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Forms

Statewide forms

  • My account
    PDF

    Change of member details form (File size 295 KB)

    Use this form to update your details

    PDF

    Third Party Authority form (File size 234 KB)

    PDF

    Application to change occupation (File size 235 KB)

    PDF

    Binding Nomination form (File size 219 KB)

  • Making contributions
    PDF

    Contribution splitting form (File size 257 KB)

    PDF

    Spouse contribution form (File size 66 KB)

    PDF

    Making contributions form (File size 296 KB)

  • Choose a fund
    PDF

    Statement of compliance form (File size 151 KB)

    PDF

    Selecting Statewide Super as your super fund form (File size 211 KB)

  • Insurance
    PDF

    Terminal illness insurance claim form (File size 915 KB)

    Please use this form if you want to make a Terminal Illness claim. Please consider your eligibility to claim for any other insurance you hold with Statewide Super. 

    PDF

    Terminal illness benefit (no insurance held) form (File size 632 KB)

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

    PDF

    TPD insurance claim form (File size 1.4 MB)

    Please use this form if you want to make a claim for Total and Permanent disablement. Please consider your eligibility to claim for any other insurance you hold with Statewide Super. 

    PDF

    Income protection claim form (File size 1.5 MB)

    Please use this form if you want to make an Income Protection claim. Please consider your eligibility to claim for any other insurance you hold with Statewide Super.

    PDF

    Automatic Acceptance form (File size 249 KB)

    If you are a new member of Statewide Super you have the opportunity to increase your insurance cover within 60 days of joining the fund without needing to provide any medical evidence. 

    PDF

    Transfer of insurance form (File size 374 KB)

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

    PDF

    Reduce or cancel insurance form (File size 216 KB)

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

    PDF

    TPD benefit claim form (File size 483 KB)

    Please use this form if you want to make a claim for Total and Permanent disablement. 

Statewide salarylink forms

Statewide Pension