Salary Sacrifice Super Form Template – Australia

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Updated – 2026


Disclaimer

The information provided relates to employee arrangements involving voluntary retirement contributions in Australia. It is intended solely for general informational purposes and does not constitute legal, financial, or tax advice. Users should seek guidance from qualified professionals experienced in Australian superannuation and employment law before making any decisions or implementing any procedures. Regulations and requirements may vary by jurisdiction and individual circumstances, and it is essential to ensure compliance with all applicable laws. The use of this information is at the user’s own risk, and we accept no liability for any errors, omissions, or consequences resulting from its application without proper professional consultation.


PDF

PDF

Word

Word

Sample

Sample

Template

Template


Please note: This is a sample Salary Sacrifice Super Form template for Australia, provided for illustrative purposes only. Actual forms may vary based on individual circumstances and regulatory updates.

Salary Sacrifice Superannuation Form Sample

Participant Details:

Employee Name: ___________________________
Employee ID: ___________________________
Address: ___________________________

Employer Details:

Employer Name: ___________________________
Employer ABN: ___________________________
Address: ___________________________

Superannuation Fund:

Fund Name: ___________________________
Fund Membership Number: ___________________________

Salary Sacrifice Arrangement:

The employee authorizes the employer to deduct the specified amount from their pre-tax salary and contribute it into the superannuation fund as a salary sacrifice arrangement, effective from ___________________________.

Contribution Details:

Amount per pay period: $___________________________
Frequency of contributions: ___________________________

Participant Responsibilities:

The participant agrees to review and confirm the salary sacrifice arrangements and understands the impact on their superannuation entitlements, superannuation caps, and taxation considerations.

Governing Regulations:

This arrangement complies with the Australian superannuation laws and regulations administered by the Australian Taxation Office (ATO).

Additional Provisions:

  • The participant acknowledges that contributions are subject to Commonwealth legislation and superannuation fund rules.
  • This form may be amended only with written agreement by both parties.
  • Salary sacrifice contributions are subject to contribution caps and tax implications; participants should seek professional advice if unsure.

Location: ___________________________ Date: ___________________________

__________________________
Employee Signature
__________________________
Employer Representative