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Insurance forms and guides

To apply for additional insurance cover, submit a new claim or track an existing claim please login to Statewide Super Online and go to the Insurance tab.

These files are PDF documents. If you have any trouble, try downloading the latest version of Adobe Reader.

Insurance forms

  • Forms

    Additional Default Cover form (File size 330 KB)

    If you are a new member of Statewide Super you have the opportunity to increase your insurance cover within 90 days of joining the fund without needing to provide any medical evidence. 


    Transfer of insurance form (File size 335 KB)

    If you are a member of Statewide Super, you may be eligible to transfer any existing Death, Total and Permanent Disablement (TPD) insurance or Income Protection (IP) insurance.


    NTG Insurance Opt-in Form (File size 338 KB)


    Reduce or cancel insurance form (File size 1.1 MB)

    Please use the this form if you want to reduce or cancel your insurance cover. 


    Application to change occupation category (File size 248 KB)


    Terminal illness benefit (no insurance held) form (File size 626 KB)

    Please use this form if you want to make a claim for Terminal Illness.