Forms
Our application forms are sorted by product. To find the form you're looking for, select your product from the drop-down menu below, or search for the title of the form using the search box.
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What is required for proof of identity & date of birth?
To be able to process certain transactions (eg request to transfer funds, requests for payment etc), the law requires that we MUST be reasonably satisfied that we have identified you (ie you are the person you claim to be) and that we have verified your date of birth.
This statement contains information on the measures taken by the Trustee to protect your privacy.
Accumulation Scheme:
Application for Contribution Splitting
This form is to be completed by members wishing to split their concessional (pre-tax) contributions with their spouse.
Application for Information Under the Family Law Act
This form is to be completed to apply for Information Under the Family Law Act.
Please fill in this application if you wish to join the Local Government Accumulation Scheme.
Please ensure you have read and understand the product disclosure statement (PDS) before completing this form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Information about 'Claiming deductions for personal super contributions' (NAT 71975)
Instructions and form to complete regarding your 'Notice of intent to claim or vary a deduction for personal super contributions' (NAT 71121)
You may also wish to fill in the following forms:
- Changing investment strategy - if you wish to choose an investment strategy.
- Transfer-in Authority - if you wish to rollover monies from another superannuation fund.
Application for Payment - Invalidity/Death/Early release/Scheme exit/While still employed
(This form is only available through Member Services, please phone 1300 369 901)
Binding Nomination (to be reviewed/updated every 3 years)
Use this form to nominate to whom you wish your benefit to be paid in the event of your death.
Please ensure that you have first read the 'Important Notes' before completing this form.
Nomination of a beneficiary is optional. Use this form to nominate to whom you wish your benefit paid in the event of your death. You may nominate your estate, and/or dependant(s). Information regarding who is a dependant is provided in the 'Important Notes'.
Any nomination of beneficiary you make with this form will be binding on the Trustee. This means that in the event of your death, the Trustee must pay your benefit to your estate and/or dependant(s) as nominated by you, provided that your nomination is valid at the time the benefit is paid. A binding nomination expires three (3) years from the date of signing. If you nominate a person who is not a dependant, the nomination will be deemed invalid. An expired or invalid nomination will result in the Trustee deciding to whom a benefit will be paid.
Where you have not made a nomination of beneficiary, in the event of your death, the Trustee shall pay the benefit to one or more of your legal personal representative (i.e. your estate) or dependants.
This form is to be completed by members wishing to change their existing investment strategies or nominate an investment strategy for the first time.
Members will need to refer to the product disclosure statement (PDS) available here before completing this form.
This form is to be completed by Members wishing to change their membership details, ie, name, contact details or date of birth.
The personal information provided will be used solely for the purpose of correcting your membership details. You have the right to check those details at any time and have them corrected if necessary.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is to be completed if you wish to apply for an additional fourth unit of Basic Death and Total and Permanent Disablement (TPD) Cover.
Note: An application to increase your level of cover without needing to be assessed by the insurer can only be made within 120 days of the date you first become eligible for membership in the Scheme. The effective date of the increase will be the date your completed form is received by the Scheme.
Member Contributions - Payroll Deduction Form (bank details)
This form is to be completed if you wish to have regular superannuation contributions deducted from your pay.
This authority allows your employer to pay your contributions directly from your pay to the Local Government Super account.
If you wish to rollover monies into your existing superannuation membership, please complete a
Please view the bank details page to ensure you are sending contributions to the correct account.
Notification of Tax File Number
Under Superannuation Law, the Trustee must request that you supply your Tax File Number for superannuation purposes.
Collection of your TFN by the Trustee is authorised by tax laws, the Superannuation Industry (Supervision) Act 1993 and the Privacy Act 1988.
Optional Contribution (bank details)
This form is for members who wish to make a one-off superannuation contribution.
If you wish to rollover monies into your existing superannuation membership, please complete a
Please view the bank details page to ensure you are sending contributions to the correct account.
This form is to be completed if you wish to reduce or cancel your existing amount of Basic Death and Total and Permanent Disablement (TPD) Cover.
Note: The effective date of decrease or cancellation of cover will be the end of the month following the date your completed form is received by the Scheme.
