claim your super form

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1 claim your super form Rollover benefit claims when you have left an employer Who can claim a rollover benefit? A rollover benefit applies to CareSuper members who have ceased employment with a participating CareSuper employer and wish to rollover their benefit to the complying fund of their choice. Refer to Claim Type B below if you are still employed by your CareSuper employer and wish to rollover. To claim a rollover benefit: 1. You can elect to rollover a portion of your benefit to the complying fund of your choice and leave the balance in CareSuper. 2. Elect to receive the unrestricted non-preserved portion (if applicable), less tax and rollover the preserved portion to the complying fund of your choice. 3. Elect to rollover ALL of your benefit to the complying fund of your choice. Any insurance cover that you have in CareSuper will be cancelled on the day we process your transfer and close your account. If your previous employer later makes any further contributions on your behalf to CareSuper, the contribution(s) will be allocated to a new account in your name. Please ensure all contribution payments are up to date before submitting your claim.! Please note: Claim restrictions apply to certain temporary residents. Refer to page 2 for more information. Additional requirements apply if you are invested in the Direct Investment option. Please call the CareSuperLine on for more information. For partial payment, you must retain a minimum account balance of $1000 including interest and fees. Tax will not be deducted on the rollover portion of your benefit. How to claim a rollover benefit Tick box A in Section 1 Complete sections 2, 3, 4, 5, 8, 9 and 10 If applying for the redemption of any unrestricted non-preserved benefit, you are also required to complete sections 4, 6 and 7 Send the completed Claim your super form to CareSuper. Rollover benefit claims when you are still with a CareSuper employer Who can claim a Choice of Fund benefit? A Choice of Fund benefit applies to members who are still employed with a participating CareSuper employer and have chosen to transfer their benefits over to another complying superannuation fund of their choice. Please note that when making a full rollover: Any insurance cover that you have in CareSuper will be cancelled on the day we process your transfer and close your account. You may wish to check if you will be covered in any new fund, the cost associated with that cover and the amount of cover offered by your receiving fund, before transferring your benefit. If your employer later makes any further contributions on your behalf to CareSuper, the contribution(s) will be allocated to a new account in your name and normal fees and costs will be charged. Please ensure all contribution payments are up to date before submitting your claim. If you rejoin CareSuper with a different employer, a new account will be established and the Fund s default level of insurance cover may be offered. If in the future you wish to submit personal contributions to CareSuper without working for a participating employer, you will be required to join the CareSuper Personal Plan.! For partial payment, you must retain a minimum account balance of $1000 including interest and fees. Tax will not be deducted on the rollover portion of your benefit. How to claim a Choice of Fund benefit Tick box B in Section 1 Complete Sections 2, 3, 4, 5, 8, 9 and 10 Send your completed Claim your super form to CareSuper. Unrestricted non-preserved benefits claims Who can claim an unrestricted non-preserved benefit? This applies to members who have ONE of the following: 1. A preserved benefit under $200 and who ceased employment with a CareSuper participating employer 2. An unrestricted non-preserved benefit. How to claim an unrestricted non-preserved benefit Tick box C in Section 1 Complete Section 2, 4, 5, 6, 7, 8, 9 and 10 Send the completed Claim your super form and required proof of identification to CareSuper. Please note that an exit fee of $40 will apply to this transaction. Refer to the Member Guide PDS available at caresuper.com.au/pds for more information. Page 1 of 6 CR/RLV/PT/UNRST/CLM /17 ISS8

