Transition Authority Form

If you would like to change from your current salary packaging provider to RemServ, simply complete the Transition Authority Form below. Please note all fields marked * must be completed. You will be able to submit the form from 21 January 2019 until 5:00pm on 15 February 2019 (Queensland time). Any requests to transition outside the transition period will not be processed.

Please note you will only be eligible to transition to the new provider during the transition period if you have no outstanding FBT liabilities. Additional transition periods will be available throughout the year for employees. It is recommended that you contact your incumbent supplier to:

advise of your decision to transition
provide any instructions regarding the ceasing of your salary packaging payments and reconciliation of your account; and
provide instructions as to any excess fund balances remaining in your account.

Any amendments/variations required to your salary packaging agreement once your transition application has been submitted, will not be actioned until you have fully transitioned. It is also recommended you inform your financial adviser (if applicable) of your intention to transition to the new provider.

Salary packaging is only available to eligible employees of the Queensland Government as per the Standing Offer Arrangement PTD0027-16. The implications of salary packaging for you (including tax savings and impacts on benefits, surcharges, levies and/or other entitlements) will depend on your individual circumstances. The information in this publication has been prepared by RemServ for general information purposes only, without taking into consideration any individual circumstances. RemServ and the Queensland Government recommend that before acting on any information or entering into a salary packaging arrangement and/or a participation agreement with your employer, you should consider your objectives, financial situation and needs, and, take the appropriate legal, financial or other professional advice based upon your own particular circumstances. You should also read the Salary Packaging Participation Agreement and the relevant Queensland Government Salary Packaging Information Booklets and Fact Forms available via the Queensland Government Contracts Directory. The Queensland Government strongly recommends that you obtain independent financial advice prior to entering into, or changing the terms of, a salary packaging arrangement.

Personal details

Title

First name

Surname

Date of birth

Contact number

Email address

Smartsalary ID or Member number (if known)

Address

Unit or street number

Street name

Suburb

State

Postcode

Authorisation

Completed by

Employee

Agent or third party

Is this form being completed by the employee or an agent/third party authorised to act on their behalf?

Employee's authorised agent's company name

Employee's authorised agent's contact name

Employee's authorised agent's contact number

Employee's authorised agent's contact email

Employer details

Employer

Business unit

Payroll number

Personnel assignment number (if applicable)

Confirmation

I confirm that I wish to transition my salary packaging from Smartsalary to RemServ

I accept

I hereby authorise Smartsalary to release all of my personal and salary packaging details held on their records to RemServ. Please make arrangements to:

Notify my Payroll Office of my request to transition; and
Obtain all my personal and salary packaging details from Smartsalary.

I accept

I hereby certify that I have no outstanding FBT liabilities from my salary packaging agreements.

I accept

Remuneration Services (Qld) Pty Ltd | ABN 46 093 173 089 (RemServ).

RemServ acts as an authorised representative of AFSL holders. Please refer to the legal and information policy tab below for details about these authorisations, and the services RemServ provides.

Remuneration Services (Qld) Pty Ltd | ABN 46 093 173 089 is an Authorised Representative of EML Payment Solutions Limited (AFSL 404131) ABN 30 131 436 532 Coverforce Insurance Broking Victoria Pty Ltd (AFSL 345986) ABN 45 127 707 813, Allianz Australia Insurance Limited (AFSL 234708) ABN 15 000 122 850 and Smart Guys Pty Limited (AFSL 460412) ABN 46 129 708 523.

Salary packaging is only available to eligible employees of the Queensland Government as per the Standing Offer Arrangement PTD0027-16. The implications of salary packaging for you (including tax savings and impacts on benefits, surcharges, levies and/or other entitlements) will depend on your individual circumstances. The information in this publication has been prepared by RemServ for general information purposes only, without taking into consideration any individual circumstances. RemServ and the Queensland Government recommend that before acting on any information or entering into a salary packaging arrangement and/or a participating agreement with your employer, you should consider your objectives, financial situation and needs, and, take the appropriate legal, financial or other professional advice based upon your own particular circumstances. You should also read the Salary Packaging Participation Agreement and the relevant Queensland Government Salary Packaging Information Booklets and Fact Forms available via the Queensland Government Contracts Directory. The Queensland Government strongly recommends that you obtain independent financial advice prior to entering into, or changing the terms of, a salary packaging arrangement.

Privacy Notice: RemServ is collecting your personal information on this form for the purpose of processing your salary packaging agreements. RemServ will pass your personal information on to your employer’s payroll section as part of the administration of your salary packaging agreements, the Queensland Government Chief Procurement Office in relation to the management of the Salary Packaging Arrangement and Queensland Treasury for auditing purposes. Your personal information will not be used for any other purpose or disclosed to any other third party, without your consent, unless authorised or required by law.

The availability of benefits is subject to your employer's approval. RemServ may receive commissions in connection with its services.