SALARY PACKAGING AUTHORITY FORM FAMILY NAME (Please print) GIVEN NAME (Please print) SCHOOL I note that the University recommends that employees seek independent financial advice before participating in any salary sacrifice arrangement. Having considered the University’s recommendation, I authorise the following salary packaging arrangement to apply until further notice. From 1 July 2009 the University will be required to report on the employee’s payment summary all contributions to superannuation made by the employee under a salary sacrifice arrangement. Please see link to the ATO website for full details www.ato.gov.au – Search for reportable employer super contributions. Further, salary sacrifice does not reduce a liability for HELP or SFSS. You may wish to increase your tax deduction to offset this. http://www.ato.gov.au/Business/PAYG-withholding/Indetail/TFN-and-withholding-declarations/Withholding-declaration/ SUPERANNUATION (please tick the appropriate box) a) Member contribution to UniSuper Defined Benefit Division/Accumulation 2 (Full Contributor) Please pay an amount equal to 8.25% of salary to replace my 7.0% after tax contribution. b) Member contribution to UniSuper Defined Benefit Division/Accumulation 2 (Half Contributor)- General Staff Only Please pay an amount equal to 4.13% of salary to replace my 3.5% after tax contribution. c) Member contribution to UQSP- Academic staff only Please pay an amount equal to 5.88% of salary to replace my 5.0% after tax contribution. d) Member contribution to QSuper (Defined Benefit Plan) Please pay an amount equal to 5.88% of salary to replace my 5.0% after tax contribution. e) Member contribution to QSuper (State Plan) Please pay an amount equal to 5.88% of salary to replace my 5.0% after tax contribution. VOLUNTARY ADDITIONAL SUPERANNUATION- SALARY PACKAGING f) UniSuper Voluntary Salary Sacrifice Fortnightly value $ g) QSuper Defined Benefit Plan Sal Sac Additional Fortnightly value $ h) QSuper Accumulation Plan Salary Sacrifice (formerly GOSUPER) Fortnightly value $ Signature of Applicant Date PLEASE RETURN COMPLETED FORM TO: EMPLOYEE BENEFITS SECTION mailto:super@uq.edu.au in person to LEVEL 5, JD STORY BUILDING or FAX 07 3346 3927 (Employee Benefits Use Only) STAFF NUMBER ENTERED BY: APPROVED BY: (Signature) (Signature) (Date) (Date)