Issued 24 November 2021 Legal Super Pty Ltd. ABN 37 004 455 789 AFSL 246315 as Trustee for legalsuper ABN 60 346 078 879
LS 1442.6 11/21 ISS6
legalsuper.com.au
Complete and
submit this form
to your employer.
Please do not return
this form to legalsuper.
An Industry
SuperFund
An Industry
SuperFund
Personal details and nomination
Surname
Given Names
legalsuper Membership Number (if known)
I wish to nominate legalsuper as my chosen fund to receive my future
Superannuation Guarantee contributions.
Signature
Date (dd/mm/yyyy)
Nominated fund details
Fund Name
L E G A L S U P E R
Fund Address
L O C K E D B A G 5 0 8 1
P A R R
A
M A T T A
State Postcode
N S W
2 1 2 4
Fund ABN
6 0 3 4 6 0 7 8 8 7 9
Fund Unique Superannuation Identifier (USI)
L I S 0 1 0 0 A U
Fund Superannuation Product Identifier (SPIN)
L I S 0 1 0 0 A U
Fund phone
1 8 0 0 0 6 0 3 1 2
Employer records (employer to complete and
retain for their records)
Date employee’s request received
Date (dd/mm/yyyy)
Date you acted on your employee’s request
Date (dd/mm/yyyy)
Information for Employers about how to
make super payments.
You can pay all your employees’ super contributions using
legalsuper’s online EmployerAccess platform – regardless of which
super fund they belong to. Visit legalsuper.com.au to join or call
1800 060 312 for assistance.
Super Choice Fund Nomination Form
Complete this form and provide it to your employer along with the attached letter of compliance (on
page 2) if you wish to nominate legalsuper as your chosen fund for your super contributions.
Note: Some employees may choose any eligible choice fund for the employer as their chosen super fund,
but other employees may not be able to choose their own super fund, so we recommend you check with
your employer. This form is an allowable alternative to the Australian Taxation Oce Standard choice
form.
If you do not advise your employer of your choice of of super fund by completing this form, most
employers will need to check with the ATO if you have an existing super account to pay your super into.
Please use BLOCK LETTERS and BLACK INK when completing this form.
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