CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226. CARE Super (Fund) ABN 98 172 275 725.
MEMBER TO COMPLETE
Once you complete this section, give this form to your employer. Don’t give it to us or the
Australian Taxation Oce (ATO).
PERSONAL DETAILS
Surname
Given names
/ /
Member account number (if known) Date of birth (DD/MM/YYYY)
Tax file number (optional)*
* If you’ve already given your employer your tax file number, you can leave this blank. If you haven’t, it isn’t compulsory to
include it, but we may not be able to receive contributions for you and any contributions we do receive will be taxed at a
higher rate. Find out more at caresuper.com.au/FAQs.
YOUR APPROVAL
I authorise my employer to pay all my future super contributions into CareSuper.
/ /
Member’s signature Date (DD/MM/YYYY)
I’m choosing CareSuper
MEMBER CHOICE FORM
Use this form to tell your employer to pay your super into your CareSuper
account.
COMPLIANCE
STATEMENT
CareSuper is a complying
resident regulated
superannuation fund
within the meaning of the
Superannuation Industry
(Supervision) Act 1993
(SIS Act). CareSuper is a
registrable superannuation
entity and may be
nominated as a default fund
as it meets the minimum
statutory insurance cover
requirements.
The Trustee of the Fund
is CARE Super Pty Ltd
ABN 91 006 670 060
AFSL 235226.
CR/MBR/SUP/CHE/NOM 329.6 12/21 ISS20
Page 1 of 1
YOU MUST PRINT AND
THEN SIGN THIS FORM
The form won’t be
valid if you don’t
sign and date it.
WE’RE HERE TO HELP
If you’d like more
information or need
assistance you can
contact us.
1300 360 149
caresuper.com.au/
getintouch
caresuper.com.au
INFORMATION FOR EMPLOYERS
Your employee has chosen to have their super paid into CareSuper. This form is an
allowable alternative to an ATO Standard Superannuation Choice form. You must
process this form within 2 months of receiving it. After 2 months, any super contributions
for this employee must be paid into their CareSuper account if:
• Your employee is eligible for choice of fund, and
• Your employee hasn’t nominated another choice of fund in the past 12 months, but
you may still choose to accept their choice form.
Once you’ve accepted your employee’s choice, record the date of your acceptance
and keep it for your records. It doesn’t need to be sent to the ATO, CareSuper or your
default super fund.
CareSuper accepts contributions via a SuperStream compliant payment method and
doesn’t accept payments directly made to the fund by EFT, direct debit or B
PAY
®
.
OUR DETAILS
Fund name: CareSuper
Address: Locked Bag 20019, Melbourne VIC 3001
ABN: 98 172 275 725
Unique Superannuation Identifier (USI): CAR0100AU
EMPLOYERS COMPLETE THIS INFORMATION FOR YOUR RECORDS
/ /
/ /
Date you received this form (DD/MM/YYYY) Date you acted on your employee’s choice (DD/MM/YYYY)
