Standard Choice Form

Section A: Employee to complete
1. CHOICE OF SUPERANNUATION FUND
I REQUEST THAT ALL MY FUTURE SUPERANNUATION CONTRIBUTIONS BE PAID TO:
(PLACE AN X IN ONE OF THE BOXES BELOW)
2. YOUR DETAIL
3. DETAILS OF MY CHOSEN SUPERANNUATION FUND:
4.APPROPRIATE DOCUMENTATION (PLACE AN X IN THE BOX IF YOU HAVE ATTACHED THE REQUIRED INFORMATION)

Section B: Employer to complete
5. YOUR DETAIL

6) YOUR EMPLOYER NOMINATED SUPERANNUATION FUND IF THE EMPLOYEE DOES NOT CHOOSE A DIFFERENT SUPERANNUATION
IF THE EMPLOYEE DOES NOT CHOOSE A DIFFERENT SUPERANNUATION FUND, SUPERANNUATION CONTRIBUTIONS WILL BE PAID TO THE FOLLOWING SUPERANNUATION FUND ON BEHALF OF THIS EMPLOYEE (UNLESS THE EMPLOYEE HAS PREVIOUSLY CHOSEN A DIFFERENT FUND):
FOR YOUR RECORDS
THIS SECTION MUST BE COMPLETED WHEN THE EMPLOYEE RETURNS THE FORM TO YOU WITH A COMPLETED ‘SECTION A’.

DATE YOU ACT ON YOUR EMPLOYEE’S VALID CHOICE.