Employers please note – when making contributions via your clearing house or payroll provider, from 1 July 2021 the new Fund name is LGIAsuper, Product Name is Energy Super, USI is 23 053 121 564 004 and ABN is 23 053 121 564. Click here for more information.

Need a new Letter of Compliance? Click here to download.

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Forms

1. Forms to help me appoint a beneficiary for my super
A. Binding Death Benefit Nomination	PDF	282.8 KB
B. Non-Binding Death Benefit Nomination	PDF eForm	245.6 KB
C. Non-lapsing Death Benefit Nomination Form	PDF	286.5 KB
D. Reversionary Beneficiary Nomination Form	PDF	165.7 KB

2. Forms to help me contribute to my super
A. Transfer your Super	PDF eForm	159.4 KB
B. Pay My Super Into Energy Super	PDF	160.3 KB
C. Letter of Compliance (Complying fund letter for your employer)	PDF	96.2 KB
D. Lump Sum Contribution Payment	PDF eForm	155.1 KB
E. Member Direct Debit Request	PDF eForm	130.2 KB
F. Spouse Contribution Advice	PDF eForm	175.0 KB
G. Contribution Splitting Request	PDF	267.5 KB
H. Deduction for Personal Super Contributions	PDF	444.9 KB
I. Downsizer Contribution	PDF	209.4 KB
J. Letter of compliance - KiwiSaver	PDF	102.1 KB

3. Forms to help me provide information to the Fund
A. Proof of Identity	PDF	176.4 KB
B. Tax File Number (TFN) Notification	PDF eForm	135.4 KB
C. Account Linking Request	PDF	147.4 KB
D. Authority to Release/Revoke Information - Financial	PDF	181.9 KB
E. Retirement Declaration	PDF eForm	141.9 KB
F. Change of Personal Details Form	PDF eForm	165.0 KB
G. Work Test Declaration Form	PDF eForm	111.1 KB
H. Inactive low-balance account declaration	PDF	239.3 KB
I. Authority to Release/Revoke Information - Personal	PDF	171.2 KB

4. Forms to help me change my investments and insurance
A. Change of Investment Choice – Super	PDF	139.8 KB
B. Change of Investment Choice – Income Stream	PDF	134.8 KB
C. Change of Insurance	PDF	251.9 KB
D. Change of Insurance (NRG)	PDF	220.1 KB
E. Insurance Cover Recommencement	PDF	130.6 KB
F. Insurance Transfer	PDF	226.8 KB
G. Insurance Cover Election Form	PDF eForm	151.3 KB
H. Personal Statement -OnePath	PDF	482.9 KB
I. Insurance Cover Reinstatement	PDF	125.0 KB

5. Forms to help me withdraw from my super
A. Benefit Payment Request (Partial Withdrawal)	PDF	231.4 KB
B. Benefit Payment Request (Severe Financial Hardship)	PDF	341.2 KB
C. Benefit Payment Request (Account Closure)	PDF	246.3 KB
D. Pension Payment Variation	PDF	140.1 KB

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