apply for early release of super form
Additional requirements apply if you are
invested in the Direct Investment option.
Before you complete this form, please see the
Exiting the Direct Investment option flyer at
caresuper.com.au/exitDIO for information on
how to make a claim.
Claim type A – Compassionate grounds
You must apply to the Department of Human Services (DHS) for
release of your preserved or restricted non-preserved benefit, on the
basis that it is required to:
●●
●●
●●
●●
●●
Pay for medical treatment (or medical transport) for yourself or a
dependant; or
Enable you to make a payment on a loan to prevent:
i. Foreclosure of a mortgage on your principal place of residence
ii.Exercise by the mortgagee of an express or statutory power of
sale over your principal place of residence; or
Modify your principal place of residence and/or vehicle to
accommodate the special needs of yourself or a dependant,
arising from severe disability; or
Pay for expenses associated with your own or a dependant’s
palliative care; or
Pay for expenses associated with a dependant’s death, funeral
or burial.
Instructions
●●
elect ‘compassionate grounds’ in Section 1 and attach a
S
certified copy of your proof of identification
●●
Complete all sections of this form except Section 4
●●
Attach your original approval letter from DHS, or a certified copy
If you have not yet reached your preservation age plus 39 weeks,
please refer to Claim type 1 below. If you have reached your
preservation age plus 39 weeks, you may apply under Claim type 1 or 2.
For more information on your preservation age, see page 2.
Claim type 1
Your application can only be considered if:
1.CareSuper can verify your eligibility with a completed Centrelink
authority, or you have received a letter from Centrelink (a Q230
letter) or the Department of Veterans’ Affairs (DVA) stating that:
i.You have received Commonwealth income support payments
for a continuous period of not less than 26 weeks; and
ii.You were in receipt of such payments on the date of the written
evidence; and
2.You are unable to meet reasonable and immediate family living
expenses. (With credit cards and loans, it is only the amount in
arrears and the amount billed as the minimum amount due which
will be considered an ‘immediate’ family living expense, not the total
amount owing. Supporting evidence of income, expenses and debt
must be less than 3 months old.)
Please read the Important note below.
Claim type 2
Your application can only be considered if:
1.CareSuper can verify your eligibility with a completed Centrelink
authority, or you have received a letter from Centrelink or the
Department of Veterans’ Affairs (DVA) stating that you have received
Commonwealth income support payments for a cumulative period of
not less than 39 weeks since reaching your preservation age; and
2.You were not gainfully employed on a full-time or part-time basis on
the date of your application for early release of your benefit.
Important note:
●●
●● Send the completed Apply for early release of super
form to CareSuper
Temporary residents
Temporary residents are not able to apply for early release of
their benefits on the grounds listed in this form. Please visit
ato.gov.au for further details.
●●
●●
You must have been a member of CareSuper for more than 12 months
before you are eligible to make a claim on financial hardship grounds.
he letter from Centrelink or the DVA is only valid for 21 days,
T
and must be provided to CareSuper within that time period.
Instructions
Claim type B – Financial hardship
Early release of super is available to CareSuper members who are
in financial hardship. That is, you are unable to meet immediate and
reasonable family living expenses. An immediate expense is one
that is due and payable at the time you complete this form. Future
expenses will not be considered.
In both of the above circumstances, a maximum amount of
$10,000 (before tax) can be released. If the balance of your
account is less than $1000, the full amount will be paid for
a successful claim. You can only apply for a release of your
benefits on these grounds once in any 12‑month period.
●●
elect ‘financial hardship’ in Section 1 and attach a certified
S
copy of your proof of identification
Complete all sections of this form
Attach your valid Q230 letter from Centrelink or provide a completed Centrelink authority in Section 4
●●
●●
●●
The release of any financial hardship benefit will be at the Trustee’s
discretion.
ou must provide sufficient current and valid evidence for all
Y
expenses, debts and income that you disclose on this form.
