A
Personal details
Member number
Title
Mr Mrs Ms Miss Other
Surname
Given name(s)
Date of birth
D D M M Y Y Y Y
/ /
Previous hours per fortnight
Reduced hours per fortnight
Reduction effective from
D D M M Y Y Y Y
/ /
Date sick leave will
expire/has expired
D D M M Y Y Y Y
/ /
The member has decided to remain a designated full-time employee.
The member has been provided with information about the effects of this decision on superannuation contributions
and benefits, and leave accrual and disbursement, as well as on eligibility to partial invalidity pension payments when
leave is taken.
Paral invalidity pension
Informal reduction in hours
CSC
AFSL 238069
RSEL L0001397
ABN 48 882 817 243
1922 Scheme
CSS
RSE R1004649
ABN 19 415 776 361
DFRB Scheme
MilitarySuper
RSE R1000306
ABN 50 925 523 120
DFRDB Scheme
ABN 39 798 362 763
PSS
RSE R1004595
ABN 74 172 177 893
PNG Scheme
PSSap
RSE R1004601
ABN 65 127 917 725
DFSPB
Commonwealth Superannuaon Corporaon (CSC) ABN: 48 882 817 243, AFSL: 238069, RSEL: L0001397
Defence Force
Rerement and Death
Benets Scheme
ABN: 39 798 362 763
Australian Defence
Force Superannuaon
ABN: 90 302 247 344
RSE: R1077063
Commonwealth
Superannuaon Scheme
ABN: 19 415 776 361
RSE: R1004649
Public Sector
Superannuaon
accumulaon plan
ABN: 65 127 917 725
RSE: R1004601
Military Superannuaon
and Benets Scheme
ABN: 50 925 523 120
RSE: R1000306
Australian Defence
Force Cover
ABN: 64 250 674 722
Public Sector
Superannuaon Scheme
ABN: 74 172 177 893
RSE: R1004595
1922 Scheme
DFRB Scheme
PNG Scheme
DFSPB
CSC rerement income
1 of 2
DI01
05/19
FOR
EMPLOYER
USE
The members salaries on the day after their sick leave expired/expires are:
$
(annual salary before reduction)
$
(annual salary after reduction)
I certify that the above information is true and correct.
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Sign
Email
CSS and PSS: employer.service@admin.csc.gov.au
PSSap: employers@pssap.com.au
Phone
CSS and PSS: 1300 338 240
PSSap: 1300 308 806
Fax
CSS and PSS: (02) 6272 9996
PSSap: 1300 364 144
Web
eac.csc.gov.au
Fax
(02) 6272 9613
Email
employer.service@csc.gov.au
Phone
1300 338 240
Fax
(02) 6275 7010
Post
Employer Service
GPO Box 2252
Canberra ACT 2601
Web
csc.gov.au
Overseas Callers
+61 2 6275 7000
2 of 2
End Form
Where can I get more information?
EMAIL employer.service@csc.gov.au
PHONE 1300 338 240
FAX (02) 6275 7010
MAIL Employer Service
GPO Box 2252
Canberra ACT 2601
WEB csc.gov.au
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