Employer Insurance Application
|
|
- Leo Stanley
- 8 years ago
- Views:
Transcription
1 for Property Focused Employer Sponsored Super Before you sign this application form, the Trustee or your financial adviser is obliged to give you the Property Focused Super Product Disclosure Statement (PDS) which is a summary of important information relating to Property Focused Super. The details in the PDS will help you to understand the product and decide if it is appropriate to your needs. Please complete forms in BLOCK LETTERS, using BLACK or BLUE pen only. This application will be invalid unless it is signed. Return completed forms by mail to Property Focused Super, PO Box 1282, Albury NSW INSURANCE BENEFITS DEATH & TOTAL AND PERMANENT DISABLEMENT (TPD) INSURANCE I/We would like to offer Employer Group Insurance cover for Death or Death & TPD to our member employees (please tick yes or no): Yes No If yes, please complete a and b below: a. the TYPE OF COVER you would like to offer AND b. the LEVEL OF COVER you would like to offer (please tick one): (please nominate one benefit type only): Death Only OR Death & TPD Future Service Formula % Salary Future Service OR Multiple of Salary Benefit OR Units of Basic Cover Salary units OR Set Scale of Cover (please attach separate details) OR Fixed Dollar Amount $ OR Other Tailored Benefit Design (please attach separate details) SALARY CONTINUANCE INSURANCE (SCI) I/We would like to offer Employer Group Insurance cover for Salary Continuance to our member employees (please tick yes or no): Yes No If yes, please complete a, b, c and d below: a. the WAITING PERIOD to apply (ie. period employee will be off work before Salary Continuance benefits may commence) (please tick one): 30 days 60 days 90 days b. the BENEFIT PERIOD to apply (ie. maximum period during which your employee will receive Salary Continuance benefits) (please tick one): c. the PERCENTAGE OF INCOME to apply (ie. the monthly amount your employee will receive) (please complete): 2 years 5 years (Maximum 75% of salary) % d. the PERCENTAGE OF INCOME for superannuation contribution protection (ie. paid as contributions to the employee s Plan account) (please complete): (Maximum 10% of salary) % OFFICE USE ONLY 27
2 for Property Focused Employer Sponsored Super (page 2 of 5) 2 NEW MEMBERS DETAILS Complete this Form to add new members to your Property Focused Employer Sponsored Super plan. If you are providing information for more than five members, please photocopy this form. PROPERTY FOCUS EMPLOYER SPONSORED SUPER NUMBER (if known) MEMBER 1 Title Mr Mrs Miss Ms Other 28
3 for Property Focused Employer Sponsored Super (page 3 of 5) MEMBER 2 Title Mr Mrs Miss Ms Other MEMBER 3 Title Mr Mrs Miss Ms Other 29
4 for Property Focused Employer Sponsored Super (page 4 of 5) MEMBER 4 Title Mr Mrs Miss Ms Other Surname Given name/s Male Female Date of Birth (DD/MM/YYYY) Residential Address MEMBER 5 Title Mr Mrs Miss Ms Other Surname Given name/s Male Female Date of Birth (DD/MM/YYYY) Residential Address 30
5 for Property Focused Employer Sponsored Super (page 5 of 5) 3 EMPLOYEES ABSENT FROM WORK Please complete this section to list those employees who were NOT At Work on the date they joined your Property Focused Employer Sponsored Super plan. Employee Name Reason for Absence from Work Date Expected to Return to Work 4 EMPLOYER DECLARATION I/We hereby certify that: Listed in section 2 are those employees who have joined your Property Focused Employer Sponsored Super plan within 120 days of first becoming eligible (usually the date they started employment with their participating employer), and were actively At Work on the day they joined. At Work means: you are actively at work and competently performing all the essential duties of your usual occupation without restriction, or are on approved leave other than leave which are taken for reasons related to Injury or Illness; and who are not receiving or claiming and/or entitled to claim income support benefits from any source including workers compensation benefits, statutory transport accident benefits and disability income benefits. Listed in Section 3 are those employees who were NOT At Work on the day they joined or did not join your PropertyFocused Employer Sponsored Super plan within 120 days of becoming employed with the company. I/We understand that: Those employees listed in Section 3 will not normally be entitled to automatic insurance cover through the Property Focused Employer Sponsored Super plan, and as such, may need to have medical evidence assessed and accepted by the Insurer before any insurance cover can be granted. In the event of a claim, Hannover will require proof and will independently assess whether on the date of joining the plan the member has met the full At Work requirement. Failure to provide a member s At Work status may result in their insurance benefits being voided by the Insurer. Providing false or misleading information may also result in the member s insurance benefits being voided by the Insurer. Employer Signature Date (DD/MM/YYYY) Name Position For assistance, please visit or contact your licensed financial adviser or the Client Service Line on
