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
A
To be completed by the applicant
Your name


Reference number (AGS)
Date of birth
D D M M Y Y Y Y
/ /
hereby request that I be accepted as an ‘eligible employee’ for the purposes of the Superannuation Act 1976,
and thereby become a member of Commonwealth Superannuation Scheme (CSS).
I understand that if I do not meet the required medical standard, my acceptance may be subject to the issue of a
Benefit Classification Certificate and that my future benefit, or the reversionary benefit payable in the event of my
death, may be reduced on medical grounds in the event of invalidity retirement or death.

employee of Commonwealth

Superannuation Act 1976
Copy of applicaon to be sent to:

or

GPO Box 2252
Canberra ACT 2601







D D M M Y Y Y Y
/ /
 or C to be completed by Employing Authority.

1 of 4
A

of employment

1. Continuous service
commenced from:
D D M M Y Y Y Y
/ /
2. Date of birth
verified as
D D M M Y Y Y Y
/ /
3. I certify that


commenced employment with this Department/Agency on
D D M M Y Y Y Y
/ /

(a) is employed on a temporary fulltime contract that satisfies  of the Act from
D D M M Y Y Y Y
/ /

(b) has been appointed as the holder of a Statutory Office that satisfies  of the Act from
D D M M Y Y Y Y
/ /
As a person authorised by Commonwealth Superannuation Corporation (CSC) (this person is within your personnel
section in your department or agency), I direct that he/she be regarded as an eligible employee in accordance with
(please choose one)
 For non–ongoing employees
 For Statutory Office Holder only
of the Superannuation
Act 1976 from (date)
D D M M Y Y Y Y
/ /
Department/Authority
Your name




D D M M Y Y Y Y
/ /


tutory Office Holder only
2 of 4
C
be
t
(Generally relates to members covered under the Members of Parliament (Staff) Act 1984)
1. Continuous service
commenced from
D D M M Y Y Y Y
/ /
2. Date of birth
verified as
D D M M Y Y Y Y
/ /
As a person authorised by CSC (this person is within your personnel section in your department or agency), I direct that
Department/Authority
Your name


be regarded as an eligible employee for the purposes of  of the Superannuation Act 1976.
Signature and date (person authorised by CSC within a department or agency)


D D M M Y Y Y Y
/ /

Full–time temporary employees  applies, and a direction under this section has effect from
the date of direction.

1. Full–time temporary employees employed under contract.  applies,
and a direction under this section has effect from either:
(a) Where the person has been employed under that contract for longer
than a year – the day of the direction
or
(b) In any other case – the day specified in the direction provided that it is
not earlier than the day employment commenced under that contract
or
2. Full–time Statutory Office holders.  applies, and a direction under this section
has effect from either:
(a) Where the person has been holding that office for longer
than a year – the day of the direction
or
(b) In any other case – the day specified in the direction provided that it
is not earlier than the day the person commenced to hold that office.

3 of 4
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
Email
employer.service@csc.gov.au
Phone
1300 338 240

(02) 6275 7010

Employer Service
GPO Box 2252
Canberra ACT 2601
Web
csc.gov.au

+61 2 6275 7000
D



(a) CSS preserved benefit exists – comprising deferred benefit members under section 137 of the Act;
or
(b) a CSS invalidity pension was payable immediately prior to commencing employment;
or
(c) the person is a ‘re–employed contributor with preserved rights’, that is, a person who had:
as the result of an earlier exit from the scheme, had a CSS transfer value amount paid to
an ‘eligible superannuation scheme
and
on rejoining CSS, intends, and is eligible, to pay into CSS a transfer value from that other
scheme which includes the amount previously paid out from CSS.

Member ‘A’ ceases employment with the Department of Health and is appointed to a position with the Queensland
Department of Health. This involves becoming a member of , an ‘eligible superannuation scheme’ for the
purposes of  of the Superannuation Act 1976.
Member ‘A’ elects to pay a transfer value of his/her CSS equity to  and the transfer is accepted
by that scheme.
After the expiry of his/her contract, member ‘A’ is successful in his/her reappointment to the Department of Health.
He/she wishes, and is eligible to pay a transfer value of his/her equity (which includes his/her former CSS equity)
into CSS. He/she therefore satisfies criteria (c) above.


EMAIL employer.service@csc.gov.au
PHONE 1300 338 240
FAX 02 6275 7010
MAIL Employer Service
GPO Box 2252
Canberra ACT 2601
 csc.gov.au

4 of 4
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