1. No category

CSCri
RI01
04/15
CSC
retirement
income
Apply for CSC retirement income
For CSS, PSS and PSSap members (including Ancillary)
Use this form to apply to join Commonwealth Superannuation Corporation retirement income (CSCri) and
receive a standard retirement income stream or a transition to retirement income stream.
Please complete this form using BLACK ink, in clear BLOCK LETTERS, and mark answers in boxes with an X.
Before making any decision you should read the CSCri Product Disclosure Statement (PDS) and the
CSCri Financial Services Guide (FSG) issued by Commonwealth Superannuation Corporation (CSC),
available at cscri.gov.au. As you may be set up as a PSSap member (for the purpose of consolidating multiple
amounts), you should also read the PSSap Product Disclosure Statement (PDS) and the PSSap Financial
Services Guide (FSG) issued by CSC, available at pssap.gov.au
Important information regarding your application
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To join CSCri, you must be a member of Commonwealth Superannuation Scheme (CSS), Public Sector
Superannuation Scheme (PSS) or Public Sector Superannuation accumulation plan (PSSap)
(including Ancillary) and meet a condition of release for your super savings.
The minimum initial investment is $20,000.
We are required by law to collect and verify proof of identity documentation from you. These requirements
are explained in Section K of this form.
If you need help to complete this form, please call us on 1300 736 096.
For PSS and CSS members applying for a standard retirement income stream, we suggest you complete this
form when you complete your CSS or PSS benefit application form.
Consolidation of other super accounts
IMPORTANT: If you are starting your CSCri account with multiple sources of funds and are not already a PSSap
member, you will be set up with a temporary PSSap Ancillary membership for the purpose of consolidating
these amounts. These amounts will be invested in the Cash option during this process. You should also note that
administration fees may apply to this account whilst open. More information is available in the PSSap PDS at
pssap.gov.au. If you need to consolidate additional monies after your CSCri account has been established,
please call us on 1300 736 096.
Expert financial advice for your situation
Before you make any decision about joining CSCri, we recommend you seek professional advice from a licensed
financial planner, which takes into account your own objectives, financial situation and needs.
Commonwealth Superannuation Corporation has partnered with experienced financial planners from
Industry Fund Services to make an advice service available to you.
For more information about this service, or to book your first advice appointment please call 1300 277 777
during business hours or visit csc.gov.au/advice
Checklist for your application
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Have you provided your source of funds details for your starting balance? See Section C.
Have you provided your completed PSSap Transfer form if you wish to roll over from another super fund?
See Section C
Have you provided your Tax File Number? See Section H.
Have you attached your completed ATO Tax File Number Declaration form if under the age of 60?
See Section I.
Have you nominated beneficiaries? See Section G.
Have you nominated a third party authority to enquire on your behalf? See Section J.
Have you attached your certified proof of identity? See Section K.
Have you signed and dated your application? See Section L.
Your Government Super at Work
Any financial product advice in this document is general advice only and has been prepared without taking account of your personal objectives, financial situation or needs. Before acting
on any such general advice, you should consider the appropriateness of the advice, having regard to your own objectives, financial situation or needs. You may wish to consult a licensed
financial advisor. You should obtain a copy of the CSCri and PSSap Product Disclosure Statement (PDS) and consider its contents before making any decision regarding your super.
Commonwealth Superannuation Corporation (CSC) ABN: 48 882 817 243 AFSL: 238069 RSEL: L0001397
Commonwealth Superannuation Corporation retirement income (CSCri) is offered by CSC,
the trustee of the Public Sector Superannuation accumulation plan (PSSap) ABN: 65 127 917 725 RSE: R1004601
Industry Fund Services (IFS) ABN 54 007 016 195 AFSL 232514
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Section A – Provide your personal details
Title
Mr
Mrs
Ms
Miss
Other
Surname
Given name(s)
Date of birth
Gender
Phone
D
D
M
/
Male
business hours
M
Y
Y
Y
Y
/
Female
after hours
mobile
Residential address
Postal address
(if the same as your
residential address,
mark ‘AS ABOVE’)
Suburb
State
Postcode
Suburb
State
Postcode
Email
@
Where we have your email address or mobile phone number, your default communication preference will
be ‘electronic’ unless you specifically choose ‘paper’. Electronic communication means we will keep you
informed about important aspects of your super by email. Where we don’t have your email address, we will
communicate with you by text. If we don’t have either your email address or mobile phone number,
we will send paper communications to your mailing address. You can check and update your
communication preferences in CSCri Member Online or by contacting us.
