Work email address
@
Work phone
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
By completing this application, you acknowledge that you have read and understood Your responsibilities available at:
eac.csc.gov.au/your-toolkit/online-services/terms-and-conditions
Please Note: If your account is inactive for 12 months, your account will be removed and you will also be required to
re–register for ESO access if required.
Sign
D
Employer/agency declaration
• This section must be completed by an authorised senior officer on behalf of the employer or agency.
If you are unsure who this is please contact data admin on 1300 338 240 and select option 1 or
email Data.Admin@csc.gov.au
• The officer detailed above will be authorised on behalf of the employer/agency for the purpose of
supplying us with any notice, comment, contributions or information required to facilitate administration
of PSS and CSS.
• By completing this application, you acknowledge that you have read and understood Your
responsibilities available at: eac.csc.gov.au/your-toolkit/online-services/terms-and-conditions
Please note if no election is made below, the authorised user will gain full access and have the authority to manage
the entire employee listing for the employer or agency.
Please complete this section only if you wish to specify the level of authority for the nominated user.
The nominated user in this case will have access as specified below, to the full employee listing of the employer or agency.
None – this is view only access.
Save – the user will be able to view and create memberships.
Submit – the user will be able to create, view and submit
the data file for processing.
E
Authorisation (approving officer for your agency)
Authorised approving officer’s signature
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Authorised approving
officer’s full name
Position
APS level
Phone
Email address
@
Please save and email this application to Data.Admin@csc.gov.au
Sign
2 of 3
