Add to your super through your employer
Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898
STEP 1. WORK OUT IF YOU CAN ADD EXTRA TO YOUR SUPER
To confirm you can add extra to your super, mark (✗) in the box below that matches your situation.
X
Yes, I am under age 67.
Work Test
X
I’m aged between 67-74 years and I’ve worked at least 40 hours in 30 consecutive days (‘gainfully’ employed or
self-employed) during the financial year in which I am contributing extra to my super.
Work Test Exemption
X
I am aged between 67-74 years and:
• do not meet the Work Test in the current the financial year;
• met the Work Test last financial year;
• have a total superannuation balance of less than $300,000 at the end of the last financial year;
• have not used the Work Test Exemption to make contributions in a previous year.
Note: The Work Test Exemption can only be used to make voluntary contributions in the financial year you satisfy the exemption criteria. It can’t be used
again in subsequent years. If you’re aged 74 your last contribution must be received by AustralianSuper within 28 days after the end of the month in which
you attain the age 75.
STEP 2. TELL US YOUR DETAILS
Last name Mr Ms
Mrs
Miss Dr
X
X
X
X
X
First name Date of birth
D
D
M
M
Y
Y
Y
Y
AustralianSuper member number Tax File Number*
* We’re authorised under super law to collect, use and disclose your Tax File Number (TFN). It’s optional to provide your TFN but if we have it, we’ll be able
to accept all types of contributions from you, you won’t pay more tax than you need to and it’ll be easier to find your super. If you transfer your super to
another fund, we’ll give them your TFN unless you tell us not to in writing. For more information click here australiansuper.com/RefTFN.
STEP 3. HOW WOULD YOU LIKE TO CONTRIBUTE?
Before-tax
X
I wish to contribute
$
,
.00 or
% of my before-tax salary to my AustralianSuper account.
After-tax
X
I wish to contribute
$
,
.00 of my after-tax salary to my AustralianSuper account.
How often do you want to make payroll contributions?
X
Weekly
X
Fortnightly
X
Monthly
X
Once-o
20910 01/22 page 1 of 1
Talk to your employer first to make sure they’re happy to contribute to super from your pay, what your options are and any
impacts it might have on your salary and benefits. If your employer agrees, you can either:
1. send a payroll deduction request to your employer through your online account at australiansuper.com, or
2. complete this form and give it to your employer, or
3. follow the process your employer has in place.
Please complete in pen using CAPITAL letters. Use
✗
to mark boxes where applicable.
Please give this completed form to your employer.
Don’t send it to us or the Australian Taxation Oce.
This form is not used for Super Guarantee (SG) contributions. If you want your employer to pay your super into your
AustralianSuper account please complete the “Pay my Super into AustralianSuper” form.
