Rollouts or Member Balance Requests

If you have any questions please do not hesitate to contact us on 1300 809 933.

Step 1 of 3

Adviser Name*
First Last
Adviser Firm*
Adviser Contact for this request*
First Last
Adviser Contact Email*

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Fund Name*
PLEASE NOTE: We can only complete this request for funds we are the administrator for.
Member Name*
Request:
- Rollover Benefit Statement (rollout)
- Member Statement
Date the Rollover Benefit Statement or Member Statement is required*

DD
MM
YYYY
Do you require a Centrelink Schedule as at this date also?*
- Yes
- No
Receiving Fund Name*
Receiving Fund ABN*
Receiving Fund SPIN/USI*
Member Number in receiving Fund*
Receiving Fund postal address*
Full or Partial Rollover*
- Full account balance
- Partial account balance
If partial, please provide amount to be rolled over:*
Is this member ceasing as member and Trustee/ Director for the fund?*
- Yes
- No
There may be additional costs if a Change of Trustee is required.

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Any additional information
Please review and confirm
That you have reviewed and supplied the following as pdf's to our upload email address;
1. Documentation supporting any unmatched cash items (please review via Class Client View)
2. Bank statements for any non-feeding bank accounts from when the last statement was provided to date
3. For any share platforms/ wrap accounts (all dated 1 day prior to the statement request date);
  - Portfolio valuation
  - Income reports from 1 July
  - Investment transaction history or realised & unrealised capital gains reports
WE CONFIRM that all contributions paid to, and/or pensions/ lump sums paid from the Fund, have been correctly allocated (please review via Class client View)
Agreement*
- I confirm I have reviewed and supplied the documents requested

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