Statutory Declaration (Permanent Retirement)
This form is to be completed by members declaring permanent retirement from the workforce.
If you wish to apply for the payment of your benefit, please contact Member Services on 1300 369 901 for the required Application for Payment form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Statutory Declaration (Financial Hardship)
This form is to be completed by members declaring financial hardship.
If you wish to apply for the payment of your benefit on the grounds of financial hardship, please contact Member Services on 1300 369 901 for the required Application for Payment form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is for members who wish to combine other superannuation accounts into their existing Local Government Super account.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is to be fully completed if you wish to apply for or alter your voluntary insurance cover.
Please note that you must read the PDS before completing this form.
Accumulation Scheme - Public Offer:
Please fill in this application if you wish to join the Local Government Accumulation Scheme.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Open this form
(please read the Accumulation Scheme PDS and then complete the application form at the back of the document)
You may also wish to fill in the following forms:
- Changing investment strategy - if you wish to choose an investment strategy.
- Transfer-in Authority - if you wish to rollover monies from another superannuation fund.
This form is to be completed if you wish to elect Local Government Super as your fund of choice.
Executive Scheme:
Application for Contribution Splitting
This form is to be completed by members wishing to split their concessional (pre-tax) contributions with their spouse.
Application for Information Under the Family Law Act
This form is to be completed to apply for Information Under the Family Law Act
Please fill in this application if you wish to join the Local Government Executive Scheme
Please ensure you have read and understand the product disclosure statement (PDS) before completing this form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Please attach a Certificate of eligibility for membership, completed by your employer, to confirm your eligibility to participate in the Local Government Executive Scheme.
Information about 'Claiming deductions for personal super contributions' (NAT 71975)
Instructions and form to complete regarding your 'Notice of intent to claim or vary a deduction for personal super contributions' (NAT 71121)
Application for Payment - Invalidity/Death/Early release/Scheme exit/While still employed
(This form is only available through Member Services, please phone 1300 369 901)
Binding Nomination (to be reviewed/updated every 3 years)
Use this form to nominate to whom you wish your benefit paid in the event of your death.
Please ensure that you have first read the 'Important Notes' before completing this form.
Nomination of a beneficiary is optional. You may nominate your estate, and/or dependant(s). Information regarding who is a dependant is provided in the 'Important Notes'.
Any nomination of beneficiary you make with this form will be binding on the Trustee. This means that in the event of your death, the Trustee must pay your benefit to your estate and/or dependant(s) as nominated by you, provided that your nomination is valid at the time the benefit is paid. A binding nomination expires three (3) years from the date of signing. If you nominate a person who is not a dependant, the nomination will be deemed invalid. An expired or invalid nomination will result in the Trustee deciding to whom a benefit will be paid.
Where you have not made a nomination of beneficiary, in the event of your death, the Trustee shall pay the benefit to one or more of your legal personal representative (i.e. your estate) or dependants.
Certificate of Eligibility for Membership
This form is to be completed by the Employer to certify that a member is eligible to participate in the Local Government Super Executive Scheme.
This form is for members wishing to change their membership details.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is to be completed by members wishing to change their existing investment strategies or nominate an investment strategy for the first time.
Members will need to refer to the product disclosure statement (PDS) available here before completing this form.
This form is to be completed if you wish to apply for an additional sixth unit of Basic Death and Total and Permanent Disablement (TPD) Cover.
Note: An application to increase your level of cover without needing to be assessed by the insurer can only be made within 120 days of the date you first become eligible for membership in the Scheme. The effective date of the increase will be the date your completed form is received by the Scheme.
Member Contributions - Payroll Deduction Form (bank details)
This form is to be completed if you wish to have regular superannuation contributions deducted from your pay.
This authority allows your employer to pay your contributions directly from your pay to the Local Government Super account.
If you wish to rollover monies into your existing superannuation membership,
please complete a
Please view the bank details page to ensure you are sending contributions to the correct account.
Please note: this form should be submitted to your employer and not to Local Government Super.
Notification of Tax File Number
Under Superannuation Law, the Trustee must request that you supply your Tax File Number for superannuation purposes.
