Superannuation Standard Choice Form Example
Example document for Superannuation Standard Choice Form. Use this as a reference when creating your own.
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Document: Superannuation Standard Choice Form
Example Document
Last updated 7/30/2026
STANDARD CHOICE FORM
Section 1: Employer Details
Employee Name: Jack Smith
We are required by law to offer you a choice of superannuation fund. We must make contributions to a complying superannuation fund for you. You have the right to choose the fund we pay your superannuation guarantee contributions into.
Employer Name: Apex Plumbing Pty Ltd Employer ABN: 12 345 678 901 Employer Contact: Sarah Jones Phone: 03 5550 1234
Section 2: My Superannuation Fund Choice
I wish to choose the following superannuation fund for my employer to pay superannuation contributions into.
(Tick one box only)
[X] I want my super paid to the fund listed below. [ ] I do not want to choose a fund. Please pay my super into my employer's default fund.
Fund Details (If you chose the first box)
Name of Fund: HOSTPLUS Product Name: Hostplus Personal Super Unique Superannuation Identifier (USI): HPA0100AU Fund ABN: 68 009 365 739 Account Number: 123456789
Fund Address: Level 10 465 Bourke Street Melbourne VIC 3000
Section 3: My Tax File Number (TFN)
I authorise my employer to provide my TFN to my chosen superannuation fund provider.
My TFN is: 876 543 210
(Note: You are not required to provide your TFN, but if you do not, your fund may deduct extra tax from your contributions.)
Section 4: Employee Declaration
I declare that the information provided in this form is true and correct. I understand that my employer relies on this information to make superannuation guarantee contributions.
Employee Name: Jack Smith Employee Signature: J. Smith Date: 15/03/2024
Notes
The employee, Jack Smith, has elected to choose his own fund rather than the default fund. He has provided his chosen fund as HOSTPLUS. He has correctly provided the USI 'HPA0100AU' which is critical for identifying the specific product. He has also provided his TFN to avoid higher tax rates. The employer, Apex Plumbing, has filled out their ABN and contact details in the header. The form is signed and dated.
About this Example
Part of the Superannuation Standard Choice Form document collection
Document Type
Superannuation Standard Choice Form
A form used by employers to offer eligible employees a choice of superannuation fund and to record the employee's decision.