For some examples of the expenses that may be accepted,
please see page 2.
end the completed Apply for early release of super form,
S
along with all evidence and proof of identification to CareSuper.
See over >
Page 1 of 6
CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226. CARE Super (Fund) ABN 98 172 275 725
CR/COMPGD/FINHRD/CLM 734.2 06/16 ISS7
Definitions
Preserved benefits
Centrelink authority
These are benefits that are required to remain
in the superannuation environment until a
trigger event such as retirement from the
workforce after reaching your preservation age,
or eligibility for early release, occurs.
The declaration authorising the Department of
Human Services (Centrelink) to confirm with
Australian Administration Services Pty Limited
and CareSuper that the individual has been in
receipt of a Department of Human Services
(Centrelink) payment for a specified period. The
individual making the claim must include their
Centrelink Customer Reference Number (CRN)
and sign the form for it to be accepted.
Complying fund
A superannuation fund that complies with
the operating standards specified in the SIS
legislation and is thereby eligible to receive
concessional taxation treatment.
Preservation age
Your preservation age can be determined using
the table below:
Date of birth
Preservation
age
After 30/6/1964
60
After 30/6/1963 and
before 1/7/1964
59
After 30/6/1962 and
before 1/7/1963
58
After 30/6/1961 and
before 1/7/1962
57
After 30/6/1960 and
before 1/7/1961
56
Before 1/7/1960
55
Restricted non-preserved
Benefits that are restricted in the same way
as preserved benefits. However, if you or your
employer made a contribution on your behalf
prior to 1 July 1999 and you cease working for
that employer, then these benefits may become
unrestricted non-preserved and may be able to
be accessed.
Temporary residents
You need to declare whether or not you were a
temporary resident when applying to withdraw
some or all of your superannuation. Temporary
residents can only claim a cash payment
of their superannuation after they have left
Australia, or in special circumstances such as
permanent or temporary incapacity.
Unrestricted non-preserved
These are benefits that are no longer restricted
because a trigger event has occurred and
therefore are payable to you on request.
true copy’ and must include their signature,
printed name, qualification (e.g. police officer),
date and contact telephone number. Please
note the certification needs to contain an
original signature. Emailed or faxed copies of
certified documents will not be accepted. The
identification must be current (i.e. valid and not
expired) and the copy must have been certified
in the last three months prior to being received
by CareSuper. However, an Australian passport
that has expired within the last two years
can also be used for certification purposes.
Please note that CareSuper does not accept
documentation that has been certified by
family members. Additional requirements apply
in NSW.
CareSuper reserves the right to request
additional certified identification documents
where required. People who can certify your ID
include:
●●
●●
Certified copies are copies of original
documents that are signed and ‘certified’ as
being true and correct copies of the originals
by an authorised person. All pages need to
be certified by writing or stamping ‘certified
Healthcare professional such as medical
practitioner, nurse or pharmacist
●●
Justice of the peace
●●
Police officer
●●
Legal practitioner
●●
Certification of documents
Teacher employed on a full-time basis at a
school or tertiary education institution
Member of a professional accounting
association
For a full list of people able to certify your ID,
see the Certifying your identification
documents fact sheet available at
caresuper.com.au/certifyingid.
Important information about financial hardship claims
To assist with completing your claim,
please read the information below carefully.
All evidence of debts, expenses and
income must be dated within the last 3
months and must be in the member’s
name. Outstanding invoices must be in your
name and show the amount in arrears and
that the expense is overdue (not the original
invoice). Quotes for work to be completed
cannot be accepted as evidence of
expenses or debt. Statutory declarations
will not be accepted as evidence of an
overdue loan.
