Statewide Super Marketlink members facing financial hardship can complete this form online using our PDF editor. No software installation is required. The tool runs directly in your browser and keeps your data secure.
Who is eligible to claim
- Claim Type 1 – Severe financial hardship: You have received eligible Commonwealth income support for at least 26 consecutive weeks and are unable to meet basic living expenses. The maximum release is $10,000.
- Claim Type 2 – Access at age 55 and over: You are aged 55 or over and have received Commonwealth income support for at least 39 weeks since turning 55. You do not need to prove financial hardship for this claim type.
Before you begin, have your Centrelink Customer Reference Number (CRN) ready. You will also need records of your income, assets and monthly expenses.
How to fill out the statewide super hardship withdrawal form
Step 1: Click the "Get Form" button at the top of this page to open the PDF editor. You will find all the tools needed to complete, edit and sign your form.
Step 2: Begin by filling in the first section of the form. Enter your personal details, member number and Centrelink CRN. These fields confirm your identity and income support status.
The second section covers your dependants. List the full name, relationship and age of each financial dependant.
Step 3: In the claim details section, select your claim type. If applying under Claim Type 1, confirm how long you have received income support and enter the amount you wish to claim. If claiming under Claim Type 2, confirm you have reached age 55 and the required support period.
Step 4: Complete the income section. List all income sources for yourself and your spouse, including wages, Commonwealth income support and bank interest. Add these to reach your total income figure.
Step 5: List your monthly living expenses in detail. Include rent or mortgage repayments, food and household items, utilities, transport, medical and insurance costs. This helps the fund assess whether you meet the financial hardship criteria.
Step 6: Review all sections, then click "Done" to save your completed PDF. You can download or print it at any time. FormsPal does not store or share your personal information.
For related hardship forms, see the Hardship Withdrawal Request form and the Application for Financial Assistance form. Members who need medical documentation may also need the Centrelink Medical Certificate form.