Fillable ESOAO Css And Pss Employer Services Online Authorised Approving Officer Details Form (General Public Services)

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ESOAO Css And Pss Employer Services Online Authorised Approving Officer Details Form (General Public Services)

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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
The informaon provided in this form is general advice only and has been prepared without taking account of your personal objecves, nancial situaon or needs. Before acng on any such general advice,
you should consider the appropriateness of the advice, having regard to your own objecves, nancial situaon and needs. You may wish to consult a licensed nancial advisor. You should obtain a copy of the
relevant 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
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
CSS and PSS Employer Services
Online authorised approving
ocer details form
This form should be completed to nominate an authorised approving officer/s who will supply us with
any notice and information required to facilitate the administration of the Employer Services Online (ESO)
system. This form will ensure that we will continue to protect your data by only accepting ESO request for
access, deletions and the annual audit by the person/s nominated below.
Please complete sections A and B of this form using black ink and capital letters.
If you need any help to complete this form, phone 1300 338 240 or email Data.Admin@csc.gov.au
If you require access to ESO, please refer to the Employer services online registration request amendment
to user details form (ESOR).
The details listed in this form will overwrite any details previously provided to us.
A
Employer details
Employer/agency name
Employer/agency ID
B
ESOA0
04/13
FOR
EMPLOYER
USE
1 of 5
Section B continued on next page
Important: By completing this application, you
acknowledge that you have read and understood
the responsibilities of an Authorised approving
officer available at:
http://eac.csc.gov.au/your-toolkit/online-
services/terms-and-conditions/
Authorised approving officer one
Salutation
Mr Mrs Ms Miss Other
Surname
Given name(s)
Position
APS level
Date of birth
D D M M Y Y Y Y
/ /
Work email address
@
Address
SUBURB STATE POSTCODE
Phone
BUSINESS HOURS AFTER HOURS
MOBILE NUMBER
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Sign
B
Authorised approving officer
This section must be completed to nominate an authorised approving officer/s on behalf of an agency.
• The officer/s detailed below will be the only authorised person on behalf of the agency to supply us with any notice
and information required to facilitate the administration of the ESO system.
• The officer/s detailed below will be the only person/s able to authorise the Employer services online registration
request/amendment to user details form for the agency listed above.
• It is the officer/s listed below responsibility to advise us if any circumstances change, including adding or removing
another authorised approving officer/s.
2 of 5
Important: By completing this application, you
acknowledge that you have read and understood
the responsibilities of an Authorised approving
officer available at:
http://eac.csc.gov.au/your-toolkit/online-
services/terms-and-conditions/
Authorised approving officer two
Salutation
Mr Mrs Ms Miss Other
Surname
Given name(s)
Position
APS level
Date of birth
D D M M Y Y Y Y
/ /
Work email address
@
Address
SUBURB STATE POSTCODE
Phone
BUSINESS HOURS AFTER HOURS
MOBILE NUMBER
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Sign
3 of 5
Section B continued on next page
Important: By completing this application, you
acknowledge that you have read and understood
the responsibilities of an Authorised approving
officer available at:
http://eac.csc.gov.au/your-toolkit/online-
services/terms-and-conditions/
Authorised approving officer three
Salutation
Mr Mrs Ms Miss Other
Surname
Given name(s)
Position
APS level
Date of birth
D D M M Y Y Y Y
/ /
Work email address
@
Address
SUBURB STATE POSTCODE
Phone
BUSINESS HOURS AFTER HOURS
MOBILE NUMBER
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Sign
4 of 5
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
Important: By completing this application, you acknowledge that you have read and understood
the responsibilities of an Authorised approving officer available at:
http://eac.csc.gov.au/your-toolkit/online-services/terms-and-conditions/
Authorised approving officer four
Salutation
Mr Mrs Ms Miss Other
Surname
Given name(s)
Position
APS level
Date of birth
D D M M Y Y Y Y
/ /
Work email address
@
Address
SUBURB STATE POSTCODE
Phone
BUSINESS HOURS AFTER HOURS
MOBILE NUMBER
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Sign
How 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
End Form
5 of 5
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ESOAO Css And Pss Employer Services Online Authorised Approving Officer Details Form (General Public Services)

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Completed 15 July 2020

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