Collection of your TFN by the Trustee is authorised by tax laws, the Superannuation Industry (Supervision) Act 1993 and the Privacy Act 1988.
Optional Contribution (bank details)
This form is for members who wish to make a one-off superannuation contribution.
Please view the bank details page to ensure you are sending contributions to the correct account.
This form is to be completed if you wish to reduce or cancel your existing amount of Basic Death and Total and Permanent Disablement (TPD) Cover.
Note: The effective date of decrease or cancellation of cover will be the end of the month following the date your completed form is received by the Scheme.
Statutory Declaration (Permanent Retirement)
This form is to be completed by members declaring permanent retirement from the workforce.
If you wish to apply for the payment of your benefit, please contact Member Services on 1300 369 901 for the required Application for Payment form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Statutory Declaration (Financial Hardship)
This form is to be completed by members declaring financial hardship.
If you wish to apply for the payment of your benefit on the grounds of financial hardship, please contact Member Services on 1300 369 901 for the required Application for Payment form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is for members who wish to combine other superannuation accounts into their existing Local Government Super account.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is to be fully completed if you wish to apply for or alter your voluntary insurance cover.
Please note that you must read the PDS before completing this form.
Retirement Scheme:
Application for Additional Benefit Cover
This form is used when a member wishes to apply for Additional Benefit Cover.
Application for Information Under the Family Law Act
This form is to be completed to apply for Information Under the Family Law Act.
Application for Transition to Retirement Pension
Complete this form to rollover part of your Retirement Scheme benefit to purchase a Transition to Retirement Pension in the Account-Based Pension Plan.
Please note that you must read the Retirement Scheme PDS and the Rollover and Account-Based Pension PDS before completing this form.
Application for Payment - Invalidity/Death/Early release
(This form is only available through Member Services, please phone 1300 369 901)
Use this form to nominate to whom you wish your benefit paid in the event of your death.
Please ensure that you have first read the 'Important Notes' before completing this form.
WARNING: If you are a member of the Retirement Scheme who has a reversionary spouse pension entitlement from a predecessor scheme membership, then you should note that the reversionary pension can only be paid to your spouse.
If you make a binding nomination to a dependant who is not your spouse it will not be valid in respect of the reversionary pension. However, the binding nomination will be valid in respect of those lump sum benefits which do not fund the pension (usually the Contributor Financed Benefit and Basic Benefit).
Nomination of a beneficiary is optional. You may nominate your estate, and/or dependant(s). Information regarding who is a dependant is provided in the 'Important Notes'.
Any nomination of beneficiary you make with this form will be binding on the Trustee. This means that in the event of your death, the Trustee must pay your benefit to your estate and/or dependant(s) as nominated by you, provided that your nomination is valid at the time the benefit is paid. A binding nomination expires three (3) years from the date of signing. If you nominate a person who is not a dependant, the nomination will be deemed invalid. An expired or invalid nomination will result in the Trustee deciding to whom a benefit will be paid.
Where you have not made a nomination of beneficiary, in the event of your death, the Trustee shall pay the benefit to one or more of your legal personal representative (i.e. your estate) or dependants.
This form is for members wishing to change their contact details.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is used when a member wishes to vary their rate of contribution.
This form is to be completed by members wishing to change their existing investment strategies or nominate an investment strategy for the first time.
Members will need to refer to the product disclosure statement (PDS) available here before completing this form.
Member Contributions - Payroll Deduction Form (bank details)
This form is to be completed if you wish to have regular superannuation contributions deducted from your pay.
Please view the bank details page to ensure you are sending contributions to the correct account.
Please note: this form should be submitted to your employer and not to the Local Government Super
Notification of Tax File Number
Under Superannuation Law, the Trustee must request that you supply your Tax File Number for superannuation purposes.
Collection of your TFN by the Trustee is authorised by tax laws, the Superannuation Industry (Supervision) Act 1993 and the Privacy Act 1988.
Optional Contribution (bank details)
This form is for members who wish to make a one-off superannuation contribution.
Please view the bank details page to ensure you are sending contributions to the correct account.
