You can find your client number on your annual Super
Statement orbylogging in to Member Online.
Title Given names
Payroll/employee ID (if this is applicable)
Date of birth (dd/mm/yyyy) Tax file number
I am the person named on this form and would like my future
employer contributions to be paid to QSuper.
Please give this signed form to your employer – you do not need
toforward it to QSuper.
Employer use only
Date accepted (dd/mm/yyyy) Date processed (dd/mm/yyyy)
Paying into QSuper is easy
Clearing houses: QSuper accepts payments through a number of
clearing houses. If you already use a clearing house, contact your
provider to see if you can use them to pay QSuper. If you are unsure
whether a clearing house is right for you, call QSuper’s Employer
Solutions team on 1300 472 282.
Please note: Please note: QSuper does not accept cheques, direct
deposits or BPAY® contributions.
Product issued by the QSuper Board (ABN 32 125 059 006,
AFSL489650) as trustee for QSuper (ABN 60 905 115 063)
MySuper Authorisation Number 60905115063329
Postal Address: GPO Box 200 Brisbane Qld 4001
Telephone: 1300 360 750 (+617 3239 1004 if overseas)
Monday to Thursday 8.30am – 5.00pm AEST
Friday 9.00am – 5.00pm AEST
QSuper’s statement of compliance
QSuper is a complying resident regulated superannuation fund as
defined in theSuperannuation Industry (Supervision) Act 1993 and
hasnot receivedeither of the following:
• A notice of non-compliance from the Australian Prudential
Regulation Authority (APRA)
• A notice from APRA advising QSuper not to accept contributions
made by an employer.
QSuper can accept contributions from other superannuation and
rollover funds and from employers on behalf of their employees who
are eligible QSuper members. You can find more information about
Choose QSuper as Your Super Fund
When should I use this form?
You can use this form to ask your employer to pay your super contributions to QSuper if:
• You have applied to join QSuper directly
• You are already a QSuper member and want to stay with QSuper when you move to a new job even if it is not with the Queensland Government.
By choosing QSuper, you can be part of SuperRatings Choice Super of the Year 2018
and enjoy outstanding results andaward-winning service
Please complete Part A of this form and give it to your employer. They will take care of the rest.
1 Past performance is not a reliable indicator of future performance. Choice Super of the Year 2018 SuperRatings Awards. SuperRatings does not issue, sell, guarantee
or underwrite this product. Go to www.superratings.com.au for details of its ratings criteria. Ratings, awards or investment returns are only one factor that you should
consider when deciding how to invest your super. 2 Chant West Best Fund: Investments 2017 and Best Fund: Member Services 2016. Chant West does not issue, sell,
guarantee or underwrite this product. Go to www.chantwest.com.au for details of its ratings criteria. Past performance is not a reliable indicator of future performance.
3An employer is authorised to collect an employee’s TFN under the Superannuation Industry (Supervision) Act 1993. It is not an offence for an employee not to quote
their TFN. However, quoting a TFN reduces the risk of administrative errors and if the employee does not quote their TFN their contributions may be taxed at a higher
rate. An employee can get more details regarding their privacy rights by contacting their superannuation fund.
© QSuper Board 2018.
ABN 60 905 115 063
DTMC-871 01/18 FO99
Member Centres 70 Eagle Street Brisbane, 63 George Street Brisbane
andSunshine Coast University Hospital, 6Doherty Street Birtinya
Telephone 1300 360 750 (+617 3239 1004 if overseas)
Monday to Thursday 8.30am – 5.00pm AEST, Friday 9.00am – 5.00pm AEST