a new Access Number and/or update your personal details

PAAN1

 

Other

Form title Use this form to Product code

Application for an associate pension by former spouse [PDF 971 KB]

Apply for share of pension income as former spouse of PSS pensioner

ASSOC-PENS

Application for superannuation information [PDF 1024 KB]

Request information about a superannuation interest for the purposes of Family Law splitting

FORM6

Application for superannuation information (Smartform) [PDF 922 KB]

Request information about a Superannuation interest for the purposes of Family Law splitting

FORM6

Estimate request (member use only) [PDF 853 KB]

Request an estimate of your current or future PSS entitlement

ESTI

Family law/property settlement – sample court order for super splitting (base amount) [PDF 119 KB]

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

90MT1a

Family law/property settlement – sample court order for super splitting (percentage split) [PDF 119 KB]

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

90MT1b

Family law/property settlement – separation declaration [PDF 657 KB]

Notify PSS of new superannuation agreement or separation from your spouse

90MP

Information about a non-member spouse [PDF 839 KB]

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

72NMS

Statutory declaration [PDF 28 KB]

Third party authority [PDF 689 KB]

Grant a third party access to your personal PSS account information

AUTH

Your confidential medical and personal statement (CMAPS) [PDF 962 KB]

CMAPS

Your election to become a member [PDF 812 KB]

Apply to re-join PSS if you have preserved benefits and re-commenced work

SE4