Change My Insurance Details Form
Change My Insurance Details Form Please complete and return this form to: NESS Super, Locked Bag 20, Parramatta NSW 2124 Complete in pen using CAPITAL letters or type directly into this form and print
More informationMyLife MyInsurance Application to Increase Income Protection Cover due to Salary Increase Part A
MyLife MyInsurance Application to Increase Income Protection Cover due to Salary Increase Part A If you have Income Protection cover you may be eligible to increase your cover to ensure it keeps up with
More informationInsurance Transfer Form Russell SuperSolution Master Trust Private Division
Insurance Transfer Form Russell SuperSolution Master Trust Private Division If you hold insurance cover in another superannuation fund or directly with another life insurer, you can apply to transfer your
More informationMember Details form Member Income Protection Insurance Matching Form
Member Details form Member Income Protection Insurance Matching Form w Complete this form if you want LUCRF Super to match the amount of your existing Income Protection insurance cover held with another
More informationApplication for increases without further medical evidence
MLC Insurance MLC Insurance (Super) Application for increases without further medical evidence Policy number(s) Name of Life Insured This form allows the Income Protection, Life Cover, Total and Permanent
More informationMember Details form. Member Application Form. Step 1 Your details. Complete this form to become a member of LUCRF Super.
Member Details form Member Application Form w Complete this form to become a member of LUCRF Super. Please complete all relevant sections using CAPITAL LETTERS and a BLACK or BLUE pen. Step 1 Your details
More informationFirstChoice Employer Super Transfer of Insurance Cover Form
FirstChoice Employer Super Transfer of Insurance Cover Form B3BQFM 18 May 2015 This form is to be completed for applications to transfer insurance from an external superannuation fund and transfers from
More informationTransferring your insurance cover into Bendigo and Adelaide Bank Staff Super
Staff Superannuation Plan a sub-plan of IOOF Employer Super 1 January 2014 Transferring your insurance cover into Bendigo and Adelaide Bank Staff Super If you hold insurance cover in another superannuation
More informationTelstra Super Personal Plus Application Please complete this application form to open a Telstra Super Personal Plus account.
Telstra Super Personal Plus Application Please complete this application form to open a Telstra Super Personal Plus account. RED SECTIONS FOR YOUR INFORMATION GREY SECTIONS TO FILL OUT INVESTMENT CHOICE
More informationLife Events/Salary Increase cover
Fact sheet and form Life Events/Salary Increase cover What this fact sheet covers This fact sheet provides information about Life Events insurance cover and Salary Increase cover available through our
More informationComplete this form if you want to apply for or increase your Income Protection insurance cover. Suburb/City/Town State/Territory Postcode
Member Details form Member Income Protection Form w Complete this form if you want to apply for or increase your Income Protection insurance cover. Income Protection insurance cover, also known as salary
More informationIncome Protection Continuing Claim Form
MLC Insurance Income Protection Continuing Claim Form MLC Nominees Pty Limited ABN 93 002 814 959 AFSL 230702 RSE L0002998 The Universal Super Scheme ABN 44 928 361 101 R1056778 Superannuation Fund Number
More informationInsurance Personal Questionnaire
Insurance Personal Questionnaire Name of Client 1: Name of Client 2: This section is completed by your Adviser Adviser Name: Adviser Code: Interview Date: FSG Version Number Provided: Adviser Profile Number
More informationIndividual insurance transfer
AON MASTER TRUST Individual insurance transfer Use this form if you are a current member or joining the Aon Master Trust as a new member and you wish to transfer your current insurance cover with another
More informationInsurance Variation Form
Insurance Variation Form SEND YOUR COMPLETED FORM TO: Australian Ethical Super, Locked Bag 5125, Parramatta NSW 2124. Please use BLOCK LETTERS and BLACK ink. Important notes Please use this form if you
More informationInsurance guide. SignatureSuper AMP Life Association and Personal fact sheet. Issued ₁ July ₂₀₁₅
Issued ₁ July ₂₀₁₅ Insurance guide SignatureSuper AMP Life Association and Personal fact sheet AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379. The information in this document
