Before you make any retirement benefit application, please read your PSS Product Disclosure Statement.
What type of form do you need?
Benefit application
| Form title | Use this form to | Product code |
|---|---|---|
|
Age retirement claim form [PDF: 794 KB] |
Claim your PSS benefits as an age retiree |
SAR1 |
|
Associate preserved benefit (age benefit) claim form [PDF: 439 KB] |
Claim your preserved benefit as an age retiree for associate members |
PBA-ASS |
|
Cessation of employment (resignation) form [PDF: 539 KB] |
SR1 | |
|
Early access to associate preserved super benefit form [PDF: 973 KB] |
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 form [PDF: 536 KB] |
Apply for early access to your benefit on the grounds of severe financial hardship |
ACCESS-C |
|
Involuntary retirement (retrenchment/redundancy) claim form [PDF: 608 KB] |
Claim your PSS benefit after receiving a redundancy package |
SRR1 |
|
Orphan of a deceased member claim form [PDF: 460 KB] |
Apply for deceased member benefits for an eligible child (not survived by spouse) |
SOM1 |
|
Orphan of a deceased pensioner claim form [PDF: 391 KB] |
Apply for deceased pensioner benefits for an eligible child (not survived by spouse) |
SOP |
|
Preserved benefit (age benefit) claim form [PDF: 508 KB] |
Claim your preserved benefit as an age retiree |
PBA |
|
Preserved benefit (member contributions/transfer value) claim form [PDF: 474 KB] |
PBC | |
|
PSS election to cease membership form [PDF: 763 KB] |
EC-PSS | |
|
Retirement (SR) supplement election form [PDF: 648 KB] |
Elect payment form for PSS entitlements to be paid out |
SR |
|
Review of student pension form [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: 493 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: 395 KB] |
Claim benefits as spouse (or spouse and children) of deceased member |
SSM1b |
|
Spouse (or spouse and children) of deceased pensioner claim form [PDF: 1 MB] |
Claim deceased pension benefits as an eligible spouse of a deceased pensioner |
S2SP |
Contributions and transfers
| Form title | Use this form to | Product code |
|---|---|---|
|
Application to transfer money into PSS [PDF: 619 KB] |
Roll other super into your PSS account |
SE5 |
|
CSS election to transfer to PSS form [PDF: 563 KB] |
Transfer CSS holdings into PSS as a CSS member re-joining CSS |
SE7 |
|
Leave without pay remittance advice form [PDF: 638 KB] |
Arrange payment of super contributions from employer while on leave without pay |
S637 |
|
Statement of compliance form [PDF: 103 KB] |
Confirm PSS conformance with SIS standards |
SC |
Investments
| Form title | Use this form to | Product code |
|---|---|---|
|
Transfer (switch) to Cash Investment Option [PDF: 613 KB] |
Switch your PSS holdings from Default Fund to Cash Investment Option |
PCASH |
|
Transfer (switch) to Default Fund [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: 674 KB] |
Determine if a seriously injured PSS member is unable to work again |
SPC |
|
Application for partial invalidity pension form [PDF: 214 KB] |
Apply for a partial invalidity pension if you experience a significant reduction in your earning capacity |
SPP |
|
Approved invalidity retirement claim form [PDF: 819 KB] |
Apply for released of your PSS benefit as a member incapacitated by injury |
SIR1 |
|
Approved preserved benefit invalidity retirement claim form [PDF: 1 MB] |
Apply for release of your preserved benefit as an incapacitated member unlikely to work again |
PBI |
|
Associate preserved benefit invalidity claim form [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 |
|
Early access on medical grounds application form [PDF: 741 KB] |
Apply for early access to your preserved PSS benefit as an incapacitated member |
ER-PSS |
|
Invalidity pension estimate request form [PDF: 618 KB] |
Receive an estimate for an invalidity pension as a member experiencing a significant reduction in earning capacity due to physical or mental incapacity |
PIP |
|
Medical examination report for invalidity retirement form [PDF: 756 KB] |
Determine if a serious injury suffered by a PSS member has caused total and permanent incapacitation |
SM2 |
Tax
| Form title | Use this form to | Product code |
|---|---|---|
|
Application to have pre-July 1983 excess contributions included in tax-free amount form [PDF: 656 KB] |
Adjust your taxable pension portion (factoring in pre-July 11983 component) as a PSS pension recipient |
P83 |
|
Contributions surcharge remittance advice form [PDF: 571 KB] |
Pay off your superannuation surcharge debt via cheque |
SUR1 |
|
Provide your tax file number form [PDF: 622 KB] |
Provide your tax file number to PSS |
TFN |
Online services
| Form title | Use this form to | Product code |
|---|---|---|
|
Access number request and update your details [PDF: 725 KB] |
Receive a new Access Number and/or update your personal details |
PAAN1 |
Other
| Form title | Use this form to | Product code |
|---|---|---|
|
Application for PSS associate pension by former spouse [PDF: 683 KB] |
Apply for share of pension income as former spouse of PSS pensioner |
ASSOC-PENS |
|
Application for superannuation information - Form 6 [PDF: 1024 KB] |
Request information about a superannuation interest for the purposes of Family Law splitting |
FORM6 |
|
Application for superannuation information - Form 6 - SMARTFORM [PDF: 922 KB] |
Request information about a Superannuation interest for the purposes of Family Law splitting |
FORM6 |
|
Application to re-join PSS form [PDF: 619 KB] |
Apply to re-join PSS if you have preserved benefits and re-commenced work |
SE4 |
|
Authority to release information to a third party form [PDF: 689 KB] |
Grant a third party access to your personal PSS account information |
AUTH |
|
Confidential Medical and Personal Statement (CMAPS) form [PDF: 817 KB] |
CMAPS | |
|
Estimate request (member use only) form [PDF: 590 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 |
|
Increase or vary your insurance cover form [PDF: 693 KB] |
Change your additional death and invalidity cover through your PSS super |
SE6 |
|
Information about a non-member spouse - required by Regulation 72 [PDF: 811 KB] |
Provide details of non-member spouse to PSS in relation to super splitting order |
72NMS |
|
Maintain additional insurance cover on LWOP form [PDF: 635 KB] |
Elect to continue your additional death and invalidity cover while on leave without pay |
SE8 |
|
Statutory declaration [PDF: 28 KB] |