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Section B – Confirm your eligibility
Please select all schemes that apply.
I am a CSS member and my AGS number is:
I am a PSS member and my AGS number is:
I am a PSSap (including Ancillary) member and my membership number is:
AND
Select which option applies to you.
I am a contributing member (which means superannuation contributions
are currently being paid into my account)
OR
I am not a contributing member (I am a preserved member).
Please be aware that if you are not a contributing member, you are only
eligible to consolidate monies for the purpose of setting up a CSCri
account. All monies paid into the scheme, as indicated in Section C, will be
used for the purpose of establishing your CSCri account.
AND
Select one income stream type only.
I wish to apply for a standard retirement income stream
I am age 65 or over
OR
I have reached my preservation age and have permanently retired from the
workforce (ie I intend never again to become gainfully employed for 10 or
more hours per week)
OR
I am age 60 or over and have ceased employment since turning 60
OR
I wish to apply for a transition to retirement income stream
I am a current CSS, PSS or PSSap (including Ancillary) member and I have
reached my preservation age but have not yet turned 65 and wish to receive my
superannuation benefit in the form of a transition to retirement income stream
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Section C – Indicate your source of funds and starting balance
If you are starting your CSCri account with multiple sources of funds and are not already a PSSap member,
you will be set up with a temporary PSSap Ancillary membership for the purpose of consolidating these
amounts. These amounts will be invested in the Cash option during this process. You should also note that
administration fees may apply to this account whilst open. More information is available in the PSSap PDS
at pssap.gov.au
Approximate opening balance to establish my CSCri account:
$
(this will be the sum of the amounts provided below)
Please use the following sources to establish my CSCri account:
You may choose more than one source.
Full balance of my PSS or CSS account, which is approximately:
$
The following amount from my PSS or CSS account:
$
Note: This can be an approximate amount as you may not know your exact
benefit amount yet.
AND/OR
Full balance of PSSap (including Ancillary) account, which is approximately:
$
Note: For transition to retirement income streams, minimum balances of
$1,000 for contributing members and $5,000 for non-contributing members
will be retained in your PSSap account.
The following amount from my PSSap (including Ancillary) account:
$
Note: This can be an approximate amount as you may not know your exact
benefit amount yet.
AND/OR
Personal contribution
If over age 65, yes, I have met the work test.*
*You must work 40 hours over 30 consecutive days during the current financial year for us to accept your
voluntary contribution. Once aged 75, we’re unable to accept a voluntary contribution from you
I have enclosed a cheque for:
$
Note: Enclose a cheque payable to ‘Public Sector Superannuation accumulation
plan’ for [insert your name here] which is crossed ‘Not negotiable’.
Please ensure you understand the super contribution caps that apply to personal contributions. You can
confirm the contribution caps at ato.gov.au
AND/OR
Rollover an amount from another super fund.
Number of superannuation funds that CSCri will receive monies from:
Approximate total value of funds to be received by CSCri:
$
Section C continued on next page
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Transfer details
Details of the fund you wish to transfer from (if transferring from more than one fund, please copy this
page and provide for each fund you wish to transfer from).
FROM
Name of the fund you want
to transfer your super from
Please provide the name exactly as per your last statement or contact the fund for the correct details.
Your Member/Client Identifier
at the fund
ABN of fund
ABN = Australian Business Number
USI of fund
USI = Unique Superannuation Identifier
Important: this transfer cannot be processed without the USI number
Phone number of fund
TO
Public Sector Superannuation Accumulation Plan (PSSap)
USI: 65127917725001
ABN: 65 127 917 725
Ph: 1300 725 171
Transfer values
Whole amount (balance of my account)
A gross dollar amount of
$
Your Tax File Number (TFN)
CSCri is authorised to collect and validate your TFN under the Superannuation
Industry (Supervision) Act 1993. To improve the electronic transfer of funds
between superannuation providers, your TFN is required to be validated with
the Australian Taxation Office (ATO).
