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
End Form
D
Checklist of attachments to this form
Treating doctor’s report dated within last 6 months
Approved Medical Practitioner (AMP) report dated within last 6 months
�nyotherrelevantmedicaldocuments,includingrehabilitationreports,graduatedreturn
to work reports, and any other treating doctor or independent specialist reports
Sick leave records
Duty statement
Recommendation by compensation provider (for all compensation cases)
E
Declaration by case manager
I certify that the above information is correct and that the member:
has been provided with information about invalidity retirement and
has been advised that pre–assessment payments will be recovered if compensation payments are granted.
SIGNATURE
Date signed
D D M M Y Y Y Y
/ /
F
Declaration by payroll officer
I certify that the information in Section C Employment and superannuation details is correct.
SIGNATURE
Date signed
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
Sign
Sign
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
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