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Insurance and benefit forms

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

  • Insurance
    PDF

    Additional Default Cover form (File size 252 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. 

    PDF

    Transfer of insurance form (File size 269 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.

    PDF

    NTG Insurance Opt-in Form (File size 276 KB)

    PDF

    Reduce or cancel insurance form (File size 216 KB)

  • Benefits
    PDF

    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.