Authorisation for transfer requests:
By signing this request form I am making the following statements:
>> I request and consent to the transfer of superannuation as described in
this form
>> the information I have provided on this form is true and correct
>> I am aware that I may ask my superannuation provider for information
about any fees or charges that may apply, or any other information about
the effect this transfer may have on my benefits, including insurance cover,
and have obtained or do not require such information
>> I have read the CSCri PDS, and this application is made subject to the terms
and conditions of that information
>> I authorise PSSap to contact the fund named on this form in order to obtain
information relating to this transfer request.
>> I consent to my Tax File Number being disclosed for authorised purposes
>> I am aware and agree that any amounts received during the consolidation
process will be invested in the Cash option, and once this has occurred,
will be invested in line with my existing investment strategy in CSCri,
unless I request otherwise at Section E
>> once my benefits have been transferred from the fund named on this form,
the Trustee of that fund is discharged from any further liability for the
amount transferred.
Signature
Date signed
D
D
M
/
M
Y
Y
Y
Y
/
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Section D – Choose your investment option or mix of options
Note: You can choose one or a mix of four investment options to invest your CSCri account balance. If you
do not make a choice, you will be automatically invested in the default option, which is Income Focused.
Please invest my account balance in the following option or mix of options:
Cash
%
Income Focused
(default option)
%
Balanced
%
Aggressive
%
Total
100%
Ensure your total percentage equals 100% and your
selection is in whole percentages only.
Note: You can change your investment options at any time using your secure
CSCri Member Services Online account area or by sending us your completed
Change your account details form available at cscri.gov.au. A fee may apply.
For more information, please refer to your CSCri PDS which is also available to
view and download at cscri.gov.au
Section E – Select your income stream payment order (if investing in two or more
investment options)
Only complete this section if you wish to invest in two or more investment options. If you do not complete this section,
your income stream payments will draw down using method (1) below. Select one method only.
Please pay my income stream using my selected income stream payment method:
(1) Pro-rata method (default)
You elect your income stream payments to be withdrawn from each
investment option you selected in Section D in proportion to the balance
in each investment option at the time of the withdrawal.
OR
(2) Proportional method
You specify (below) the proportion to be withdrawn from each of the
investment options you selected in Section D.
Cash
%
Income Focused
(default option)
%
Balanced
%
Aggressive
%
Total
100%
OR
(3) Priority method
You specify (below) the order of investment options from which your
income stream payments are to be withdrawn from the investment options
you selected in Section D.
Please number options below, 1-4.
Cash
Income Focused (default option)
Balanced
Aggressive
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Section F – Provide your income stream payment details
Deposit my income stream payments into the following bank account:
Name(s) in which your
account is held
Bank/financial institution
BSB
–
Account number
Note: Your income stream payments can only be deposited into an account held in your name
or jointly in your name. Any Australian financial institution with a BSB number will be accepted.
CSCri will not be liable for any errors that occur based on the account details you provide.
Pay my first income stream payment in the following month:
Note: If you do not make a selection, we will commence your income stream payment the next
available pay run. Income stream payments are made on the 21st day of a month only. If the
21st day of the month is a weekend or public holiday, your payment will be made the previous
business day. Please ensure that you allow sufficient time for us to process your application and
establish your income stream prior to when you will rely on the money from your first income
payment (we suggest that you allow at least five business days from when you apply).
I wish to be paid my
income stream:
(please select one only)
Note: If you do not make a selection, we will establish your income stream with monthly payments.
Monthly
Quarterly
Half yearly
Annually
I wish to receive the gross
income stream amount
per payment of:
(please select one only)
Note: If you do not make a selection, we will establish your income stream with your
minimum payment amount.
Minimum allowed under legislation
Maximum allowed under legislation (for a transition to retirement income
stream only; the maximum amount is not pro-rated in your first year)
Other (please nominate an amount to the nearest dollar)
$
Note: The amount you list above must be within the minimum and maximum (if applicable)
amounts permitted under law. For more information refer to your CSCri PDS, which is
available to view and download at cscri.gov.au
Section G – Nominate your reversionary beneficiary
Select how you wish to nominate your beneficiaries. Select one option only.