Scheme Exit - Resignation/Dismissal/Discharge/Retirement/Retrenchment
(This form is only available through Member Services, please phone 1300 369 901)
Statutory Declaration (Permanent Retirement)
This form is to be completed by members declaring permanent retirement from the workforce.
If you wish to apply for the payment of your benefit, please contact Member Services on 1300 369 901 for the required Application for Payment form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Statutory Declaration (Financial Hardship - Reduction in Contribution Rate)
Please use this form to apply to reduce your Retirement Scheme contribution rate when you are experiencing financial hardship.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Statutory Declaration (Financial Hardship)
This form is to be completed by members declaring financial hardship.
If you wish to apply for the payment of your benefit on the grounds of financial hardship, please contact Member Services on 1300 369 901 for the required Application for Payment form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is to be completed if you would like to transfer monies to your Local Government Retirement Scheme account.
(including any benefit you may have in the Local Government Accumulation Scheme)
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Transfer of Contributory Membership
This form is to be completed if you would like to transfer membership to a Local Government Retirement Scheme account.
Members who can transfer are those who:
- were contributing members of either the State Authorities Superannuation Scheme (SASS) or Energy Industries Retirement Scheme ; and
- have transferred in employment to a Local Government employer; and
- commenced employment with their Local Government employer within three (3) months of terminating employment with their SASS or Energy Industries Superannuation Scheme (EISS) employer; and
- have not applied for payment, or rollover, of any part of their SASS or EISS benefits (including the Basic Benefit).
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Rollover Plan:
Cheques should be made payable to the "Local Government Super Rollover Plan".
If you wish to rollover monies into your existing superannuation scheme, please complete a Transfer-In Authority form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Information about 'Claiming deductions for personal super contributions' (NAT 71975)
Instructions and form to complete regarding your 'Notice of intent to claim or vary a deduction for personal super contributions' (NAT 71121)
Cheques should be made payable to the "Local Government Super Rollover Plan".
If you wish to rollover monies into your existing superannuation scheme, please complete a
Application for Information Under the Family Law Act
This form is to be completed to apply for Information Under the Family Law Act.
This form is to be completed if you wish to join the Local Government Rollover Plan.
You should read 'Important Notes for Members' and refer to the Product Disclosure Statement before completing this form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Information about 'Claiming deductions for personal super contributions' (NAT 71975)
Instructions and form to complete regarding your 'Notice of intent to claim or vary a deduction for personal super contributions' (NAT 71121)
If you are unsure about any aspect of your application, you should contact Member Services on 1300 369 901 for assistance.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per "What is Required for Proof of Identity and Date of Birth". Click here for details of what documentation is required and how it must be certified and who can certify it. Please Note: This form is only to be completed by Rollover Plan members.
Please ensure that you have first read the 'Important Notes' before completing this form.
Nomination of a beneficiary is optional. Use this form to nominate to whom you wish your benefit paid in the event of your death. You may nominate your estate, and/or dependant(s). Information regarding who is a dependant is provided in the 'Important Notes'.
Any nomination of beneficiary you make with this form will be binding on the Trustee. This means that in the event of your death, the Trustee must pay your benefit to your estate and/or dependant(s) as nominated by you, provided that your nomination is valid at the time the benefit is paid.
A binding nomination expires three (3) years from the date of signing. If you nominate a person who is not a dependant, the nomination will be deemed invalid. An expired or invalid nomination will result in the Trustee deciding to whom a benefit will be paid.
Where you have not made a nomination of beneficiary, in the event of your death, the Trustee shall pay the benefit to one or more of your legal personal representative (i.e. your estate) or dependants.
Members will need to refer to the product disclosure statement (PDS) available here before completing this form.
This form is to be completed by:-
This form is to be completed by Members wishing to change their membership details, ie, name, contact details or date of birth.
The personal information provided will be used solely for the purpose of correcting your membership details.
You have the right to check those details at any time and have them corrected if necessary.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per
'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Notification of Tax File Number
Under Superannuation Law, the Trustee must request that you supply your Tax File Number for superannuation purposes.
