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 866 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 955 KB]

Claim your preserved benefit as an age retiree for associate members

PBA-ASS

Cessation of employment [PDF 969 KB]

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

SR1

Child of a deceased pensioner [PDF 1021 KB]

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

APSCOP

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 969 KB]

EC-PSS

Orphan of a deceased member [PDF 1 MB]

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

SOM1

Preserved benefit (age benefit) [PDF 1 MB]

Claim your preserved benefit as an age retiree

PBA

Preserved benefit (member contributions/transfer value) [PDF 983 KB]

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 969 KB]

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 900 KB]

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

SSM1b

Spouse of a deceased pensioner [PDF 992 KB]

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

APSSOP

SR-Supplement [PDF 650 KB]

Elect payment form for PSS entitlements to be paid out

SR

 

Contributions and transfers

Form title Use this form to Product code

CSS election to transfer to PSS form [PDF 813 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

Transfers out [PDF 874 KB]

Use this form to transfer out your Accumulated transfer amount (Post 1995) or additional (over age 70) contributions.

POST1995

 

Investments

Form title Use this form to Product code

Investment option switching form [PDF 821 KB]

Switch your PSS holdings between investment options

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 988 KB]

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 836 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 1 MB]

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 850 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 621 KB]

Grant a third party access to your personal PSS account information

AUTH

Your confidential medical and personal statement (CMAPS) [PDF 972 KB]

CMAPS

Your election to become a member [PDF 821 KB]

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

SE4