More informationBeneficiary nomination form
MLC Insurance MLC Insurance (Super) Beneficiary nomination form 1. Your policy details Please select your MLC Insurance product: MLC Insurance MLC Insurance (Super) Policy number(s) Title Mr Mrs Miss Ms
More informationSignatureSuper Insurance Guide Fact Sheet Association and SignatureSuper Personal Plans AMP Life Limited
SignatureSuper Insurance Guide Fact Sheet Association and SignatureSuper Personal Plans AMP Life Limited Issued 30 June 2014 AMP Corporate Super The information in this Fact Sheet forms part of the SignatureSuper
More informationCLAIM FOR COMPENSATION FOR A WORK-RELATED DEATH
CLAIM FOR COMPENSATION FOR A WORK-RELATED DEATH Seafarers Rehabilitation and Compensation Act 1992 Information about claiming compensation In this document, all references to the employer mean the employer
More informationInsurance request VicSuper FutureSaver
GPO Box 89 Melbourne Vic 3001 VicSuper Member Centre 1300 366 216 vicsuper.com.au Insurance request VicSuper FutureSaver * Indicates that providing this information is mandatory. Not doing so may delay
More informationTransferring your insurance cover into the Medical & Associated Professions Superannuation Fund
AMA Financial Services Medical & Associated Professions Transferring your insurance cover into the Medical & Associated Professions If you hold insurance cover in another superannuation fund or directly
More informationHostplus Superannuation Fund and Hostplus Personal Super Plan. Member forms. 26 September 2015
Hostplus Superannuation Fund and Hostplus Personal Super Plan. Member forms 26 September 2015 Which forms do I need? 1 Membership form. Use this form if you are joining Hostplus through your employer.
More informationMember Application Form
Super Member Application Form Employer Sponsored and Personal Plan members Joining Australian Catholic Superannuation is easy. Simply complete this form using a dark pen and capital letters or type directly
More informationTransferring your insurance cover into JR Super
The JR Superannuation Fund is a division of IOOF Employer Super. IOOF Employer Super is one of many products and services offered by the IOOF group. Transferring your insurance cover into JR Super If you
More informationANZ Superannuation Savings Account Life Insurance Application Form
12 March 2014 Customer Services Phone 13 38 63 Fax 02 9234 6668 Email customer@onepath.com.au Website anz.com Note: Please ensure you complete all details on this form. Any missing details will delay your
More informationFirst Notice of Claim for Unemployment Benefits
How to help us process your claim Checklist Before submitting your claim form, make sure you can tick all the boxes below: Involuntary unemployment claims - documents required Section A: Statement of claimant
More informationFact Sheet > Super SA > Triple S > Your Questions Answered MAKING AN INCOME PROTECTION CLAIM
Fact Sheet > Super SA > Triple S > Your Questions Answered MAKING AN INCOME PROTECTION CLAIM > 1 IN THIS FACT SHEET > What is Income Protection (IP)? > Circumstances under which IP will not be paid > Step
More informationShort Term Disability Income Benefit. Employee s Guide
Short Term Disability Income Benefit Employee s Guide Short Term Disability Income Benefits This guide contains the forms you need to apply for disability benefits and some important information about
More informationIncome Protection Insurance Cover (Prime division)
FACT SHEET Income Protection Insurance Cover (Prime division) 1 May 2014 Please note: All words highlighted in red are defined, or further explanation is provided, in the Terms and further explanations
More informationWageGuard Group Income Protection Claim Form
WageGuard Group Income Protection Claim Form Frequently Asked Questions How long will it take to complete my section of the form? We ve tested it -- it takes about 20 minutes. We want to settle your claim
More informationSuper Member Income Protection Insurance Matching Form
Super Member Income Protection Insurance Matching Form Complete this form if you want LUCRF Super to match the amount of your existing Income Protection insurance cover held with another fund. IMPORTANT:
More informationApplication for Compensation
Application for Compensation This Application for Compensation form for injured workers is an approved form under the Workers Compensation and Rehabilitation Act 2003 (the Act). The general information
More informationInsurance guide. SignatureSuper AMP Life fact sheet. Issued ₁ July ₂₀₁₅
Issued ₁ July ₂₀₁₅ Insurance guide SignatureSuper AMP Life fact sheet AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379. The information in this document forms part of the
More informationAs an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.
