Completing the rollover initiation request for whole balance transfers

By completing this form, you will initiate a rollover request to transfer the whole balance of your super benefits between funds. This form can not be used to transfer part of the balance of your super benefits.

This form will not change the fund to which your employer pays your contributions. The Standard choice form must be used by you to change funds.

BEFORE COMPLETING THIS FORM n Read the important information below.

n Check that the fund you are transferring your benefits TO can accept this transfer.

WHEN COMPLETING THIS FORM
n Refer to these instructions where a question shows a messag e like this:

n Print clearly in BLOCK LETTERS.

AFTER COMPLETING THIS FORM n Sign the authorisation.

n Send the request form to your fund.

IMPORTANT INFORMATION

This transfer may close your account (you will need to check this with your FROM fund).

This form can not be used to:
n transfer part of the balance of your super benefits
n transfer benefits if you don’t know where your super is

n transfer benefits from multiple funds on this one form – a separate form must be completed for each fund you wish to transfer super from

n change the fund to which your employer pays contributions on your behalf
n open a super account

n transfer benefits under certain conditions or circumstances – for example, if there is a super agreement under the
Family Law Act 1975 in place.

CHECKLIST
Have you read the important information?

Have you considered where your future employer contributions will be paid?

Have you checked your TO fund can accept the transfer?

Have you completed all of the mandatory fields on the form?

Have you signed and dated the form?

WHAT HAPPENS TO MY FUTURE
EMPLOYER CONTRIBUTIONS?

Using this form to transfer your benefits will not change the fund to which your employer pays your contributions and may close the account you are transferring your benefits FROM.

If you wish to change the fund into which your contributions are being paid, you will need to speak to your employer about choice. For the appropriate forms and information about whether you are eligible to choose the fund to

which your employer contributions are made, visit www.superchoice.gov.au or call the Australian Taxation Office (ATO) on 13 10 20.

THINGS YOU NEED TO CONSIDER WHEN TRANSFERRING YOUR Super
When you transfer your super, your entitlements under that fund may cease. You need to consider all relevant information before you make a decision to transfer your super. If you ask for information, your super provider must give it to you. Some of the points you may consider are:

n	Fees – your FROM fund must give you information about any exit or withdrawal fees. If you are not aware of the fees that may apply, you should contact your fund for further information before completing this form. The fees could include administration fees as well as exit or withdrawal fees. Your TO fund may also charge entry or deposit fees on transfer. 

Differences in fees funds charge can have a significant effect on what you will have to retire on. For example, a 1% increase in fees may significantly reduce your final benefit. 

n	Death and disability benefits – your FROM fund may insure you against death, illness or an accident which leaves you unable to return to work. If you choose to leave your current fund, you may lose any insurance entitlements you have. Other funds may not offer insurance or may require you to pass a medical examination before they cover you. When considering a new fund, you may wish to check the costs and amount of any cover offered. 

WHAT HAPPENS IF I DO NOT QUOTE MY TAX FILE NUMBER (TFN)?
You are not obligated to provide your TFN to your super fund. However, if you do not provide your TFN, your fund may be taxed at the highest marginal tax rate plus the Medicare levy on contributions made to your account in the year, compared to the concessional tax rate of 15%. Your fund may deduct this additional tax from your account.

If your super fund does not have your TFN, you will not be able to make personal contributions to your super account. Choosing to quote your TFN will also make it easier to keep track of your super in the future.

Under the Superannuation Industry (Supervision) Act 1993, your super fund is authorised to collect your TFN, which will only be used for lawful purposes. These purposes may change in the future as a result of legislative change. The TFN may be disclosed to another super provider when your benefits are being transferred, unless you request in writing that your TFN is not to be disclosed to any other trustee.

TRANSFERS TO SELF‑MANAGED Super FUNDS

You must use the Schedule 2B for to transfer your benefits to your own self-managed super fund (SMSF).

NAT 71223‑07.2011 pre-print

IN-CONFIDENCE – when completed	Page 1		

Have you changed your name or are you signing on behalf of another person?
If you have changed your name or are signing on behalf of the applicant, you will need to provide a certified linking document. A linking document is a document that proves a relationship exists between two (or more) names.

The following table contains information about suitable linking documents.

Purpose	Suitable linking documents	
		
Change of	Marriage certificate, deed poll or change	
name	of name certificate from the Births, Deaths	
	and Marriages Registration Office	
		
Signed on	Guardianship papers or Power of Attorney	
behalf of the		
applicant		

Where do I send the form?

You can send your completed and signed form with your certified proof of identity documents to either fund.

More information

For more information about super, visit the:

n Australian Securities and Investments Commission website at www.moneysmart.gov.au

n ATO website at www.ato.gov.au/super

For more information about this form, phone the ATO on 13 10 20.

IN-CONFIDENCE – when completed	Page 2

	Rollover initiation request to transfer whole balance of 			
	superannuation benefits between funds			
	under the Superannuation Industry (Supervision) Act 1993			
							
	completing this form			AFter completing this form			
	n Read the important information pages			n Sign the authorisation			
	n Refer to instructions where indicated with a			n Send form to either 			
	n This form is only for whole (not part) balance transfers.		your FROM or TO fund.			

Personal details						

Title:	Mr		Mrs		Miss		Ms		Other	

*Family name *Given names
Other/previous   names

Day	Month	Year

*Date of birth

Tax file number

Under the Superannuation Industry (Supervision) Act 1993, you are not obliged to disclose your tax file number, but there may be tax consequences.

See ‘What happens if I do not quote my tax file number?’

*Gender	Male		Female	

*Contact phone number

Residential address

*Address 

*Suburb

*State/territory 	*Postcode  

Previous address

If you know that the address held by your FROM fund is different to your current residential address, give details below.

Address           

Suburb

State/territory	Postcode

Fund details

FROM	To		
Fund name   	*Fund name

*Fund phone number	
*Fund phone number		
			
Membership or	*Membership or		
account number	account number		
Australian business		Australian business		
					
number (ABN)		number (ABN)		
					
Unique Superannuation 		Unique Superannuation 		
					
identifier 		identifier		

	If you have multiple account numbers with this fund, you must		You must check with your TO fund to ensure they can accept			
	complete a separate form for each account you wish to transfer.		this transfer.			

*
Authorisation

By signing this request form I am making the following statements:

n	I declare I have fully read this form and the information completed is true and correct. 

n	I am aware 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, and do not require any further information. 
n	I consent to my tax file number being disclosed for the purposes of consolidating my account. 

n	I discharge the superannuation provider of my FROM fund of all further liability in respect of the benefits paid and transferred to my TO fund. 

I request and consent to the transfer of superannuation as described above and authorise the superannuation provider of each fund to give effect to this transfer.

*Name (Print in BLOCK LETTERS)

*Signature

Day	Month	Year

*Date

* Denotes mandatory field. If you do not complete all of the mandatory fields, there may be a delay in processing your request.

NAT 71223‑07.2011 pre-print

IN-CONFIDENCE – when completed	Page 3