Fillable Copy-of-SE4-your-election-to-become-a-member Your election to become a member

Fill Online, Printable, Fillable, Blank Copy-of-SE4-your-election-to-become-a-member Your election to become a member Form

Use Fill to complete blank online GENERAL PUBLIC SERVICES pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Copy-of-SE4-your-election-to-become-a-member Your election to become a member

On average this form takes 4 minutes to complete

The Copy-of-SE4-your-election-to-become-a-member Your election to become a member form is 2 pages long and contains:

  • 0 signatures
  • 2 check-boxes
  • 15 other fields

Country of origin: AUSTRALIA
File type: PDF

Use our library of forms to quickly fill and sign your General Public Services forms online.

BROWSE GENERAL PUBLIC SERVICES FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
The informaon provided in this document is general advice only and has been prepared without taking account of your personal objecves, nancial situaon or needs. Before acng on any such
general advice, you should consider the appropriateness of the advice, having regard to your own objecves, nancial situaon and needs. You may wish to consult a licensed nancial advisor.
You should obtain a copy of the PSS Product Disclosure Statement (PDS) and consider its contents before making any decision regarding your super.
Commonwealth Superannuaon Corporaon (CSC) ABN: 48 882 817 243 AFSL: 238069 RSEL: L0001397
Trustee of the Public Sector Superannuaon Scheme (PSS) ABN: 74 172 177 893 RSE: R1004595
Important information about this form
How to use this form
Please use CAPITAL LETTERS and a black or blue pen.
Mark boxes like this
with a
or
then fill out the next question or section.
Submitting your form
On completion of this form please return it to your Personnel section or Pay office.
PLEASE DO NOT SEND IT TO US.
Instructions to personnel after the member signs this election
• After the member completes their election, you must retain it in the member’s personal file.
• If eligibility criteria are satisfied, contributions should start from the date of the election,
if that date is a payday, otherwise from the next payday.
SE4
09/19
Financial advice for your needs and goals
Obtaining professional advice from an experienced financial planner can help
you reach your financial goals.
CSC’s authorised financial planners provide ‘fee for service’ advice, which
means you receive a fixed quote upfront. There are no obligations, commissions
or hidden fees.
To arrange an initial advice appointment please call 1300 277 777 during
business hours.
Your elecon to
become a member
Temporary/casual employee/
statutory office-holder
SE4 1 of 2
Email
members@pss.gov.au
Phone
1300 000 377
Financial Advice
1300 277 777
Post
PSS
GPO Box 2252
Canberra ACT 2601
Web
csc.gov.au
Overseas Callers
+61 6275 7000
Fax
(02) 6275 7010
A
Election
I,
GIVEN NAME(S)
SURNAME
whose reference number
(AGS) is
elect in accordance with Section 7 or 8 of the Superannuation Act 1990 to become a member of
the Public Sector Superannuation (PSS) scheme in relation to my employment with
CURRENT EMPLOYER
I elect to contribute
%
of my salary for super purposes
I understand that, once I become a member, I am bound by the Rules
for the
administration for the scheme.
I confirm that I have not previously elected to leave PSS to join an accumulation scheme. I accept that if I
have made such an election, I cannot elect to become a member of PSS.
I acknowledge that I can access, through my employer, the Rules for the administration of the scheme and
a copy of the Scheme Trust Deed. I can also obtain the PSS Product Disclosure Statement (PDS) and forms
and factsheets with information on the scheme from csc.gov.au
I am aware of the need to complete a Confidential Medical and Personal Statement (CMAPS) form and
return it to CSC within 14 days from my commencement date.
I also understand that I may be required to undergo a medical examination for superannuation purposes
conducted by a medical practitioner approved by the Commonwealth Superannuation Corporation (CSC).
(Complete the following only if applicable)
I am already a member of
PSS CSS
in respect of other employment
Name of other employer(s)
AGS number(s)
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Privacy
We are committed to protecting any information you give us. Your
information will be used to contact you if we need to in the future.
Your information will not be used for any other purpose or disclosed to
another party, unless you authorise us to do so or it is required by law.
Sign
Need assistance?
Call us on the phone
numbers below
End Form
SE4 2 of 2
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Copy-of-SE4-your-election-to-become-a-member Your election to become a member

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document