Financial hardship factsheet and application form

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

12/2023

Claiming nancial hardship

Superannuation is designed to provide you with an income when

you stop working, which means you can generally only access it

once you reach your preservation age and have permanently retired

from the workforce. However, there are some circumstances when

you may be allowed to access your superannuation sooner,

including nancial hardship.

Financial hardship is dened by government legislation and means that

you are “unable to meet reasonable and immediate family living

expenses”. An immediate living expense refers to any outstanding

debts and bills that are no more than three months old. By law, the

Trustee can only release one payment in any 12 month period up to a

maximum of $10,000 (before tax is deducted). The minimum amount

is normally $1,000, or your total benet if it is less than $1,000 (before

tax is deducted).

You may be eligible for the early release of your superannuation

under nancial hardship if you meet either of the following:

1. Have been receiving an eligible Commonwealth income support

payment (from either Centrelink or the Department of Veterans’

Aairs) for a continuous period of 26 weeks. The types of eligible

payments are listed below. Please keep in mind, Centrelink can

tell you whether the particular payment you receive qualies.

2. You have reached your preservation age (56-60 years old) plus 39

weeks, you are not gainfully employed and have been in receipt

of a Commonwealth income support payment for a period of no

less than 39 cumulative weeks since reaching your preservation

age. You may withdraw part or all of your superannuation. If this

applies to you, please call the helpline on 1800 682 525 rather

than completing this form.

Centrelink conrmation

To support your application, please include either:

1. Your Centrelink Customer Reference number (CRN) (refer to Step

9) and consent to access your Centrelink customer details (refer

to Step 10).

2. A conrmation letter form Centrelink conrming that you have

received an eligible income support payment for the required

period. Please note that this letter is only valid for a period of 21

days from the date of issue.

Eligible income support payments include:

Department of Veterans’ Aairs service pensions

• Age service pensions

• Partner service pensions

• Invalidity service pensions

• Carer service pensions

Social security pensions

• Age pension

• Disability support pension

• Wife pension/Carer payment

• Parenting payment

• Widow B pension

Social security benets

• Jobseeker

• Sickness allowance

Drought relief from 1 July 1988

• Drought relief payment under the Farm Household Support Act

1992

• Exceptional circumstances relief payment under the Farm

Household Support Act 1992

Income support supplements

• An income support supplement paid by the Department of

Veterans’ Aairs (eectively replaces any social security age

pensions paid to a war widow or widower from March 1995).

This form can be completed digitally or by hand with a

black or blue pen in uppercase with one character per box.

Please note the form must be signed with a pen and

submitted by post. The form cannot be signed digitally.

Financial hardship factsheet and

application form

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

Compassionate grounds

If you don’t qualify for early release of your superannuation benets

on the grounds of severe nancial hardship, you may be eligible on

certain compassionate grounds. The Department of Human Services

(DHS) can approve the early release of some superannuation if you

can meet one of the specic compassionate grounds for needing it.

This means before the Fund can assess the payment of your benet,

you need to gain permission from DHS for your superannuation to be

released.

In order to qualify, you need to prove to DHS you’re nancially unable

to meet the expenses associated with one or more of the following

compassionate grounds:

• Medical or dental treatment - pay for treatment or travel to

treatment

• Mortgage – stop the bank from selling your home

• Disability - modify your home or vehicle

• Palliative care - for yourself or a dependent

• Funeral - pay for expenses for a dependent

If the DHS approve your application, you will then need to apply to

the Trustee who will assess your claim. For more information call us

on 1800 682 525.

National support services

• Financial Counselling Australia - 1800 007 007:

A free, national nancial counselling service

www.nancialcounsellingaustralia.org.au.