2 Departing Australia Superannuation Payment benefit claims To check your eligibility for a Departing Australia Superannuation Payment, go to ato.gov.au/departaustralia. If eligible, you can apply via the ATO online service. Protecting your privacy The Privacy Act 1988 (Cth) regulates the way organisations collect, use, disclose and store personal information. CareSuper is committed to respecting the privacy of your personal information. The Trustee discloses your personal information to service providers and third parties where required by law and in order to administer your superannuation account. Your personal information will be disclosed to: The CareSuper administrator Auditors and professional advisers to CareSuper Government bodies such as the Australian Taxation Office Your beneficiaries in relation to death benefits Other superannuation funds to facilitate the transfer of your benefits Your spouse or the Family Court in accordance with the requirements of the Family Law Act 1975 Other third parties in accordance with the CareSuper Privacy Policy. You can read CareSuper s full Privacy Policy at caresuper.com.au/privacypolicy. Definitions Personal deductible contributions Personal contributions for which you wish to claim a tax deduction. Once you nominate personal contributions as deductible contributions, contributions tax will be applied and they will be treated as concessional contributions. Preserved benefits This is money that is required to remain in the superannuation environment until a trigger event, such as retirement from the workforce after reaching your preservation age. Unrestricted non-preserved This is money that is no longer restricted because a trigger event has occurred, and therefore is payable to the member on request. Complying fund A superannuation fund that complies with the operating standards specified in SIS legislation and is thereby eligible to receive concessional taxation treatment. Certification of documents Certified ID is only required if: You are transferring money to an SMSF You are making an unrestricted non-preserved benefits claim You are making a DASP claim You do not provide your tax file number (TFN). When certifying documents, please take the original documents and the copies to any one of the following persons for them to certify that they are true and correct copies of the originals. All pages need to be certified as true copies of the original by writing or stamping certified true copy. The certification must include their signature, printed name, qualification (e.g. police officer), date and contact telephone number. Please note, the certification needs to contain an original signature. ed or faxed copies of certified documents will not be accepted. The identification must be current (i.e. valid and not expired) and the copy must have been certified in the last three months prior to being received by CareSuper. However, an Australian passport that has expired within the last two years can also be used for certification purposes. Please note that CareSuper does not accept documentation that has been certified by family members. Additional requirements apply in NSW. CareSuper reserves the right to request additional certified identification documents where required. People who can certify your ID include: Teacher employed on a full-time basis at a school or tertiary education institution Healthcare professional such as medical practitioner, nurse, pharmacist, veterinary surgeon Officer with, or authorised representative of, a holder of an Australian financial services licence, with 2 or more continuous years of service Justice of the peace Police officer Legal practitioner Marriage celebrant Minister of religion Member of a professional accounting association For a full list of people able to certify your ID, see the Certifying your identification documents fact sheet at caresuper.com.au/ CertifyingID. Evidence of residency status All applicants must declare in Section 7 whether or not they are temporary residents when applying to withdraw some or all of their superannuation as a cash payment. Page 2 of 6

3 claim your super form Complete all sections required for your claim, using blue or black pen and block letters. Section 1 Select claim type A Left employer B Still employed C Unrestricted non-preserved Please refer to pages 1 and 2 for instructions on how to complete this form. For information on Certification of documents, refer to page 2. Providing identification if applicable To protect your superannuation investment, you must provide certified copies of identification documents in some situations. See Certification of documents on page 2. I have included a certified copy of one of these documents with my Claim your super form: Driver s licence issued under State or Territory Law Passport I have attached certified copies of two of the following: Birth certificate or birth extract Marriage certificate Citizenship certificate Government or local council notice Changing your name if applicable Your name must be the same as shown on your proof of identity. If you have changed your name, you will need to provide a certified copy of your change of name document; for example, your marriage certificate or change of name documentation. If you are recently divorced, you will need to provide the following: A certified copy of the marriage certificate or Decree Absolute showing the change from your previous name, and Recent documentation showing that you are now legally referred to by your previous name. An example of this would be an amended driver s licence, a recent bank statement, a statutory declaration or tax assessment notices in both the old and new names showing the same tax file number. I have included a certified copy of one of these documents with my Claim your super form. Marriage certificate Decree Absolute Deedpoll/change of name documentation Remember, changing jobs doesn t have to mean changing super funds. You can leave your super in CareSuper without further contributions. Alternatively, you or your new employer can contribute to CareSuper. Consider all your options before claiming your super. If you choose to leave your money in CareSuper, you do not need to complete this form. If you wish to discuss your options, please call the CareSuperLine on Section 2 Your member details CareSuper member number Surname Given names Residential address Postal address (if different to residential address) Country Date of birth (DD/MM/YYYY) / / Title State Postal code State Postal code Telephone (home) Telephone (mobile) Detach form here Please ensure your last contribution has been made by your employer before submitting a claim. Name of last employer who contributed to CareSuper Date you left your employer (DD/MM/YYYY) / / Page 3 of 6 CR/RLV/PT/UNRST/CLM /17 ISS8

