Choose QSuper as Your Super Fund

When to use this form

Complete this form if you are already a QSuper member, and want your new employer to make super contributions to
your QSuper Accumulation account. Once you have completed part A of this form, give it to your employer, and they’ll
take care of the rest.
Choosing the right super fund is a big decision, and fees and performance are two important factors to consider.
With QSuper, we aim to keep fees low and you don’t pay any transaction or switching fees, so more of your money
can go towards your retirement. QSuper has also been ranked number one for 10-year performance.1
Please complete in BLOCK letters, using blue or black ink.

A Personal details B Employer use only

Client number Date accepted (dd/mm/yyyy)

195310801

Date processed (dd/mm/yyyy)

You can find your client number on your annual
statement or by logging in to Member Online.
Paying into QSuper
Title First names Clearing houses: QSuper accepts payments through a
number of clearing houses. If you already use a clearing
Ryan Mark
house, contact your provider to see if you can use them to
Last name pay QSuper. If you are unsure whether a clearing house is
Alderman right for you, call QSuper’s Employer Solutions team on
1300 472 282.
Payroll/employee ID (if known)
Please note: QSuper does not accept cheques, direct
deposits or BPAY® contributions.
Date of birth (dd/mm/yyyy) QSuper’s details
Product issued by the QSuper Board (ABN 32 125 059 006,
AFSL 489650) as trustee for QSuper (ABN 60 905 115 063)
Providing your tax file number
You do not have to quote your TFN but if you do USI 60905115063001
not provide it, your contributions may be taxed at a MySuper Authorisation Number 60905115063329
higher rate.2 Postal Address GPO Box 200 Brisbane Qld 4001
Your TFN also helps you keep track of your super and Telephone 1300 360 750 (+617 3239 1004 if overseas)
allows you to make personal contributions to your fund. Monday to Thursday 8.30am – 5.00pm AEST
Your TFN Friday 9.00am – 5.00pm AEST
Website qsuper.qld.gov.au

I am the person named on this form and would like my
future employer contributions to be paid to QSuper.
Signature
(Please sign in blue or black pen – QSuper does not accept
electronic signatures on this form)
Date signed (dd/mm/yyyy)
QSuper’s statement of compliance
QSuper is a complying resident regulated superannuation
fund as defined in the Superannuation Industry (Supervision)
Act 1993 and has not received either of the following:
• A notice of non-compliance from the Australian
Prudential Regulation Authority (APRA)
• A notice from APRA advising QSuper not to accept
contributions made by an employer.
• QSuper can accept contributions from other
superannuation and rollover funds and from employers
on behalf of their employees who are eligible QSuper
members. You can find more information about this
at qsuper.qld.gov.au
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1 Past performance is not a reliable indicator of future performance. Balanced option only. SuperRatings SR50 Balanced Index (60-76) median based on cumulative
returns compounded annually after fees and for initial $50,000 invested over the period to 31 December 2018. SuperRatings does not issue, sell, guarantee
or underwrite this product. For details on the methodology refer to superratings.com.au 2 The ATO does not collect this information. This form is a means for
employees to identify and provide necessary information to their employer. An employer is authorised to collect an employee’s TFN under the Superannuation
Industry (Supervision) Act 1993. It is not an offence for an employee not to quote their TFN. However, quoting a TFN reduces the risk of administrative errors and
if the employee does not quote their TFN their contributions may be taxed at a higher rate. An employee can get more details regarding their privacy rights by
contacting their superannuation fund.

Member Centres Member Service team

70 Eagle Street, Brisbane Phone 1300 360 750 Postal address GPO Box 200, Brisbane QLD 4001
63 George Street, Brisbane Overseas +61 7 3239 1004 Email qsuper@qsuper.qld.gov.au
Sunshine Coast University Hospital, Ground Floor, Monday to Thursday 8.30am – 5.00pm (AEST) Fax 1300 242 070
Main Hospital Building, 6 Doherty Street, Birtinya Friday 9.00am – 5.00pm (AEST) Website qsuper.qld.gov.au
© QSuper Board 2019. CNC-2879 FO99. 7/19.