Some examples of reasonable and
immediate living expenses that may be
accepted include:
●●
●●
●●
Home expenses, e.g. mortgage
payments, rent, bonds, board, rates,
body corporate fees (for overdue rent
payments, you may be asked to provide
a copy of your rent or lease agreement)
Essential food and household
expenses, e.g. groceries, household
cleaning products
Household bills, e.g. electricity, gas,
water, telephone, internet
●●
●●
●●
●●
●●
●●
●●
●●
Clothing and personal items, e.g. clothes,
shoes, hygienic items
Education and child support, e.g. school
fees, childcare fees, child support
payments
Credit card or personal loan repayments
(generally claims will cover the minimum
outstanding balance on credit cards and
personal loans from financial institutions)
Transport costs, e.g. vehicle repayments,
fuel, tolls, servicing, registration, public
transport
Examples of expenses that will not usually
be covered:
●●
●●
●●
●●
●●
●●
●●
Medical costs, e.g. specialist
appointments, rehabilitation, scans,
tests, dental care
Insurance cover, e.g. home, car, life,
health
Government debts, e.g. Centrelink
or Australian Taxation Office debts,
outstanding parking or traffic fines
Evidence of income
To support your application, you must provide
at least the following evidence of your income
(for the last 3 months):
●●
Outstanding legal fees.
Please note that this list is a guide only
and we will review and assess other
evidence provided. CareSuper may
request additional evidence to assist in
assessing your claim.
Payment for a holiday
Home renovations (unless required due
to a disability or other mobility/physical
requirement)
Purchase of a new car
Purchase of luxury items
Future debt or debts for people other than
you or you and your spouse
Personal loans from family or friends
General shortfall in living expenses: Funds
cannot usually be released to cover a
general shortage between your income
and your expenses.
●●
●●
●●
Bank statements showing receipt of
Centrelink benefits
Current payslips for any work you have
undertaken (if any)
Current evidence of any other income from
rent, shares or other investments where
applicable
Centrelink Income Statement.
© Copyright CareSuper Pty Ltd. All rights reserved.
CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226. CARE Super (Fund) ABN 98 172 275 725
Page 2 of 6
apply for early release of super
Complete all the required
sections applicable to your
claim. Please complete
the form in blue or black
pen and block letters.
Please tick (✔) one
box only.
Please refer to the
instructions on page 1
detailing how to
complete this form.
Section 1 – Select claim type
I would like to access my benefits on the grounds of:
Compassionate grounds Financial
hardship
I have an original letter of approval from DHS
I have completed a Centrelink authority or attached a valid Q230 letter from Centrelink,
and evidence of debt to the value of the amount I am claiming.
Providing identification – applicable to all claims
For security reasons, you must provide certified copies of
identification documents.
I have included with my claim a certified copy of:
A secondary identification document
Centrelink payment letter
Government or local council payment notice (less than one year old) clearly showing your name and residential address
A primary photographic identification document
Your name must be the same as shown on your proof of identity,
or additional change of name documentation must also be
provided.
Driver’s licence
Passport
OR
A primary non-photographic identification
document
Change of name – if applicable
I have included a certified copy of one of these documents
with this form.
Birth certificate
Marriage certificate
Citizenship certificate
Decree Absolute
Centrelink pension card
Deed poll/change of name documentation
and
Section 2 – Your member details
CareSuper member number
Date of birth (DD/MM/YYYY)
Surname
Title
Given names
Residential address
State/TerritoryPostcode
Postal address (if different from residential address)
State/TerritoryPostcode
Country
Telephone (home)Telephone (mobile)
Email
Name of last employer who contributed to CareSuper
Detach form here
Date you left your employer (DD/MM/YYYY)
See over >
Page 3 of 6
CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226. CARE Super (Fund) ABN 98 172 275 725
CR/COMPGD/FINHRD/CLM 734.2 06/16 ISS7
Please complete
this section, even if
previously provided
to the Fund.