4 Please complete all questions in this section if you have chosen Claim Type B. Section 3 Employment status Have you ceased employment with the CareSuper participating employer indicated in section 2? Yes Date ceased employment / / DD/MM/YYYY No Note: If you have retired and are no longer working, you will need to complete a form specific to your situation. Please contact us to request the correct form. Please complete this section to request a rollover of your CareSuper benefit to another complying fund. Please tick ( ) one box only. Section 4 Details of payment A) Please choose one of the following options and complete details of the receiving fund below. Option 1: I wish to rollover only $,,. of my benefit Option 2: and leave my balance in CareSuper. I wish to close my account and rollover the entire account balance (please note that insurance cover will be cancelled). Option 3: I wish to rollover my full benefit and have either part or all of my unrestricted non-preserved benefit paid directly to me. Please choose one of the following options: Please tick ( ) one box only. I wish to claim only $,,. of my unrestricted non-preserved benefit after tax, and leave my balance in CareSuper. I wish to claim all of my unrestricted non-preserved benefit, less tax. Please note: Your balance will remain with CareSuper unless you have selected a rollover benefit. Rollover benefits will be actioned according to your instructions in question A above. A partial transfer of your benefit can only be made if you retain a minimum amount of $1000 in your CareSuper account including fees and interest. Complete section B. B) Full name of receiving fund Fund contact number Australian Business Number (ABN) of receiving fund Complete sections C or D. C) If you are transferring your balance to another super or pension fund (other than an SMSF) please complete the following details: D) If you are transferring your balance to a Self Managed Super Fund please complete the following SMSF bank* details: Your member number in the receiving fund SMSF account name Unique Superannuation Identifier of receiving fund SMSF BSB number SMSF account number * Please provide a copy of your SMSF bank statement so we can verify that the details you have provided are correct. If we are unable to verify your SMSF bank details, we will be unable to process your transfer as an EFT payment. Detach form here Page 4 of 6

5 Section 5 Investment option allocation This section is optional. If no selection is made then the withdrawal is processed according to the first method. Complete this section only if you have selected a partial payment in section 4. Additional requirements apply if you are invested in the Direct Investment option. Please call the CareSuperLine on for more information. Deduct my payment from each investment option in proportion to the value of my total investment options with CareSuper at the time of payment. Deduct my payment from the following investment options in the proportions I have requested. Please nominate below the percentage (%) of the withdrawal you would like withdrawn from each option. Take care that your proportions add up to 100%. You must have funds invested in the selected investment option for your withdrawal to be processed. Managed options: Capital Guaranteed Capital Stable Conservative Balanced Balanced (default) Sustainable Balanced Alternative Growth Growth Asset class options: Capital Secure Direct Property Australian Shares Fixed Interest Overseas Shares Section 6 Withdrawal of benefit payment details CareSuper will only pay a lump sum withdrawal into an individual or joint bank account (which includes the member s name) at an Australian authorised deposit taking institution. Payments cannot be paid to third party accounts (i.e. companies). I would like my net benefit payment (i.e. less tax) to be paid to me electronically. My nominated bank account details are: Account name Name of bank of financial institution BSB number - Account number Please provide a copy of your bank statement so we can verify that the details you have provided are correct. The name and address on the statement must match the information we have on record for your account. If we are unable to verify your bank details, we will be unable to process your claim as an EFT payment. I confirm I have included a copy of my bank statement as requested. Section 7 Residency status Please provide evidence of your residency status. ALL members must complete this section. Please tick ( ) the box that applies to you: I am an Australian citizen, New Zealand citizen or permanent resident of Australia. I am, or have been, a temporary resident. I am a temporary resident and hold a Subclass 405 (Investor) or Subclass 410 (Retirement) visa. Important note: Temporary residents can only cash their benefit in restricted circumstances. Section 8 Personal deductible contributions nomination Complete this section only if you wish to claim a tax deduction for personal contributions made during this financial year. Please tick ( ) box to acknowledge statements. Section Notices For the tax year ending 30 June, I have contributed $,. to CareSuper and intend to claim a tax deduction of $,. for the financial year as nominated above. Important note: If you do not claim before your payment or transfer, you may not be able to claim either all or part of your deduction. I acknowledge the following statements: 1. I am an eligible person. 2. I cannot give a notice to the Trustee of CareSuper after I have ceased to be a member of the Fund. 3. The amount claimed does not cover the whole, or any part included in a previous notice. 4. I cannot revoke or withdraw this notice. 5. Any amount not claimed is not tax deductible. 6. Contributions tax will apply to the amount I claim. In addition, the benefit may further be taxed upon claiming prior to retirement. Please refer to Definitions on page 2 of this form for more information. Page 5 of 6

