Contributions for personal injury form

You, or your legal personal representative, should complete this form if:

• you have received an eligible personal injury payment, and
• you want to contribute all or part of that payment to super without it counting towards your non-concessional contributions cap.

Eligible personal injury payments are either of the following:

• a payment made under a written settlement agreement regarding a claim for damages for personal injury or a court order for such a claim
• a workers compensation payment taken as a lump sum.

To exclude your contribution from the non-concessional contributions cap, you must:

• send this form to your super fund before or when you make the contribution
• make your contribution within 90 days of whichever of the following events occurs last
• the day you received the personal injury payment
• the day an agreement for settlement of a personal injury payment was entered into
• the day on which a court order for the personal injury payment was made.

Download Contributions for personal injury form (NAT 71162, PDF, 213 KB).