Forms and Fact Sheets

Forms and fact sheets

  • Agency Direct Debit Request (DDR).pdf 
    [PDF 350.8 KB]
    Direct debit is one of many ways you can help your agencies super contribution. If you want to make a contribution through an agency, complete this form.
    Authority to release information to a third party 
    [PDF 343.0 KB]
    Did you know you're allowed to authorise the release of your super information to a third party? To start this process, complete this form.
    Binding death benefit nomination form Legal Personal Representative (Estate) 
    [PDF 1051 KB]
    This form is for those who wish to nominate your legal personal representative or to confirm or revoke your current nomination to the Triple S, Flexible Rollover or Income Stream schemes.
    Consolidate your super 
    [PDF 179.3 KB]
    Super SA allows individuals with super contributions in one or more Australian Super Funds to move them all into one place, Complete this form to consolidate your super. 
    Change to personal details 
    [PDF 965 KB]
    Are you looking to change your personal details? You will need this form and proof of your updated details. Complete this form to start your application.
    Claim for disablement entitlements 
    [PDF 781.8 KB]
    Do you need disability compensation? Complete this form if you are looking to make a claim for disability entitlements with Super SA.
    Income Protection review form 
    [PDF 491.9 KB]
    Complete this form for review in regards to receiving income protection. You'll be required to provide your member information and a medical report.
    Member complaint 
    [PDF 157.5 KB]
    We understand that as a member, you may have a complaint regarding your current experience with Super SA. Complete this form to file a complaint to help us improve.
    My payment details
    [PDF 430.4 KB]

    This form is to update your bank account details or change your payment or taxation instructions.

    Notification to split a superannuation interest (family law act 1975) 
    [PDF 399.8 KB]
    This form concerns superannuation interest that is subject to a splitting agreement or splitting order. Complete this form to split your superannuation interest.
    Personal health statement
    [PDF 1.013 KB]

    If you have applied to change your cover using the “apply or change my insurance” form, you’ll be required to complete and attach this “personal health statement” to assess your application.

    Putative spouse statutory declaration (including same sex partner) 
    [PDF 442.3 KB]
    If you've lived with the deceased as a putative spouse, you could be eligible to make a statutory declaration. Complete this form to make a claim.
    Putative spouse statutory declaration of independent person (including same sex partner) 
    [PDF 435.3 KB]
    When you've previously lived with the deceased as a wife or husband, you could be eligible to make a statutory declaration. To make a claim, complete this form.
    Request for superannuation information (Family Law Act 1975) 
    [PDF 423.3 KB]
    If you require information concerning you or your spouse's superannuation interest as part of the Family Act 1975, click through the link to fill out the application. This form is also known as a Form 6 Declaration and Superannuation Information Request Form.
    Salary sacrifice for superannuation
    Your employer can make super contributions on your behalf through a salary sacrifice as a member of Triple S. Complete this form to make a salary sacrifice.
    Statement by referee
    [PDF 1.0MB]
    This form is for referees to confirm the identification and verification of identity for members without standard identity documents. 
    Statutory Declaration 
    [PDF 61.8 KB]
    If you require an early release of your superannuation benefits on severe financial hardship grounds. Make a statutory declaration by filling out this form.
    Tax file number notification form 
    [PDF 345.1 KB]
    Tax file number notification from. Complete this form to provide your Tax file number to Super SA.
    Transfer your super
    [PDF 321.1 KB]
    Are you looking to roll your benefit to another Super SA product or Superannuation fund? Complete this form to get started. 
    Withdraw your super
    [PDF 1141 KB]
    Preparing a withdrawal of your super from Super SA? Complete this form to start your application.
  • Application for payment in relation to a deceased member 
    [PDF 427.9 KB]
    This application form allows for a spouse or de facto spouse to receive payment concerning a deceased member. For Triple S members, click through the link to start.
    Application for payment of surcharge liability 
    [PDF 406.5 KB]
    As a member of Triple S, you can make an application for payment of surcharge liability. To receive payment, click the link to start your application.
    Application to establish a spouse account 
    [PDF 989 KB]
    As a Triple S member, you can open a Triple S account for your spouse (or putative spouse). Click the link to start the application
    Application to split eligible contributions 
    [PDF 431.4 KB]
    If you require a split in your superannuation contributions, you can by completing the following form. To make a split eligible contribution, click through the link.
    Apply and change spouse death insurance 
    [PDF 824.9 KB]
    If you are looking to apply or change your spouse's death insurance level of cover, you'll be required to complete the following application form.
    Apply for Death and TPD insurance 
    [PDF 823.3 KB]
    This is an application form for Triple S members wishing to apply for Death and Total & Permanent Disability insurance. Click the link to make a claim.
    Apply for Income Protection insurance 
    [PDF 739.7 KB]
    This is an application to apply for income protection insurance as part of your Triple S membership. Refer to the income protection sheet before applying .