Note: Section 7 of the CSCri PDS provides detailed information on the different types of beneficiary
nominations – non-binding, binding or reversionary.
Non-binding nomination
Use the Nominate your beneficiaries form available at cscri.gov.au. Alternatively you can make a
non-binding nomination using CSCri Member Services Online. To register, visit cscri.gov.au once we
confirm your CSCri account is established.
OR
Binding nomination
Use the Nominate your beneficiaries form available at cscri.gov.au
OR
Reversionary beneficiary (please provide their details below)
Nominating a reversionary beneficiary means that if you die, your income stream will continue to be paid to
your nominated dependant until the benefit is reduced to nil or commuted.
Section G continued on next page
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Title
Mr
Mrs
Ms
Miss
Other
Surname
Given name(s)
Date of birth
Gender
D
D
M
M
Y
/
Y
Y
Y
/
Male
Female
Relationship to you
Section H – Provide your Tax File Number
Tax File Number
Note: We are authorised to collect your Tax File Number (TFN) under the
Superannuation Industry (Supervision) Act 1993. You are not obliged to disclose your
TFN, but if you do not we may not be able to consolidate your superannuation
and your income stream payments may be subject to a higher tax rate.
Section I – Complete your Tax File Number declaration
If you are under age 60, you will need to complete an ATO Tax File Number Declaration form to reduce the
PAYG tax withheld from your income stream payments by the tax offset and/or tax-free threshold.
If you do not submit this form, PAYG tax will be deducted from your taxable income stream payments at 46.5%
as required by current tax rules. To request a copy of this form, please contact us on 1300 736 096.
If you wish to reduce the PAYG tax withheld, you must lodge the claim form before you start your CSCri or
lodge it with this application.
No (please go to Section J)
Are you under age 60?
Yes
AND
my completed ATO Tax File Number Declaration form is attached
OR
my completed ATO Tax File Number Declaration form was sent to
CSCri on
D
D
M
M
Y
/
Y
Y
Y
/
Section J – Nominate a third party authority
Use this section if you wish to authorise a financial planner (such as an Industry Fund Services financial planner) or
other third party to enquire on your behalf in respect of your CSCri.
I nominate the following financial planner/third party representative(s):
Company name
(if applicable)
Name of representative
Date of birth
D
D
M
/
M
Y
Y
Y
Y
/
Email
@
Phone
Business hours
Mobile number
Postal address
Suburb
State
Postcode
If you wish to nominate more than one third party authority, please provide their details on a
separate sheet and enclose it with your completed application form.
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Section K – Provide proof of identity
Note: To protect your account against fraud, money laundering and terrorism financing, under the Anti-Money
Laundering and Counter-Terrorism Financing Act 2006, you must complete a ‘100 point check’ and attach the
following certified documents:
Primary documents (70 points)
Provide ONE of the following certified documents:
>>
birth certificate
>>
birth card issued by the NSW Registry of Births, Deaths and Marriages
>>
Australian Citizenship certificate
>>
a current passport
>>
an expired passport which has not been cancelled and was current within the preceding two years
>>
another document of identity having the same characteristics as a passport (eg this may include some
diplomatic documents and some documents issued to refugees).
Note: You do not accumulate additional points for more than one document from this category.
Secondary documents (40 points)
Provide ONE of the following certified documents containing your photograph and/or signature:
>>
An Australian driver’s license or another licence or permit issued under a law of the Commonwealth,
a State or Territory
>>
An identification card issued to a public employee
>>
An identification card issued by the Commonwealth, a State or Territory as evidence of your entitlement
to a financial benefit
>>
A student ID issued by a tertiary education institution.
Note: Additional documents from this category can be awarded 25 points.
Tertiary documents (if required) (25 points)
Provide a certified identification document, eg marriage certificate (for maiden name only), credit card,
council rates notice, telephone account, foreign driver’s licence, Medicare card, etc.
Note: More than one document may be counted, but points from a particular source may be counted only once
(eg if a MasterCard and Visa card are issued from the same financial institution, only one may be counted).
