Superstream Contribution Single Notification Form

Important Information

Prior to submitting this form it is important that you have taken the following steps: 

  • Ensure you have spoken to the entity you are notifying in an attempt to resolve the issues directly
  • Ensure you are only submitting this form where there are persistent issues occurring.

The ATO may seek confirmation from the notifying entity that reasonable steps have been taken to resolve any issues prior to a notification being made.

Provide entity details: (Details of who is being referred)

Entity type *

ABN *
 
 
Entity Name *

Entity contact details

Name *

Phone *

Email *
  

Service provider details (if applicable)

Name 
  

Phone
  

Email
  

Reason for this notification (Tick the relevant reasons)

       

Provide your details

ABN *
  

Entity Name *
  

Contact details

Name *
 
 
Phone *
  

Email *

If notification is made by an administrator - provide APRA fund ABN
 

Privacy Statement


The ATO is a government agency bound by the Privacy Act 1988 in terms of collection and handling of personal information. For further information about privacy law notices go to ato.gov.au/privacy.