Aged Care Education and Training Incentive Programme COMMENCEMENT PAYMENT This application form is to be completed by eligible aged care workers who have enrolled and commenced studies to enhance their
More informationMercer Self-Managed Super Service Application form
Mercer Self-Managed Super Service Application form Please print in black or blue pen, in uppercase, one character per box. A Important information regarding completion of this form Establishing a self-managed
More informationINTRUST SUPER PERSONAL ACCIDENT AND SICKNESS CLAIM FORM
1 of 7 INTRUST SUPER PERSONAL ACCIDENT AND SICKNESS CLAIM FORM This claim form consists of 3 parts and all sections must be completed in full. Section A Claimant Statement The claimant is to complete all
More informationFixed insurance cover
Fact sheet and form Fixed insurance cover When it comes to insurance cover, one size doesn t necessarily fit all. That s why you have the ability to convert your Death and Total & Permanent Disablement
More informationCost of Medical Care in respect of an Occupational Accident or Disease
Application form for Social Welfare Services C 1 Data Classification R Cost of Medical Care in respect of an Occupational Accident or Disease You need a Personal Public Service Number (PPS No.) before
More informationAustralian Superannuation Transfer Guide
Australian Superannuation Transfer Guide Contents Page Making an informed decision 3 How do I know if I have Super in Australia? 3 How do I know if my Australian Super can be transferred? 4 Why should
More informationYour Government Super at Work. 1 of 9
ER 04/10 Application to the Commonwealth Superannuation Corporation (CSC) for approval of early access to preserved superannuation benefits on medical grounds To be used by preserved benefit members of
More informationWHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME
WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME Issued 1 November 2014 Please use this form to transfer your whole superannuation balance to a KiwiSaver scheme. Transferring only part of your superannuation
More informationWithdrawals. 1. Investor details
MLC Navigator Investment Plan MLC Navigator Retirement Plan MLC Navigator Access Investment MLC Navigator Access Super and Pension Withdrawals Please tick where appropriate: Account closure (Sections 1,
More informationINSURANCE Training Guide
INSURANCE Training Guide Group Insurance premium calculator May 2015 Training Guide Group Insurance premium calculator Before you are able to use the Group Insurance premium calculator you must have: 1.
More informationGet your super and insurance together in one place
Get your super and insurance together in one place Is your insurance everywhere? If you have more than one super account, chances are you also have insurance cover in some of those accounts. Imagine if
More informationAs an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.
Aged Care Education and Training Incentive Programme COMPLETION PAYMENT This application form is to be completed by applicants who have completed studies and have already received a commencement payment
More informationWA Super Insurance Guide
MY SUPER APPROVED WA Super Insurance Guide The information in this document forms part of the WA Super Product Disclosure Statement, November 2013 You should read the PDS in conjunction with this Member
More informationClaim for Compensation for a Work-related death
SRC 184 (March 2014) Claim for Compensation for a Work-related death This form is to be completed if you wish to claim compensation under the Safety, Rehabilitation and Compensation Act 1988 (SRC Act)
More informationApplication for direct payment of government super contributions
Instructions and form for retirees and estate trustees Application for direct payment of government super contributions WHO COMPLETES THIS APPLICATION You should complete this application if you want to
More informationConstruct Australia Income Protection Services Accidental Dental Benefit Claim Form
1 of 6 Construct Australia Income Protection Services Accidental Dental Benefit Claim Form This claim form consists of 3 parts and all sections must be completed in full. Section A Claimant Statement The
More informationProduct Disclosure Statement
Product Disclosure Statement Employer Sponsored Division AMIST Super Hotline 1800 808 614 www.amist.com.au service@amist.com.au Issued: 20 April 2015 Contents 1. About AMIST Super Employer Sponsored Division
More informationCLAIM FOR WORKERS COMPENSATION
CLAIM FOR WORKERS COMPENSATION Seafarers Rehabilitation and Compensation Act 1992 Information about claiming workers compensation In this document, all references to the employer mean the employer against
More informationInsurance. Who should read this? What you re covered for. What you should know up front. Why should I have Death, TPD and IP cover?
