Fillable IERF-invalidity-benefit-estimate-request-form Invalidity benefit estimate request form

Fill Online, Printable, Fillable, Blank IERF-invalidity-benefit-estimate-request-form Invalidity benefit estimate request form 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.

IERF-invalidity-benefit-estimate-request-form Invalidity benefit estimate request form

On average this form takes 11 minutes to complete

The IERF-invalidity-benefit-estimate-request-form Invalidity benefit estimate request form form is 3 pages long and contains:

  • 0 signatures
  • 4 check-boxes
  • 43 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
 
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
Invalidity benet
esmate request form
IERF
04/19
FOR
EMPLOYER
USE
Agency Name
Agency ID
Address
SUBURB STATE POSTCODE
Contact person
Phone
BUSINESS HOURS AFTER HOURS
MOBILE NUMBER
Email
@
I confirm the member is aware this information
is being sought and the member has given
consent to its disclosure to the agency.
Date
D D M M Y Y Y Y
/ /
Estimate to be returned by:
Agency email
Member email (please specify on following pages)
Post
Notes:
• Confirm salary and allowances on date of retirement.
• Confirm recommencement from LWOP/MAT leave etc.
• Confirm last birthday adjustment has been reported
• Supply details of part–time hours (if varied within last six months)
1 of 3
Member’s Details
Reference number (AGS)
Surname and initial
Date of birth
D D M M Y Y Y Y
/ /
Final salary on exit
$
Final 3 birthday salaries
before exit
$
$
$
Proposed date of retirement
D D M M Y Y Y Y
/ /
Member email
@
Employment and superannuation details
Date member started
sick leave for a continuous
period because of a serious
medical condition
D D M M Y Y Y Y
/ /
Important: Member MUST be provided with information about invalidity retirement.
Information is available at csc.gov.au
2 of 3
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
Declaration by case manager
I certify that the above information is correct and that the member has been provided with information
about invalidity retirement.
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Declaration by payroll officer
I certify that the information in Employment and superannuation details is correct.
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
Please email your benefit estimate request to formsandapplications@csc.gov.au
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
Sign
Sign
3 of 3
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

IERF-invalidity-benefit-estimate-request-form Invalidity benefit estimate request form

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