6 Section 9 Your tax file number (TFN) Please complete this section if you would like your TFN to be used for identification purposes, even if previously provided to the Fund. I advise that my tax file number is: Providing your TFN to CareSuper is not compulsory and not supplying it is not an offence. However, if you don t tell us your TFN: Your contributions to CareSuper via your employer will be taxed at the highest rate plus Medicare levy CareSuper may not be able to accept contributions for you You may pay more tax than you have to when you claim your superannuation benefits It may be more difficult for CareSuper to locate or consolidate all your superannuation benefits You will need to provide certified proof of identity documents with this form. CareSuper is authorised to collect your TFN under the Superannuation Industry (Supervision) Act We will treat it as confidential and only use it for lawful purposes. This includes disclosing it to another superannuation fund when we re arranging a transfer of funds for you. However, you may request in writing that your TFN not be disclosed to any other trustee. I understand the above statements and agree to provide my TFN. Section 10 Authorisation I authorise CareSuper to process my benefit request in accordance with my instructions. Where the full balance of my account is to be paid from CareSuper, I authorise the termination of my membership and I release the Trustee from any further liability to me, my dependants or my Legal Personal Representative in respect of my membership in CareSuper. Proof of identity Under the Anti-Money Laundering and Counter Terrorism Financing Act 2006 superannuation funds are required to identify, monitor and mitigate the risk that the fund may be used for the laundering of money or the financing of terrorism. To meet these requirements CareSuper reserves the right to request further information to verify your proof of identity before making any cash payment. Privacy I confirm that I have read CareSuper s Privacy Policy at caresuper.com.au/privacypolicy. I understand how CareSuper intends to handle my personal information and acknowledge that my personal information will only be used for the purposes specified. I consent to the collection and use of my personal information by the Trustee to establish and administer my superannuation account. I understand that if I do not wish to receive communications electronically I can contact CareSuper to opt out. By providing my and/or mobile, I agree that CareSuper can use my and/or mobile to send me important information about my super electronically (including statements and notices of product and other changes to my account) via an attachment or link to a website. If I wish to receive my statement by post rather than , or want to change my communication preferences, I will call CareSuper or log in to MemberOnline. You must sign and date this form before returning it to CareSuper. Return this completed form to: CareSuper Locked Bag 5087 Parramatta NSW 2124 For more information call the CareSuperLine I authorise CareSuper to use or disclose any ID information provided to electronically match identity details against Government records or other identification sources. The identity match process may involve the use of the Australian Government s Document Verification Service and our third-party identity match provider. Member s signature I have read and agree to the above Member declaration statements. Date (DD/MM/YYYY) / / Payment instruction checklist Please ensure you have correctly completed the attached form before returning it to CareSuper. Have you: Provided certified proof of identification (if required) Confirmed your tax file number in Section 9 Selected your reason for payment in Section 1 Provided all relevant supporting documentation Provided your member details in Section 2 (where applicable) Read, signed and dated Section 10 Page 6 of 6

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