• 1800 RESPECT (1800 737 732): A free 24 hour, sexual assault,

family and domestic violence counselling Line - for anyone who has

experienced, or is at risk of, family and domestic violence and/or

sexual assault.

www.1800respect.org.au

• Lifeline (24 hours) – 13 11 14: providing anyone experiencing a

personal crisis with access to 24 hour crisis support and suicide

prevention services.

www.lifeline.org.au

• Another Closet (24 Hours) – 1800 656 463: A free, national

counselling line supporting the LGBTIQ community

www.anothercloset.com.au

• Kids Help Line (24 Hours) – 1800 551 800: assists people aged

up to 25 who are exposed to violence as well as sta who have

concerns about the safety of their children www.kidshelp.com.au

• Relationships Australia – 1300 364 277:

A leading provider of relationship support services for individuals,

families and communities

www.relationships.com.au

• Beyond Blue – 1300 22 4636: A free national support service for

those experiencing anxiety, depression and suicide

• MensLine (24 hours) – 1300 789 978: Counselling and resources

for men in crisis. www.mensline.org.au

• Mens Referral Service (24 hours) – 1300 766 491: telephone

counselling for men dealing with family violence matters

www.ntvmrs.org.au

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

The following information will be used solely for determining whether you are experiencing nancial hardship. The completed form (or copy)

will not be made available to any other person (except under an order of a Court). The form includes a Statutory Declaration that must be

signed and witnessed. For assistance call our helpline on 1800 682 525.

Financial hardship application form

To keep you informed we need to know your contact details

Title Mr Mrs Ms Miss Other Date of birth / /

Given names

Surname

Previous name (if applicable)

Residential address (must be advised)

Suburb State Postcode

Daytime telephone number Mobile

E-mail

Account/Membership number

Plan/Product name

Step 1: Complete your personal details

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

“Dependants” means anyone who is in whole, or in part, nancially dependent on you e.g. your children, adult family

members or anyone else who lives with you and shares the bills.

Name

Relationship to you

Age

Name

Relationship to you

Age

Name

Relationship to you

Age

Name

Relationship to you

Age

If your name and/or postal address diers to that previously advised to the plan, complete the boxes below and provide

evidence of this change. Your personal details cannot be updated unless the necessary supporting documentation is provided

and payment of your benet may be delayed or rejected.

Name changes – attach a certied copy of a Marriage Certicate, Deed Poll or Change of Name Certicate from the Births,

Deaths and Marriages Registration Oce (see the ‘Completing proof of identity’ section for details of how to certify

documents).

Postal address changes – attach a copy of a recent bill, mail item or driver’s licence that displays your new postal address.

Title Mr Mrs Ms Miss Other

Given names

Surname

Previous name (if applicable)

Residential address (must be advised)

Suburb State Postcode

Daytime telephone number Mobile

E-mail

Account/Membership number

Step 3: List your nancial dependants (e.g. Your partner and children)

Step 2: Attach documentation if your personal details have changed

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

Note: By law, the Trustee can only release one payment in any 12 month period up to a maximum of $10,000 (before tax is

deducted). The minimum amount is normally $1,000, or your total benet if it is less than $1,000 (before tax is deducted).

Please include details of any overdue bills or overdue loan repayments. You must attach evidence to support this.

Documents must not be over 3 month old and will be used to assess your eligibility for a release of funds.

You must attach evidence to support this. Documents must not be over 3 months old.

Self

Partner

Dependants “Dependants” means anyone who is in whole, or in part, nancially dependent on you

e.g. your children, adult family members or anyone else who lives with you and shares the bills.

TOTAL WEEKLY INCOME

Step 4 (a): Briey explain the cause(s) of your nancial hardship and how the money

will be used if released

Step 4

(b): What NET (after tax) amount do you estimate would relieve your current

severe nancial hardship?

Step 5: Describe and list the approximate value of assets held by you, your partner and depend-

ants (do not include the family home)

Step 6: Current total NET weekly income (please halve fortnightly payments)

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Weekly expenses amount per week

* If your expenses are billed monthly you will need to divide the total bill by 4 to calculate the weekly amount. Please

note bills such as Foxtel, Netix, high internet charges and lifestyle expenses may not be considered.

