Under section 68AAA of the Superannuation Industry (Supervision) Act 1993 (Cth), your insurance in your super account with BUSSQ will be cancelled if:
If you do not wish to make this election, you do not need to complete this form. If you do not make the election:
To make the election, please tick the box and complete your details below:
To help BUSSQ identify you, please complete the information below.
Note that fields marked with an * asterisk are mandatory.
Please contact BUSSQ on 1800 MY BUSSQ (1800 692 877) should you have any questions
in regards to the insurance in your BUSSQ super account or if you want to make changes to that insurance.