Collection of your TFN by the Trustee is authorised by tax laws, the Superannuation Industry (Supervision) Act 1993 and the Privacy Act 1988.
Statutory Declaration (Financial Hardship)
This form is to be completed by members declaring financial hardship.
If you wish to apply for the payment of your benefit on the grounds of financial hardship, please contact Member Services on 1300 369 901 for the required Application for Payment forms.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is to be completed if you would like to transfer monies to your Local Government Rollover Plan account.
Local Government Super is a regulated superannuation fund under Superannuation Law and is able to accept transfers of all superannuation benefits, whether preserved or non-preserved, from any complying fund. This form is to be completed if you would like to transfer monies to your Local Government Rollover Plan account. Upon receipt of this form, we will forward it to your previous super fund - as per the authorisation supplied by you in Section 3. "Instructions to previous fund trustee".
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Please note that unless you are the holder of a spouse account, you must be currently employed by a Local Government Super employer to rollover funds to your account.
Account-Based Pension Plan:
Application for Information Under the Family Law Act
This form is to be completed to apply for Information Under the Family Law Act.
This form is to be completed if you wish to join the Local Government Account-Based Pension Plan.
You should read 'Important Notes for Members' and refer to the Product Disclosure Statement before completing this form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
If you are unsure about any aspect of your application, you should contact Member Services on 1300 369 901 for assistance.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Please Note: This form is only to be completed by Account-Based Pension Plan members.
Please ensure that you have first read the 'Important Notes' before completing this form.
Nomination of a beneficiary is optional. Use this form to nominate to whom you wish your benefit paid in the event of your death. You may nominate your estate, and/or dependant(s). Information regarding who is a dependant is provided in the 'Important Notes'.
Any nomination of beneficiary you make with this form will be binding on the Trustee. This means that in the event of your death, the Trustee must pay your benefit to your estate and/or dependant(s) as nominated by you, provided that your nomination is valid at the time the benefit is paid. A binding nomination expires three (3) years from the date of signing. If you nominate a person who is not a dependant, the nomination will be deemed invalid. An expired or invalid nomination will result in the Trustee deciding to whom a benefit will be paid.
Where you have not made a nomination of beneficiary, in the event of your death, the Trustee shall pay the benefit to one or more of your legal personal representative (i.e. your estate) or dependants.
Members will need to refer to the product disclosure statement (PDS) available here before completing this form.
This form is to be completed by:-
This form is to be completed by Members wishing to change their membership details, ie, name, contact details, date of birth or pension drawdown amount.
The personal information provided will be used solely for the purpose of correcting your membership details.
You have the right to check those details at any time and have them corrected if necessary.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per
'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Notification of Tax File Number
Under Superannuation Law, the Trustee must request that you supply your Tax File Number for superannuation purposes.
Collection of your TFN by the Trustee is authorised by tax laws, the Superannuation Industry (Supervision) Act 1993 and the Privacy Act 1988.
This form is to be completed by members wishing to change their investment options for existing pension drawdown.
Please note: If you would like to change the amount of your pension drawdown please complete the Change in membership details form.
Statutory Declaration (Financial Hardship)
This form is to be completed by members declaring financial hardship.
If you wish to apply for the payment of your benefit on the grounds of financial hardship, please contact Member Services on 1300 369 901 for the required Application for Payment forms.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
This form is to be completed if you would like to transfer monies to your Local Government Rollover Plan account.
Local Government Super is a regulated superannuation fund under Superannuation Law and is able to accept transfers of all superannuation benefits, whether preserved or non-preserved, from any complying fund. This form is to be completed if you would like to transfer monies to your Local Government Rollover Plan account. Upon receipt of this form, we will forward it to your previous super fund - as per the authorisation supplied by you in Section 3. "Instructions to previous fund trustee".
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Please note that unless you are the holder of a spouse account, you must be currently employed by a Local Government Super employer to rollover funds to your account.
Defined Benefit Scheme:
Application for Information Under the Family Law Act
This form is to be completed to apply for Information Under the Family Law Act.
Use this form to nominate to whom you wish your benefit paid in the event of your death.