Rent / board / rental bond (provide documentary evidence)

Home loan repayments - up to three months in arrears (provide documentary evidence)

Urgent household repairs not yet commenced (e.g. leaking pipes – a bill or quote is required)

Personal loan repayments – overdue and minimum balance (provide documentary evidence)

Credit card repayments (provide documentary evidence)

Food and household expenses

Car repayments (not included in personal loan repayments above) (provide documentary evidence)

Gas (provide documentary evidence)

Electricity (provide documentary evidence)

Telephone (provide documentary evidence)

Car (fuel, registration, insurance) (provide documentary evidence)

Public transport

Clothing

Municipal and water rates (provide documentary evidence)

Home and contents insurance (provide documentary evidence)

Childcare and child support payments (provide documentary evidence)

School fees, uniforms, books (provide documentary evidence)

Medical / dental (provide documentary evidence)

Life insurance premium (provide documentary evidence)

Urgent household expenses

Vet bills

Pet housing (due to relocation)

Other, please state (provide documentary evidence)

Amount per week

Step 7: List below all reasonable current weekly* expenses in relation to you, your partner and

your dependants

Step 8: Immediately payable arrears & liabilities

Provide details of unpaid or overdue bills or liabilities, any outstanding loan or credit card repayments and any other current arrears.

Amounts stated must be currently payable or outstanding. Liabilities that are not immediately payable cannot be taken into account.

You must provide documentary evidence for each item dated no older than one month.

* This is not your regular repayment amount but rather the amount you are behind, if any, on your regular repayments. Your repayment amount should

be included at Step 7.

** If the personal loan is from an individual rather than a lending institution, the supporting documentation required is a Statutory Declaration from

the lender detailing the reason for the loan, the amount outstanding and the date the outstanding amount is due. If it is from a lending institution,

then what is required is not your regular repayment amount but the amount you are behind, if any, on your regular repayments together with

supporting documentation.

Mortgage/Home Loan Arrears

Car Loan Arrears *

Credit Card Arrears * (please specify)

Personal Loan Arrears ** (please specify)

Other Arrears or Liabilities currently due and payable (please specify)

TOTAL IMMEDIATE ARREARS & LIABILITIES

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

Please provide your Centrelink Customer Reference number (CRN):

(This information is available on your Centrelink Income Statement or client card.)

I, authorise:

• Mercer Super to use Centrelink Conrmation eServices to perform a Centrelink enquiry of my Customer details.

• the Australian Government Department of Human Services (the department) to provide the results of that enquiry to Mercer

Super.

• I understand that:

• the department will use information I have provided to Mercer Super to conrm my eligibility for early release of superannuation

on the grounds of nancial hardship based on whether I have been in receipt of a qualifying Centrelink payment for a specied

period.

• the department will disclose to Mercer Super my personal information including my name, date of birth and payment status.

• this consent, once signed, remains valid while I am a member of Mercer Super unless I withdraw it by contacting Mercer Super or

the department.

• I can obtain proof of my circumstances/details from the department and provide it to Mercer Super so that my eligibility for early

release of superannuation on the grounds of nancial hardship can be determined.

• if I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for the release of my

superannuation benets.

Signature

✗

Date

For identication purposes, you MUST attach a certied copy of either your Driver’s Licence or Passport (or acceptable alternatives).

See the ‘Completing proof of identity’ section for details of certication and acceptable alternative documents. Failure to provide

appropriate proof of identication may result in delays in the processing of your payment(s).

The ability to access your superannuation on the grounds of severe nancial hardship may depend upon your residency or citizenship

status. Please indicate your current status by ticking the appropriate box below:

Are you an Australian or New Zealand citizen or an Australian Permanent Resident?

YES

If your request is aected by your residency / citizenship status, you will be advised accordingly.

Step 9: Proof of Commonwealth income support

Step 10: Consent to access your Centrelink customer details

Step 11: Proof of identity - critical to application

Step 12: Conrm residency / Citizenship status

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

Please instruct us what you wish to do with your benet [tick one]:

Maximum amount available

$ , . (net of tax, must be less than maximum)

Cheque - Payments will be paid by cheque (cheques can only be made in your favour) and sent to the postal address

provided in Step 1

Electronic Funds Transfer (EFT) - Please provide your bank account details for deposit via Electronic Funds Transfer (EFT) direct to

your account.

