Superannuation fund – retirement savings account provider claim for payment

To be completed by a super fund or RSA provider when claiming co-contributions and other amounts (NAT 73960).

On this page

• About this form
• How to obtain this form
• Instructions
• More information

About this form

This form should be completed by a superannuation fund or retirement savings account provider when claiming any of the following; super co-contribution, individual account balances held in the superannuation holding accounts (SHA) special account or super. (NAT 73960)

How to obtain this form

You can download this publication in Portable Document Format (PDF) – Superannuation fund/retirement savings account provider claim for paymentThis link will download a file (NAT 73960, PDF, 472KB).

Instructions

This form should be completed by a superannuation fund or retirement savings account provider when claiming:

• super co-contribution entitlements for an individual using the contributions reference number
• individual account balances held in the superannuation holding accounts (SHA) special account
• superannuation guarantee (SG) for an individual using the reference number
• low income superannuation contribution (LISC)

This form may be used to claim the account balances of more than one member or account holder.

More information

Find out more
APRA-regulated super funds - home.