Please ensure that you have first read the 'Important Notes' before completing this form.
WARNING: If you make a valid binding nomination it only has effect and will be followed, in respect of the following benefit types:
1. Deferral of a benefit as a lump sum benefit at or after attaining age 65.
2. Benefits that have been compulsory preserved as a lump sum following termination of employment.
3. The Basic Benefit.
All other benefits payable from the Scheme will be paid in accordance with Scheme rules.
Nomination of a beneficiary is optional. Use this form to nominate to whom you wish your benefit paid in the event of your death. You may nominate your estate, and/or dependant(s). Information regarding who is a dependant is provided in the 'Important Notes'.
Any nomination of beneficiary you make with this form will be binding on the Trustee. This means that in the event of your death, the Trustee must pay your benefit to your estate and/or dependant(s) as nominated by you, provided that your nomination is valid at the time the benefit is paid. A binding nomination expires three (3) years from the date of signing. If you nominate a person who is not a dependant, the nomination will be deemed invalid. An expired or invalid nomination will result in your benefit entitlement being paid in accordance with Scheme rules.
Where you have not made a nomination of beneficiary, in the event of your death, your benefit will be payable in accordance with Scheme rules.
This form is to be completed by Members wishing to change their membership details, ie, name, contact details or date of birth.
The personal information provided will be used solely for the purpose of correcting your membership details.
You have the right to check those details at any time and have them corrected if necessary.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per
'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Member Contributions - Payroll Deduction Form
This form is to be completed if you wish to have regular superannuation contributions deducted from your pay.
This authority allows your employer to pay your contributions directly from your pay to the Local Government Super account. If you wish to rollover monies into your existing superannuation membership, please complete a Transfer-in Authority form. Please view the bank details page to ensure you are sending contributions to the correct account.
Open this form
Please note that this form should be submitted to your employer and not to the Local Government Super
Notification of Tax File Number
Under Superannuation Law, the Trustee must request that you supply your Tax File Number for superannuation purposes.
Collection of your TFN by the Trustee is authorised by tax laws, the Superannuation Industry (Supervision) Act 1993 and the Privacy Act 1988.
This form is for members who wish to make a one-off superannuation contribution.
Please view the bank details page to ensure you are sending contributions to the correct account.
Statutory Declaration (Permanent Retirement)
This form is to be completed by members declaring permanent retirement from the workforce.
If you wish to apply for the payment of your benefit, please contact Member Services on 1300 369 901 for the required Application for Payment form.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Statutory Declaration (Financial Hardship)
This form is to be completed by members declaring financial hardship.
If you wish to apply for the payment of your benefit on the grounds of financial hardship, please contact Member Services on 1300 369 901 for the required Application for Payment forms.
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Transfer of Contributory Membership
Members who can transfer are those who:
- were contributing members of either the State Superannuation Scheme (SSS) or Energy Industries Defined Benefit Scheme; and
- have transferred in employment to a Local Government employer; and
- commenced employment with their Local Government employer within three (3) months of terminating employment with their SSS or Energy Industries Superannuation Scheme (EISS) employer; and
- have not applied for payment, or rollover, of any part of their SSS or EISS benefits (including the Basic Benefit).
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Transfer-in Authority (from an external fund)
This form is to be completed if you would like to transfer monies (including any benefit you may have in the Local Government Accumulation Scheme) to your Local Government Defined Benefit Scheme account.
Local Government Super is a regulated superannuation fund under Superannuation Law and is able to accept transfers of all superannuation benefits, whether preserved or non-preserved, from any complying fund. You must be currently employed by a Local Government Super employer to transfer monies into your account.
Before completing this form you should read the Important Notes at the back of this form.
Upon receipt of this form, we will (where required) forward it to your previous super fund - as per the authorisation supplied by you in Section 5. "Member declaration".
Please ensure you have attached a certified copy of proof of identity and date of birth documentation as per 'What is Required for Proof of Identity and Date of Birth'. Click here for details of what documentation is required and how it must be certified and who can certify it.
Can't find the form you are looking for? Please call Member Services on 1300 LGSUPER (1300 547 873).