Transition To Retirement Agreement
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(DRAFT) - APPLICATION FOR TRANSITION TO RETIREMENT (SUPERANNUATION) ARRANGEMENT 1. PERSONAL DETAILS
3. WORK RESPONSIBILITIES
Surname: ______________________________ Given name(s):__________________________
Detail proposed changes to position, duties and/or classification. (Attach new duty statement if required)
Postal address: __________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Postcode:
________________________
_______________________________________
Date of birth:
_____/_____/_____________
Super ID:
________________________
4. CHANGES TO FRACTION OF TIME / DAYS WORKED
Email: ________________________________ Telephone
WORK
Current Fraction of time:
_____________
Proposed Fraction of time:
_____________
___________________________________
Name of agency
Days to be worked:_______________________ (A new work pattern must be completed and submitted to Payroll if applicable)
_______________________________________
5. EMPLOYEE DECLARATION
HOME
___________________________________
MOBILE
___________________________________
Employee no:____________________________ Current position title and classification:________ _______________________________________ Please complete all the details on this form and after line manager and delegate approval forward to Super SA.
Contact details Website www.supersa.sa.gov.au Email [email protected] Telephone (08) 8207 2094 (for calls from within the State Government Network) or 1300 369 315
2. EFFECTIVE DATES Start date:
___________________
End date:
___________________
I understand that: – In signing this agreement, I acknowledge that I have sought financial advice about the impact Transition to Retirement (Superannuation) will have on my salary and on my superannuation and I understand its effect on my public sector employment. – Working part time accrues leave on a pro-rata basis. – This agreement is subject to the provisions of my employment contract with the South Australian Government. Together with this agreement this contract may be varied or terminated, with the agreement of both parties. ______________________________________ Signature of Employee
6. APPROVALS ______________________________________ Line Manager Date: ______________________________________ Delegate Date:
3. WORK RESPONSIBILITIES
Surname: ______________________________ Given name(s):__________________________
Detail proposed changes to position, duties and/or classification. (Attach new duty statement if required)
Postal address: __________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Postcode:
________________________
_______________________________________
Date of birth:
_____/_____/_____________
Super ID:
________________________
4. CHANGES TO FRACTION OF TIME / DAYS WORKED
Email: ________________________________ Telephone
WORK
Current Fraction of time:
_____________
Proposed Fraction of time:
_____________
___________________________________
Name of agency
Days to be worked:_______________________ (A new work pattern must be completed and submitted to Payroll if applicable)
_______________________________________
5. EMPLOYEE DECLARATION
HOME
___________________________________
MOBILE
___________________________________
Employee no:____________________________ Current position title and classification:________ _______________________________________ Please complete all the details on this form and after line manager and delegate approval forward to Super SA.
Contact details Website www.supersa.sa.gov.au Email [email protected] Telephone (08) 8207 2094 (for calls from within the State Government Network) or 1300 369 315
2. EFFECTIVE DATES Start date:
___________________
End date:
___________________
I understand that: – In signing this agreement, I acknowledge that I have sought financial advice about the impact Transition to Retirement (Superannuation) will have on my salary and on my superannuation and I understand its effect on my public sector employment. – Working part time accrues leave on a pro-rata basis. – This agreement is subject to the provisions of my employment contract with the South Australian Government. Together with this agreement this contract may be varied or terminated, with the agreement of both parties. ______________________________________ Signature of Employee
6. APPROVALS ______________________________________ Line Manager Date: ______________________________________ Delegate Date:
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