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 members 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.
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09/19
Financial advice for your needs and goals
Obtaining professional advice from an experienced financial planner can help
you reach your financial goals.
CSCs 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
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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
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