Section 3 – Your tax file number (TFN)
I advise that my tax file number is:
Providing your TFN to CareSuper is not compulsory and not supplying it is not an offence. However if you don’t
tell us your TFN:
●●
Your contributions to CareSuper via your employer will be taxed at the highest rate plus Medicare levy
●●
CareSuper may not be able to accept contributions for you
●●
You may pay more tax than you have to when you claim your superannuation benefits
●●
It may be more difficult for CareSuper to locate or consolidate all your superannuation benefits
CareSuper is authorised to collect your TFN under the Superannuation Industry (Supervision) Act 1993. We will treat
it as confidential and only use it for lawful purposes. This includes disclosing it to another superannuation fund when
we’re arranging a transfer of funds for you. However, you may request in writing that your TFN not be disclosed to any
other trustee.
I understand the above statements and agree to provide my tax file number.
Section 4 – Financial hardship details
I confirm:
I have attached my original Q230 letter from Centrelink.
OR
I have attached a completed Centrelink authority.
Go to caresuper.com.au/ClaimAuthority to obtain a copy of this form.
General details
The following information will be used solely for determining whether you are experiencing severe financial hardship.
This information will not be made available to any other person, except under an order of the Court.
Number of financial dependants (e.g. your partner and any children): List the ages of your dependants:
What amount are you seeking to have released to relieve your current severe financial situation?
$
Please provide the reason for the release of your benefit:
Current total weekly income (after tax)
(Please provide evidence – see page 2 for more information.
Please send copies as originals will not be returned).
Self
$
Partner
$
Dependants
$
Total
$
Have you also applied for an early release of your benefit from another fund?
Return this
completed form to:
Detach form here
CareSuper
Locked Bag 5087
Parramatta NSW 2124
Yes If yes, what was the amount released? $
No
Please note an exit fee of $40 may apply to this transaction to cover the administration costs of the claim.
Refer to the Member Guide PDS available at caresuper.com.au/PDS for more information.
For more information
call the CareSuperLine
1300 360 149
See over >
© Copyright CareSuper Pty Ltd. All rights reserved.
CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226. CARE Super (Fund) ABN 98 172 275 725
Page 4 of 6
Current total weekly expenses
In relation to you, your spouse and dependants, excludes any business expenses. Please provide documentary
evidence for all relevant items.
Expense item
Amount per week
Home loan repayments
$
Rent/board
$
Food
$
Electricity
$
Gas
$
Rates & water
$
Telephone
$
Clothing
$
Medical and dental
$
House insurance
$
Car
$
• Fuel
$
• Registration
$
• Insurance
$
• Loan/lease/rental
Personal loan repayments
$
Credit card repayments
$
Education
$
Other weekly expenses
$
$
$
Total weekly expenses
$
Personal arrears
Please see page 2 for
more information on the
evidence required.
Details of any overdue bills or loan repayments, exclude any business arrears. Note: CareSuper will only assess your
application based on amounts due and in arrears. Future debt payments should not be listed.
Overdue item
Amount arrears
Mortgage arrears (provide documentary evidence)
$
Credit card arrears (provide documentary evidence)
$
Family court settlement (provide documentary evidence)
$
Other loans/expenses (provide documentary evidence – specify below)
$
$
$
$
$
Total arrears
Please note that tax will be deducted from the amount released.
Please attach evidence of expenses and personal arrears, including outstanding credit card and other bills.
All documentation must be in the member’s name and dated within the last 3 months.
The full completion of Section 4 is vital to the prompt processing of your claim. Should you not be able
to complete a part of Section 4, please note by adding N/A in the relevant section/s. Please return the
completed Early release of super form, signed and dated, along with your other documentation.
This section is optional.
If no selection is made
then the withdrawal is
processed according to
the first method.
You must have funds
invested in the selected
investment option for
your withdrawal to be
processed.
Section 5 – Payment method
Additional requirements apply if you are invested in the Direct Investment option. Before you complete this form please
see the Exiting the Direct Investment option flyer at caresuper.com.au/exitDIO for information on how to make a claim.
Deduct my payment from each investment option in proportion to the value of my total investment options with
CareSuper at the time of payment.
Deduct my payment from the following investment options in the proportions I have requested. Please nominate the
percentage (%) of the withdrawal you would like taken from each option. Take care that your proportions add up to 100%.