PSSap11 04/12 Insurance Who should read this? Members who want information about death, total permanent disability (TPD) income protection (IP) insurance. What you should know up front It is important
More informationPayment of unclaimed superannuation money
Instructions and form for super fund members Payment of unclaimed superannuation money How to complete your Application for payment of unclaimed superannuation money individual. For information about unclaimed
More informationGroup Salary Continuance. A. Disability Details. Scheme Name or Employer (Business) Name
Group Salary Continuance Continuing Claim Form ABN 90 000 000 402 AFSL 230694 Please fully complete this claim form (pages 1 to 5). If there is insufficient space to fully answer a question, please use
More informationApplication for adoption information: Relative or guardian of adopted person who is deceased or does not have capacity
The purpose of the application for adoption information: is deceased or does not have capacity form This form is for use by a relative or guardian of an adult adopted person to apply for adoption information
More informationContributions splitting
Instructions for and subject form for super fund members Contributions splitting How to complete your Superannuation contributions splitting application. BEFORE COMPLETING THIS APPLICATION Contact your
More informationSTUDENT FUNDING SERVICE Student Aid Fund 2015/2016 Application
STUDENT FUNDING SERVICE Student Aid Fund 2015/2016 Application Application form guidance notes. The aim of the Student Aid Fund is to assist students whom are experiencing a crisis that has arisen as a
More informationDeath and Total and Permanent Disablement (TPD) Cover Fact Sheet
Death and Total and Permanent Disablement (TPD) Cover Fact Sheet Who should read this fact sheet? The information in this fact sheet applies to most Defined Contribution (accumulation) members of Energy
More informationInformation for employers
₁ Issued July ₂₀₁₅ Information for employers AMP Flexible Super Guide Registered trademark of AMP Limited ABN 49 079 54 519. This guide provides information specifically for employers about AMP Flexible
More informationFirst Notice of Claim for Unemployment Benefits
How to help us process your claim Checklist Before submitting your claim form, make sure you can tick all the boxes below: Involuntary Unemployment claims - Documents required Section A: Statement of claimant
More informationSIPP benefit form annuity
SIPP ISA Dealing Junior ISA SIPP benefit form annuity This benefit form must be completed if you wish to purchase a lifetime annuity and would like AJ Bell Youinvest to pay you a tax free lump sum. Please
More informationCessation of employment
SR1 04/12 Cessation of employment Benefit application form Before you start Before you complete this benefit application form, please read the CSS Product Disclosure Statement. This form and the Explanatory
More informationProduct Disclosure Statement
Product Disclosure Statement Prepared and issued 15 June 2015 CONTENTS 1. About QIEC Super 2. How super works 3. Benefits of investing with QIEC Super 4. Risks of super 5. How we invest your money 6. Fees
More informationInsurance guide. SignatureSuper MetLife fact sheet. Issued ₁ July ₂₀₁₅
Issued ₁ July ₂₀₁₅ Insurance guide SignatureSuper MetLife fact sheet AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379. The information in this document forms part of the
More informationFirst Notice of Claim for Unemployment Benefits
How to help us process your claim Checklist Before submitting your claim form, make sure you can tick all the boxes below: Involuntary Unemployment claims - Documents required Section A: Statement of claimant
More informationFamily law and superannuation
Family law and superannuation Fact sheet This fact sheet looks at the process of splitting a superannuation benefit under the family law process and the types of benefits that may be affected, including
More informationRelationship Details outside Australia
Relationship Details outside Australia Your Centrelink Reference Number Return this form to the Department of Human Services International Services by How do we assess your relationship? If you cannot
More informationTitle Mr Mrs Miss Ms Dr Other Family Name Given Names Previous Name (if applicable)
SYDNEY MEDICAL SCHOOL FOUNDATION PuraPharm PhD Scholarship in Integrated Medicine APPLICATION FORM 1. Full name of applicant This application, complete with supporting documentation, must be submitted
More informationSIPP benefit form annuity purchase discharge form
Stockbrokers SIPP benefit form annuity purchase discharge form This benefit form must be completed if you wish to purchase a lifetime annuity and would like AJ Bell Management Limited to pay you a tax
More informationThis application will be processed under the terms of the Agreement between the New Zealand Government and the Government of Malta.