My new bank account details are as follows:

Name of institution

Branch name

BSB Account number

Account name

Note: the account nominated above must be in your name and must be an account for which you can sign to withdraw, either solely,

or with another person.

The following MUST accompany your application for it to be considered:

• Statutory Declaration, signed and witnessed by an authorised person.

• Evidence from the Department of Human Services (Centrelink) that you have been in receipt of a Commonwealth income support

payment for the prescribed period (Q230 or Q251 letter).

• Evidence of current weekly income and expenses. Documents should not be over one month old.

• Evidence of overdue bills, loans or credit card payments. Documents should not be over one month old.

The Trustee can only approve the release of ONE payment from your superannuation benet in any 12 month period, up

to the maximum gross amount of $10,000.

By signing this form I acknowledge that:

I understand that any insurance cover I have in Mercer Super will cease if I withdraw my total super account balance or if there

are insucient funds to cover my insurance premiums.

I understand that the information in this form will be handled by the Trustee to process my application for early release of part

or all of my superannuation benet within these limits on the grounds of severe nancial hardship. It may be disclosed to the

administrator or government agencies.

I understand that there may be a delay in payment if my details have changed.

I consent to this handling of my personal information. If I do not give the information, the Trustee may not be able to pay part or

all of my superannuation benet on the grounds of severe nancial hardship.

Signature

✗

Date

Please return your completed form together with your proof of identity and supporting documentation to

Mercer Super Trust

GPO BOX 4303

Melbourne VIC 3001

Step 13: Provide payment instructions

Step 14: Sign the form

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

You must complete the attached Statutory Declaration. (If you are unemployed, please list ‘Unemployed’ as your occupation

below) The Statutory Declaration must be signed and witnessed by an authorised person.

I, Name ......................................................................................................................................................................................................................

Address ......................................................................................................................................................................................................................

Occupation of the person making the declaration ..................................................................................................................................

make the following declaration under the Statutory Declarations Act 1959:

(1) The information provided by me in the Early release of superannuation benets on grounds of severe nancial hardship

form (Application) which accompanies this Statutory Declaration is true and correct.

(2) I am unable to meet my reasonable and immediate family living expenses and I do not have any assets (apart from my

home) which could (reasonably and realistically speaking) be used or sold to cover this gap.

(3) I authorise Centrelink to conrm with Mercer Super that my name, date of birth and Centrelink Customer Reference

Number (CRN) details supplied in the Application match Centrelink records.

(4) To assist in establishing whether I qualify for the early release of my superannuation on the grounds of severe nancial

hardship, I consent for Centrelink to conrm my receipt of an income support payment to Mercer Super for the relevant

period.

(5) I also authorise to pass these details on to the Trustee, Mercer Super.

(6) I understand that I can only receive one benet payment in a 12 month period released due to severe nancial hardship.

I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an oence under

section 11 of the Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every

particular.

✗

.........................................................................................................................................................................................................................................

[Signature of person making the declaration]

Declared at [place] on [day] of [month] [year]

Before me,

✗

[Signature of person before whom the declaration is made. Please refer to the ‘’Who can certify documents?’ section for a list of persons who

may witness the signing of a Statutory Declaration]

[Full name, qualication and address of person before whom the declaration is made (in printed letters)]

Note 1 – A person who intentionally makes a false statement in a statutory declaration is guilty of an oence, the punishment

for which is imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959.

Note 2 – Chapter 2 of the Criminal Code applies to all oences against the Statutory Declarations Act 1959 — see section 5A of

the Statutory Declarations Act 1959.

Note 3 – A brochure is available from Centrelink that provides details about the Centrelink Conrmation eService.

Note 4 – Please refer to the following website for further information about who can witness a Commonwealth statutory

declaration – www.ag.gov.au/Publications/Pages/Statutorydeclarationsignatorylist.aspx.

