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


10/19
FOR
EMPLOYER



A partial invalidity pension (PIP) is a payment made to an eligible customer of PSS who has incurred
a permanent decrease in salary due to sickness or injury. A loss of recognised allowances for
medical reasons may also attract a PIP. A PIP may also apply in circumstances where an invalidity
pensioner returns to work in a position where their annual salary is less than the equivalent of the
annual salary they received when they retired on invalidity grounds.
PIP may not be paid to employees who are:
• casual members, or re-employed invalidity pensioners who were casual members at the time of
their retirement.
• limited benefits members (LBM), or PSS customers who would have been LBM if they had not
failed to disclose medical evidence on entry or re-entry to the scheme.
• PSS customers who are receiving any compensation for the condition which is causing the
decrease in salary.
• PSS customers who have reached the maximum retiring age.

After receiving medical advice from both a treating doctor and independent medical examiner that
your employee should reduce their hours and/or level because of physical or mental incapacity, and
that this change means they have suffered a permanent decrease in basic salary and/or allowances,
complete this application form and submit it to us along with the documents listed in . You
can submit your application to us via email at 
For more information on partial invalidity pensions, including more detail on the application process
and the documents you need to submit with this application form, refer to our website. You can also
call us on  or email 

We’re committed to protecting your privacy. We collect your personal information for the purposes
of providing superannuation services to you, improving our products and keeping you informed.
We will only share your personal information where necessary for providing superannuation
services to you. This may include disclosing your personal information to our scheme administrator,
service providers or government or regulatory bodies. Your personal information may be accessed
overseas by our service providers. Please see our privacy policy for full details. Your personal
information will not be otherwise used or disclosed unless required or permitted
under law. A full copy of our privacy policy as well as the privacy complaint process is available at

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

I declare that I have been provided with and have read the document titled 
 which is attached to the employer quick guide regarding partial invalidity pension applications, and I
understand the different employment statuses available to me.
I declare that I am not in receipt of any compensation of any type, did not receive any compensation for the period of time
my application relates to, and have not submitted or intend to submit a claim for compensation for the same condition.
I am aware that if I become entitled to any compensation in the future, I will not be entitled to a partial invalidity
pension. I am aware that I must repay any partial invalidity pension which has been paid for any period that I received
compensation for.


D D M M Y Y Y Y
/ /



Title
Mr Mrs Ms Miss Other
Surname
Given name(s)
Date of birth
D D M M Y Y Y Y
/ /
Address
  


Employer
Employers address
Case managers name
Phone
Email
@


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D


Date of initial reduction
D D M M Y Y Y Y
/ /
Nature of reduction
(only complete the
boxes relevant to
the reduction)
former fortnightly hours:
hours and minutes
reduced fortnighly hours:
hours and minutes

former level:
reduced level:
What is the PSS customers
employment status?
Include the evidence
listed next to the relevant
employment status.
Formal reduction in hours – part-time agreement
Informal reduction in hours – delegate’s instrument
Formal redeployment – letter from your agencys delegate
regarding the substantive level change
Informal redeployment – delegate’s instrument

Annual salary
before reduction
$
Annual salary
after reduction
$

Treating doctors report dated within last 6 months
Report from an independent medical examiner dated within last 6 months
Any other relevant medical documents, including rehabilitation reports, graduated return to
work reports, and any other treating doctor or independent specialist reports
Leave records
Duty statement
CMAPS form (PSS customers with less than three years contributory service)





*
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Email
employer.service@admin.csc.gov.au
employers@pssap.com.au
Phone
 1300 338 240
 1300 308 806
Fax
 (02) 6272 9996
 1300 364 144
Web
eac.csc.gov.au
Fax
(02) 6272 9613

employer.service@csc.gov.au

1300 338 240
Fax
(02) 6275 7010

Employer Service
GPO Box 2252
Canberra ACT 2601

csc.gov.au

+61 2 6275 7000
E


I certify that the information provided is true and correct and the customer:
has been provided with information about partial invalidity pensions, and
understands the differences between the employment statuses.




D D M M Y Y Y Y
/ /



EMAIL employer.service@csc.gov.au
 1300 338 240
FAX (02) 6275 7010
MAIL Employer Service
GPO Box 2252
Canberra ACT 2601
 csc.gov.au

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