Application for New Zealand Superannuation under a Social Security Agreement Malta This application will be processed under the terms of the Agreement between the New Zealand Government and the Government
More informationNotice of intent. Fact sheet and form. What this fact sheet covers. Who is this fact sheet for? When should I complete a notice of intent?
Fact sheet and form Notice of intent A notice of intent to claim or vary a deduction for personal super contributions (notice of intent) allows you to claim a tax deduction for your personal contributions,
More information2015 Product Disclosure Statement
2015 Product Disclosure Statement Personal Division Issued 1 November 2015 Contents 1. About NSF Super 2. How super works 3. Benefits of investing with NSF Super 4. Risks of super 5. How we invest your
More informationBusiness account application form for a sole trader
Business account application form for a sole trader Internal use only 1. Sole trader Title Forename(s) Surname Trading name (if applicable) Date of birth (dd/mm/yyyy) Mr Mrs Miss Other Town of birth Country
More informationBring your Australian super home. ANZ KiwiSaver Scheme ANZ Default KiwiSaver Scheme
Bring your Australian super home ANZ KiwiSaver Scheme ANZ Default KiwiSaver Scheme If you ve worked in Australia at any time since 1992, you may have some Australian super tucked away. You can transfer
More informationgrow your super Seven ways to Some handy hints to help you grow your super investments December 2014 Now incorporating Find out how you can:
Find out how you can: Make regular personal contributions a small amount can make all the difference. Salary sacrifice your contributions and reduce your tax at the same time. Seven ways to grow your super
More informationClaim for Compensation for a Work-related death
SRC184(Feb2008) Claim for Compensation for a Work-related death This form is to be completed if you wish to claim compensation under the Safety, Rehabilitation and Compensation Act 1988 (SRC Act) for the
More informationPayCover Income Protection Claim Form
PayCover Income Protection Claim Form Frequently Asked Questions How long will it take to complete my section of the form? We ve tested it -- it takes about 20 minutes. We want to settle your claim for
More informationCommunity Services Card Application
Community Services Card Application Who can get a Community Services Card? Mehemea he patai ou waea mai ki. Me e uianga taau e ringi mai ia matou, numero. Mo so o sau fesili, telefoni mai. If you have
More informationWithdrawal Flexi Pension
Fact sheet and form Withdrawal Flexi Pension You can make a full or partial lump sum withdrawal from your Flexi Pension account at any time. What this fact sheet covers This fact sheet explains the rules
More informationCommunity Services Card Application
Community Services Card Application Who can get a Community Services Card? Mehemea he patai ou waea mai ki. Me e uianga taau e ringi mai ia matou, numero. Mo so o sau fesili, telefoni mai. If you have
More informationRetirement Lump Sum application information (Issued under sections 27, 149, 150, 151 and 213 of the Veterans Support Act 2014)
Retirement Lump Sum application information (Issued under sections 27, 149, 150, 151 and 213 of the Act 2014) Please read before you complete this form This application form is for veterans reaching the
More informationAccident/Illness Claim
QBE INSURANCE (AUSTRALIA) LIMITED ABN 78 003 191 035 Accident/Illness Claim The issue of this form does not constitute an admission of liability on the part of the insurer. Please complete all sections.