PLEASE NOTE: IT IS NOT APPROPRIATE FOR APRA OFFICERS TO ACT AS WITNESS TO THIS STATUTORY DECLARATION.

• Once you have completed this form please post it to:

Mercer Super Trust

GPO BOX 4303

Melbourne VIC 3001

• If you have any questions please contact our helpline on 1800 682 525 with your membership number on hand. We can tell you if

your application form has been received and if it has been assessed.

Step 15: Statutory Declaration

Processing your application

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

Primary photographic identication

All identication documents required for your application must be certied. Requirements in relation to certication are at the end of

this section of the form.

You will need to provide a copy of one of the following primary identication documents:

• Current Australian or foreign driver’s licence (including the back

of the driver’s licence if your address has changed)

• Australian passport

• Current foreign passport1 or similar document issued for the

purpose of international travel1

• Current card issued under a State or Territory for the purpose

of proving a person’s age

• Current national identity card issued by a foreign government

for the purpose of identication1 Identication documents

must not be expired (excepting an Australian passport which

may be expired within 2 years).

Alternative identication

If you are unable to provide any primary photographic identication, you will need to provide two identication

documents, one from each of the following lists:

• Birth certicate or birth extract1

• Citizenship certicate issued by the

Commonwealth

• Pension card issued by the Department of

Human Services (Centrelink) that entitles the

person to nancial benets

AND

• Letter from the Department of Human Services (Centrelink) or other

Government body in the last 12 months regarding a Government

assistance payment

• Tax Oce Notice of Assessment issued in the last 12 months

• Rates notice from local council issued in the last 3 months

• Electricity, gas or water bill issued in the last 3 months

• Landline phone bill issued in the last 3 months (mobile phone bills will

not be accepted)

Name change

If you have changed your name, you must provide a certied copy of the relevant name change document1, for example, a Marriage

Certicate issued by the Registry of Births Deaths & Marriages, Decree Nisi or Deed Poll (in addition to the above identication).

If your legal name or date of birth does not match exactly to our records (excluding aforementioned name changes), please

Signing on behalf of another person

If you are signing on behalf of the applicant you will need to provide the following:

• A certied copy of the Guardianship papers or Power of Attorney; and

• A certied copy of the appropriate proof of identity for the holder of the Guardianship or Power of Attorney.

Note: Certied ID is also required for the member

Translation

If your identication is written in a language other than English, the identication must be accompanied by an English translation

prepared by a translator accredited by the National Accreditation Authority for Translators and Interpreters Ltd. (NAATI) at the level of

Professional Translator or higher (or an equivalent accreditation), to translate from a language other than English into English.

How to certify documents

After sighting the original and the copy and making sure both documents are identical, the certier must include on EACH page:

• Written or stamped ‘certied true copy’

• Signature and printed full name

• Qualication (such as Justice of the Peace, Australia Post employee, etc)

• Date (the date of certication must be within the 12 months prior to our receipt)

A clear copy of the document that identies you

(i.e. your driver’s licence (front and back) or passport)

Certied true copy

J. Sample

Mr John Sample

Justice of Peace

Registration No.123456789

Date: 01/02/2012

Write or stamp ‘certied true copy’ of the original document

The authorised person’s signature

Full name, qualication and registration number

(if applicable) of the authorised person

Date of certication (within 12 months of receipt)

IDENTIFICATION

Verication

A verication of the certifying party may be performed. If a discrepancy arises, you may be requested to re-certify documentation.

Important Note

The information in this document is a guide only and we may request additional documentation prior to any payment.

Completing proof of identity

Issued by Mercer Superannuation (Australia) Limited (MSAL) ABN 79 004 717 533, AFSL 235906, as trustee of the Mercer Super Trust, ABN 19 905 422 981.

Address: GPO Box 4303, Melbourne Vic 3001. Tel: 1800 682 525. ‘Mercer’ is a registered trademark of Mercer (Australia) Pty Ltd ABN 32 005 315 917.

