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Get AU MO017 2017-2024

Depending on what ground s you are applying under you may need to provide more than 1 report. to provide will need to provide MO017. Early Release of Superannuation on Specified Compassionate Grounds Report by registered medical practitioner Instructions for the applicant If you are applying for palliative care you will need to provide 1 report from a registered medical practitioner. This is not an application form* This form is a report that is completed by medical practitioners. This report may be used for more than 1 compassionate ground. Reports need to be signed dated and be no older than 6 months from the date of your application* Signed reports older than 6 months will not be accepted* This report will help the Australian Government Department of Human Services determine if an applicant is eligible to access their superannuation early. For the purpose of this report the applicant can be the patient or the applicant can have a dependant who is the patient. You are under no legal obligation to complete this report. This report will assist the Department of Human Services to determine if the applicant meets the eligibility criteria set out in Regulation 6. 19A of the Superannuation Industry Supervision Regulations 1994 and Regulation 4. 22A of the Retirement Savings Accounts Regulations 1997. What the applicant should do As the applicant you need to complete the Applicant s details section questions 1 6 on page 3. The medical practitioner is responsible for completing the remainder of this report. We cannot accept any reports that have the practitioner s section completed by the applicant. You will need to take this report to the medical practitioner. Please let the practitioner know at the time of making the appointment that you require this report to be completed to assess your eligibility for an early release of superannuation benefits. The medical practitioner needs to complete all sections of the form that apply to you and your circumstances. This report may be used for more than 1 application for an early release of your superannuation* You are responsible for any costs in obtaining this report. Completing this report This report must be completed by a registered medical practitioner. An applicant can only complete the applicant section of this report Allied Health Professionals. Practitioners can only comment on conditions which are specific to their field of expertise. For example a dental practitioner cannot comment on palliative care. return it to the Early Release of Superannuation Benefits Team in the Australian Government Department of Human Services unless your practitioner returns it for you. Under Regulation 6. 19A of the Superannuation Industry Supervision Regulations 1994 and Regulation 4. 22A of the Retirement Savings Accounts Regulations 1997 a person may apply for an early release the condition can be categorised as a life threatening illness or injury or an acute or chronic pain or a severe disability or a terminal illness.

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