Certifying your documents
The following people can certify your documents:
>>
a legal practitioner enrolled on the roll of a supreme court or the high court of Australia
>>
a judge or magistrate of a court
>>
a chief executive officer of a Commonwealth court
>>
a registrar or deputy registrar of a court
>>
a Justice of the Peace (JP)
>>
a notary public
>>
a police officer
>>
an Australian consular officer or an Australian diplomatic officer
>>
an agent or a permanent employee of the Australian Postal Corporation with two or more years of
continuous service in an office supplying postal services to the public
>>
a finance company officer with five or more years of continuous service with one or more finance companies
>>
a person employed by, or an authorised representative of, the holder of an Australian financial services
licence with five or more continuous years of service
>>
a member of the Institute of Chartered Accountants of Australia (ICA), Certified Practicing Accountants
(CPA Australia) or the National Institute of Chartered Accountants (NIA) with two or more years of
continuous membership.
For a full list of certifying authorities, visit the Comlaw website at comlaw.gov.au
The certifying authority must confirm in writing that you are the valid holder of the identification that you are
presenting and that any copies are true copies of the original. The certification must include the name, address,
occupation, telephone number and registration number (if applicable) of the certifying authority.
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Section L – Declaration
Note: Before you sign this form, you must read the CSCri FSG and CSCri PDS which contains important
information about the features, costs, benefits and risks of investing in this product. They will help you to
decide if it is appropriate for your own objectives, financial situation and needs.
I declare that:
>>
the information shown on this application is true and correct
>>
I will provide Commonwealth Superannuation Corporation, the trustee of Public Sector Superannuation
accumulation plan (PSSap) through which CSCri is offered, within a reasonable period with any information
it may request relating to my membership of an Australian Government public sector scheme and update
information provided in this application
>>
I have read the CSCri PDS and CSCri FSG, and this application is made subject to the terms and conditions
of that information
>>
I understand and acknowledge that if I am not already a PSSap member (including Ancillary) and I am
commencing my CSCri account using multiple sources, I will require a PSSap Ancillary account to be opened
to consolidate these monies (in the Cash option) and will be subject to fees and costs associated with this.
I have read the PSSap PDS and PSSap FSG, and this application is made subject to the terms and conditions
of that information
>>
I understand and accept that no party associated with CSCri guarantees the performance of the investment
options in CSCri
>>
I understand that there are super contribution caps that apply to personal contributions and that CSCri is
not liable for payment of any remedies caused by the member exceeding their contribution cap
>>
I understand that the investment option or mix of options I have selected in this application will remain in
place until I make a subsequent investment choice and it is processed
>>
I authorise the third party listed in Section H (if completed) to make enquires about my CSCri
>>
I am aware and agree that Commonwealth Superannuation Corporation will have records of my personal
information and consent to the use of my information to:
>>
confirm my identity
>>
administer my superannuation
>>
manage my superannuation investments
>>
meet regulatory requirements
and
>>
conduct market research and product development.
>>
I acknowledge Commonwealth Superannuation Corporation has recommended that I obtain financial advice
>>
I am applying to become a member of CSCri and if accepted as a member, I agree to be bound by the Trust
Deed that governs the fund.
>>
I am aware that personal information I or a third party provide, such as my employer, is collected,
held, used and disclosed as required or authorised by law in accordance with the privacy policies and notice,
available via cscri.gov.au or by contacting us on 1300 736 096, for the purpose of managing my super.
This includes the management of superannuation investments, providing me with superannuation products
and information, the administration of my account, conducting market research and product development.
The privacy policies and notice contain important information about how personal information is handled,
including rights to access and update that information and how a complaint about a breach of privacy can
be made.
Signature
Date signed
D
D
M
M
/
Y
Y
Y
Y
/
Please review the checklist at the start to ensure your application is complete.
Please send this form, with your certified proof of identity documentation and ATO Tax File Number
declaration form (if applicable) to:
CSCri
Locked Bag 8840
Wollongong NSW 2500
email
phone
financial advice
post
members@cscri.com.au
1300 736 096
1300 277 777
web
overseas callers
fax
cscri.gov.au
+61 2 4298 6052
1300 304 241
CSCri
Locked Bag 8840
Wollongong NSW 2500
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