Financial hardship factsheet and application form

12/2023

In Australia?

• Permanent employee of the Australian Postal Corporation with 2 or more years of continuous service who is employed in an

oce supplying postal services to the public

• Agent of the Australian Postal Commission who is in charge of an oce supplying postal services to the public

• Australian Consular Ocer or Australian Diplomatic Ocer (within the meaning of the Consular Fees Act 1955)

• Baili

• Bank ocer, building society ocer or credit union ocer (with two or more continuous years of service)

• Commissioner for Adavits or Declarations

• Court Ocer, Registrar or Deputy Registrar of a Court, Judge, Clerk, Magistrate, Master of a Court, Chief Executive Ocer of a

Commonwealth Court

• Fellow of the National Tax Accountant’s Association

• Finance Company Ocer (with two or more continuous years of service with one or more nance companies)

• Justice of the Peace• Legal practitioner

• Marriage celebrant (registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961)

• Medical practitioner, chiropractor, dentist, nurse, optometrist, physiotherapist, psychologist

• Member of Chartered Secretaries Australia

• Member of Engineers Australia (other than at the grade of student)

• Member of the Association of Taxation and Management Accountants

• Member of the Australasian Institute of Mining and Metallurgy

• Member of the Australian Defence Force (who is an ocer; or a non-commissioned ocer within the meaning of the Defence

Force Discipline Act 1982 with two or more years of continuous service or a warrant ocer within the meaning of that Act)

• Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certied Practising

Accountants or Member of the Institute of Public Accountants

• Member of Commonwealth Parliament, State Parliament, Territory Legislature or a Local Government Authority

(State or Territory)

• Minister of Religion (under Subdivision A of Division 1 of Part IV of the Marriage Act 1961)

• Notary Public

• Ocer with, or Authorised Representative of an Australian Financial Services Licensee (who has had at least two years of

continuous service with one or more licensees)

• Ocer with, or a credit representative of, a holder of an Australian credit licence (who has had at least two years of

continuous service with one or more licensees).

• Permanent employee of the Commonwealth (or Commonwealth Authority) or a State or Territory (or State or Territory

Authority) or a Local Government Authority with two or more years of continuous service

• Person before whom a statutory declaration may be made under the law of the State or Territory in which the

declaration is made

• Pharmacist

• Police Ocer, Sheri or Sheri’s Ocer

• Senior Executive Service Employee of the Commonwealth (or Commonwealth Authority) or a State or Territory (or State or

Territory Authority)

• Teacher employed on a full-time basis at a school or tertiary education institution

• Trade marks attorney • Veterinary surgeon

Outside of Australia

• An authorised sta member of an Australian Embassy, High Commission or Consulate• an authorised employee of the

Australian Trade Commission who is in a country or place outside Australia

• An authorised employee of the Commonwealth of Australia who is in a country or place outside Australia

• A Member of the Australian Defence Force who is an ocer or a non-commissioned ocer with 5 or more years of continuous service

• A Notary Public from a country ranked 129 or below in the latest

Transparency International Corruptions Perception Index: http://www.transparency.org

Who can certify documents?

The Trustee respects the privacy of your personal information and is committed to complying with the Australian Privacy Principles in the Privacy Act 1988 (Cth).

Our Privacy Policy sets out our approach to the management of personal information. Subject to the Privacy Act 1998 (Cth), you can have access to and seek

correction of your personal information. Our Privacy Policy contains information about how you can access and seek correction of your personal information,

how you may complain about a breach of your privacy and other important information about how your personal information is collected, used and disclosed.

Our Privacy Policy is available at mercersuper.com.au/privacy, or you can obtain a copy by contacting us on 1800 682 525.

This document has been prepared and sent by Mercer Outsourcing (Australia) Pty Ltd ABN 83 068 908 912, Australian Financial Services Licence #411980.

Mercer Super means Mercer Superannuation (Australia) Limited, ABN 79 004 717 533, Australian Financial Services Licence #235906, the trustee of the Mercer

Super Trust ABN 19 905 422 981.

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