Managed options:
Capital Guaranteed
Capital Stable
Conservative Balanced
Balanced (default)
Sustainable Balanced
Alternative Growth
Growth
Direct Property
Australian Shares
Fixed Interest
Asset Class options:
Capital Secure
Overseas Shares
See over >
Page 5 of 6
CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226. CARE Super (Fund) ABN 98 172 275 725.
CR/COMPGD/FINHRD/CLM 734.2 06/16 ISS7
Complete this section
if you would like
your benefit paid into
your bank account
electronically.
Section 6 – Electronic funds transfer (EFT) details
I would like my net benefit payment (i.e. less any applicable tax) to be paid to me electronically. My nominated bank
account details are as follows:
Account Name:
Name of Bank or Financial Institution:
Branch:
BSB Number:
Account Number:
–
Please provide a copy of your bank statement so we can verify that the details you have provided are correct. The
name and address on the statement must match the information we have on record for your account. If we are
unable to verify your bank details, we will be unable to process your claim as an EFT payment.
I confirm I have included a copy of my bank statement as requested.
CareSuper will only pay a lump sum withdrawal into an individual or joint bank account (which includes the member’s name)
at an Australian authorised deposit taking institution. Payments will not be paid to third party accounts (i.e. companies).
Please provide evidence
of your residency status.
All members must
complete this section.
Section 7 – Evidence of residency status
Please tick (✔) the box to confirm:
I am an Australian citizen, New Zealand citizen or permanent resident of Australia
Section 8 – Authorisation
I authorise CareSuper to process my benefit request in
accordance with my instructions.
Where the full balance of my account is to be paid from
CareSuper, I authorise the termination of my membership
and I release the Trustee from any further liability to me,
my dependants or my Legal Personal Representative in
respect of my membership in CareSuper.
I confirm that I have read the information regarding Tax
File Numbers and declare that the information supplied
by me on this form is true and correct.
Proof of identity
Under the Anti-Money Laundering and Counter Terrorism
Financing Act 2006 superannuation funds are required to
identify, monitor and mitigate the risk that the fund may
be used for the laundering of money or the financing of
terrorism.
To meet these requirements CareSuper reserves the
right to request further information to verify your proof of
identity before making any cash payment.
You must sign and date
this form before returning
it to CareSuper.
Privacy
I confirm that I have read CareSuper’s Privacy Policy
at caresuper.com.au/privacypolicy. I understand how
CareSuper intends to handle my personal information and
acknowledge that my personal information will only be
used for the purposes specified. I consent to the collection
and use of my personal information by the Trustee to
establish and administer my superannuation account. I
understand that if I do not wish to receive communications
electronically I can contact CareSuper to opt out.
By providing my email and/or mobile, I agree that CareSuper
can use my email and/or mobile to send me important
information about my super electronically (including
statements and notices of product and other changes to my
account) via an email attachment or link to a website. If I wish
to receive my statement by post rather than email, or want to
change my communication preferences, I will call CareSuper
or log in to MemberOnline.
I authorise CareSuper to use or disclose any ID information provided to electronically match identity details
against Government records or other identification sources. The identity match process may involve the use
of the Australian Government’s Document Verification Service and our third-party identity match provider.
Member’s signature
Date (DD/MM/YYYY)
I have read and agree to the above Member declaration statements.
Return this
completed form to:
CareSuper
Locked Bag 5087
Parramatta NSW 2124
For more information
call the CareSuperLine
1300 360 149
/
/
Payment instruction checklist
Please ensure you have correctly completed this
form before returning it to CareSuper.
Confirmed your tax file number in Section 3
Have you:
Provided all relevant supporting documentation
(where applicable)
Provided certified proof of identification
Selected your reason for payment in Section 1
Provided your member details in Section 2
Provided information on your residency status in Section 7
Read and signed Section 8
© Copyright CareSuper Pty Ltd. All rights reserved.
CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226. CARE Super (Fund) ABN 98 172 275 725
Page 6 of 6