    Apply for or change my insurance
    [PDF 1.116 KB]

    If you are looking to apply or change your Death and Total & Permanent Disability and/or Income Protection insurance level of cover, you'll be required to complete the following application form.

    Cancel Death and TPD insurance 
    [PDF 402.5 KB]
    Are you a Triple S member who needs to cancel their death & total and permanent disability insurance? Click the link to commence your application.
    Cancel Income Protection insurance 
    [PDF 402.5 KB]
    This application is for Triple S members looking to cancel their income protection insurance. To commence the cancellation process, click through the link.
    Cancel spouse death insurance 
    [PDF 399.7 KB]
    This application form is to be completed if you wish to cancel your spouse's death insurance cover. To get started, click through to begin your request.
    Change Death and TPD insurance 
    [PDF 830.2 KB]
    If you require additional units standard or fixed insurance cover or other adjustments. Click the link to start your change of death and TPD insurance form.
    Change Income Protection insurance level of cover 
    [PDF 759.1 KB]
    If you wish to limit or increase the level of income protection insurance cover you receive as part of your Triple S, click the link to start your application.
    Change Income Protection insurance waiting period 
    [PDF 390.8 KB]
    This application is for Triple S members who wish to change the waiting period of their income protection insurance. Make the change by clicking the link.
    Change my regular after-tax contributions
    [Digital Form]
    As a Triple S or Super SA Select member, you can adjust your after-tax contribution rate. If you wish to make the change, click the link to start your application.
    Claim for release of entitlements due to permanent disablement 
    [PDF 891.0 KB]
    Do you require the release of your spouse's entitlements due to permanent disablement? To make a claim, click the link to start your application.
    Leave without pay 
    [Digital Form]
    If you require to leave without pay as a Triple S member, apply to take an extended period of leave without receiving payment by clicking the link.
    Salary sacrifice form 
    [PDF 144.8 KB]
    Your employer can make super contributions on your behalf through a salary sacrifice as a member of Triple S. To make a salary sacrifice, click through the link.
    Triple S Income Protection claim kit 
    [PDF 2.4 MB]
    If you’re needing to make an Income Protection claim, this kit will give you all the information and forms needed to submit a claim.
    Triple S Total and Permanent Disablement TPD Claim Kit 
    [PDF 2.7 MB]
    If you need to make a Total and Permanent Disablement claim, this kit will give you all the information and forms needed to submit a claim.
  • Application for payment of surcharge liability 
    [PDF 391.6 KB]
    This is an application for payment of surcharge liability under the Lump Sum Scheme. Click through to start your application today.
    Lump Sum investment choice 
    [PDF 155.7 KB]
    Did you know you can change your investment options in the Lump Sum Scheme? You can change your current balance and/or future contributions by filling out this form.
    Application for payment 
    [PDF 451.3 KB]
    Ready to make an application for payment under the Lump Sum scheme? Click through to start providing your details and reasons behind making an application.
    Application for purchased leave 
    [PDF 337.3 KB]
    You can purchase leave by reducing your future superannuation entitlements. To make this happen, click through to complete this application for paid leave form.
    Application for transition to retirement 
    [PDF 411.6 KB]
    If you have ceased employment with the public sector & want your entitlements released, submit the transitioning to retirement application form. Click through the link to start.
    Change to contribution rate 
    [PDF 339.4 KB]
    This application form allows members under the Lump Sum Scheme to adjust their contribution rate per year. Click through to make the change.
    Election to maintain contributions following a reduction in substantive salary
    [PDF 441.9 KB]
    Click through to make an election to maintain contributions following a reduction in substantive salary. To start your application, select the link.
    Leave without pay 
    [PDF 726.7 KB]
    If you need to make an application for leave without pay and a member direct debit request. Click through to start both applications.
    Application for payment in relation to a deceased member 
    [PDF 1.1 MB]
    This application form is for payment of a preserved Lump Sum entitlement. If you're eligible to make a declaration, click through to start your application.

Additional tools and resources

Webinars and seminars

Webinars and seminars

Product Disclosure Statements

Product Disclosure Statements

Calculators

Calculators

Glossary

Glossary

The superannuation schemes administered by Super SA are exempt public sector superannuation schemes and are not regulated by the Australian Securities and Investments Commission (ASIC) or the Australian Prudential Regulation Authority (APRA). Super SA is not required to hold an Australian Financial Services Licence to provide general advice about a Super SA product. The information in this publication is of a general nature only and has been prepared without taking into account your objectives, financial situation, or needs. Super SA recommends that before making any decisions about its products you consider the appropriateness of this information in the context of your own objectives, financial situation, and needs, read the Product Disclosure Statement (PDS), and seek financial advice from a licensed financial adviser in relation to your financial position and requirements.

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