FN03 Employer Contact Form
Section 1 ΠEmployer details
Business name
ABN or ACN
Trading address
Town/Suburb/City
S ta te
Postcode
Postal address (if different from above)
Town/Suburb/City
S ta te
Postcode
Website (if applicable)
Number of employees working for the business:
Full time
Part time
Casual
Will First Super be your Employer Default Fund under Super Choice?
Ye s
No
Who is your most senior person (CEO, General Manager, etc)?
Full name
Position
Section 2 ΠEmployer contact details
Contact Person 1.
Given name(s)
Surname
Position
Telephone
Email
Mobile
Contact Person 2.
Given name(s)
Surname
Position
Telephone
Email
Mobile
FN03
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Employer Contact Form
Employer Contact Form
Please complete the sections below and return to:
PO BOX 666, CARLTON SOUTH, VIC 3053
Alternatively, complete the online form at ˜rstsuper.com.au/join
Communication preference
Please indicate your preferred method of contact and provide details if different from above.
Email
Telephone
Face to face
When is the most suitable time to contact you?
Monday
Tuesday
Wednesday
Thursday
Friday
AM
PM
Section 3 ΠContribution payments
Contribution Payment frequency:
Weekly
Fortnightly
Monthly
Quarterly
First Super Clearing House
First Super Clearing House* allows you to make contribution payments to multiple funds in one transaction.
Would you like to register for the First Super Clearing House?
No
Ye s
If yes, we will send you a copy of the Clearing House Product Disclosure Statement to complete.
What other main super funds do you contribute to on behalf of your employees?
Example: CBUS
1.
4.
2.
5.
3.
6.
Section 4 ΠMore support for your business
I would like my local First Super Coordinator
to contact me and arrange a workplace visit
(free of charge).
Please send me copies of the First Super Product
Disclosure Statement.
I am interested in running an information session
on Superannuation and Retirement Planning for
my employees
(free of charge).
Please send me copies of the First Super Allocated
Pensions Product Disclosure Statement.
Section 5 ΠSign the form
I have read and understand the Privacy Policy which can be viewed at
firstsuper.com.au/privacy-policy
and consent to my personal information being collected, disclosed and used as described in that Policy.
Please sign here
Date (DD/MM/YYYY)
/
/
Please return this completed form by
Want to know more? We™re here to help.
Mail
First Super
PO Box 666
Carlton South, VIC 3053
OR
Email
forms
@
˜rstsuper.com.au
Call
1300 943 171
mail
@
˜rstsuper.com.au
Website
˜rstsuper.com.au
First Super Pty Ltd ABN 42 053 498 472, AFSL No. L223988. April 2017.
*First Super™s Clearing House is managed by Super Bene˜ts Administration Pty. Ltd (SBA) (ACN 098 637 659). SBA is a provider of administration and consulting services for the superannuation and trust industry.
SBA is providing a clearing house service on behalf of its clients which includes First Super Pty Ltd. SuperChoice Services Pty Limited (fiSuperChoicefl) has been contracted by SBA to provide SBA™s Clearing House
as the authorised representative (number 226522) of SuperChoice™s related corporation PayClear Services Pty Limited (fiPayClearfl) which is the holder of Australian Financial Services License Number 314357.
First Super Pty Ltd (ABN 42 053 498 472, AFSL 223988, RSEL L0003049), Trustee of First Super Superannuation Fund (ABN 56 286 625 18, RSER 1067385). First Super does not recommend, endorse
or accept responsibility for this service. Terms and conditions apply and can be viewed in the Product Disclosure Statement available from SBA upon request. First Super does not accept liability
for any loss or damage caused by use of the SuperChoice Clearing House service. First Super does not receive any commissions from SuperChoice as a result of employers using this service. This
brochure is of a general nature and does not take into account your personal objectives, situation, or needs. Before making a decision about First Super, consider your ˜nancial requirements and
read our Product Disclosure Statement, available by calling 1300 360 988.
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Employer Contact Form