More informationInsurance Guide. 15 December 2014. Contents. Important information. For more information
Insurance Guide 15 December 2014 Contents 1. Insurance in your Super... 2 2. Complete Super at a glance... 2 3. Death and TPD cover... 2 4. Income Protection insurance cover... 4 6. Group Income Protection
More informationHow To Fill Out A Worker Compensation Claim Form
UPlus Income Protection Claim Form Frequently Asked Questions How long will it take to complete my section of the form? We ve tested it -- it takes about 20 minutes. We want to settle your claim for you
More informationDeduction for personal super contributions
Instructions for super fund members Deduction for personal super contributions How to complete your Notice of intent to claim or vary a deduction for personal super contributions This form should only
More informationMaritime Super Income Protection Claim Form
Maritime Super Income Protection Claim Form INCOME PROTECTION CLAIMS In order to alleviate any delay in the processing time of your claim, please ensure the following: The claim form is returned with all
More information1. Claimant Details. personal accident and sickness claim form
personal accident and sickness claim form Wesfarmers General Insurance Limited, ABN 24 000 036 279, AFS Licence no. 241461 Level 2, 99 Melbourne Street, South Brisbane, QLD 4101 or GPO Box 524 Brisbane,
More informationIssued ₁ July ₂₀₁₅. Insurance Guide. SignatureSuper AIA fact sheet. AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379.
Issued ₁ July ₂₀₁₅ Insurance Guide SignatureSuper AIA fact sheet AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379. The information in this document forms part of the product
More informationTTR refresh. Qwealth Superannuation Master Trust. 1. Member s details. 2. Account details. 1 July 2014. Client Services Phone 1300 704 704.
TTR refresh Qwealth Superannuation Master Trust 1 July 2014 Oasis Fund Management Limited (Trustee) ABN: 38 106 045 050 AFSL: 274331 RSE Licence: L0001755 Oasis Superannuation Master Trust (Trust) ABN:
More informationREQUEST FOR WITHDRAWAL
REQUEST FOR WITHDRAWAL If you need help For assistance call NGS Super Customer Service Team on 1300 133 177. Step 1. Complete your personal details Please print in black or blue pen, in uppercase, one
More informationIncome Protection Initial Claim Form
MLC Insurance Income Protection Initial Claim Form MLC Nominees Pty Limited ABN 93 002 814 959 AFSL 230702 RSE L0002998 The Universal Super Scheme ABN 44 928 361 101 R1056778 Superannuation Fund Number
More informationConstruct Australia Income Protection Services Injury and Sickness Claim Form
1 of 6 Construct Australia Income Protection Services Injury and Sickness Claim Form This claim form consists of 3 parts and all sections must be completed in full. Section A Claimant Statement Section
More informationCan the TAC help you?
Can the TAC help you? The Transport Accident Commission (TAC) pays for the reasonable cost of treatment and support services for people injured in transport accidents. You may be eligible to have medical
More informationRedundancy. Benefit application form. Before you start SRR1 01/14. What we need from you. What you can expect from us
SRR1 01/14 Redundancy Benefit application form Before you start Before you complete this benefit application form, please read the CSS Product Disclosure Statement. This form and the Explanatory notes
More informationBusiness Superannuation Financial Needs Analyser
Business Superannuation Financial Needs Analyser Employer details Employer Name: Industry Phone: Address: Level 19, 1 Alfred Street Sydney, NSW, 2000 GPO Box 3323 Sydney, NSW, 2001 Telephone: (02) 8272
More informationMacquarie Life Total Permanent Disability (TPD): Claimant s Statement
Macquarie Life Total Permanent Disability (TPD): Claimant s ment Filling in this statement Please complete all sections, use black ink and mark boxes like this with an X. 1 May we disclose information
More informationPublic Sector Injury Benefit Scheme 2015
Public Sector Injury Benefit Scheme 2015 PSPA Ref: Application for Injury Benefit Important: Please complete this form in CAPITAL LETTERS and in BLACK INK Section A To be completed by the Employing Authority
More informationMember Application Form
Member Application Form ABN 76 829 356 693 RSE R1004366 SFN 299 735 940 SPIN CFS0102AU Chifley Financial Services Limited (Trustee) ABN 75 053 704 706 AFSL 231148 RSEL L0001120 Instructions Member Services
More informationClaim for Special Child Care Benefit and/or increased weekly limit of hours
Claim for Special Child Care Benefit and/or increased weekly limit of hours When to use this form Special Child Care Benefit (rate) for hardship, and/or Increased weekly limit of hours due to exceptional
More informationInstructions for Claimant
TD Insurance Instructions for completing the claim package for C redi t P rotecti on Li fe I n suranc The Credit Protection Life Insurance Claim Package contains three parts: Note: Check if completed Part
More information