Payroll deduction form

Use this form to make regular voluntary contributions to your super through your employer’s payroll. These contributions are separate from the Superannuation Guarantee (SG) contributions your employer already makes.

Before you start:

  • Make sure you have your payroll office's email address or, if you’re a WA public sector employee, check if your employer is listed under the 'Payroll details' section below, so you can email your completed form to them
  • If you have an existing salary sacrifice arrangement with a salary packaging provider, you will need to contact them directly to make any changes to your current contributions

For more information on contributing to GESB Super or West State Super accounts, please read the Contributing to your super brochure.

* Required fields

Your details

(7 digits)
You can find your member number on your member statement or other communication you’ve received from us.
Date of birth *
We'll send a copy of your form to this address.

What would you like to do?

This will replace the existing contribution you have with your employer.

Contribution amount from your pay

Please tick how you would like to contribute (you can select more than one option). *
Please select whether you would like to contribute a set amount or percentage to your account each pay. *

Please enter the amount (in whole dollars) you would like to contribute to your account each pay. *

Please enter the percentage (in whole numbers) of your pay you would like to contribute to your account each pay. *

Check with your employer's payroll office to ensure you are able to select a percentage.

If you salary sacrifice 50% or more of your salary into your super account, you are encouraged to seek financial advice on your salary packaging arrangement.
Please select whether you would like to contribute a set amount or percentage to your account each pay. *

Please enter the amount (in whole dollars) you would like to contribute to your account each pay. *

Please enter the percentage (in whole numbers) of your pay you would like to contribute to your account each pay. *

Check with your employer's payroll office to ensure you are able to select a percentage.

Tell us about your employer

Please let us know if your employer is a: *

Nominate your account

Select the account you would like your contribution deposited into. *

If you’re a Gold State Super member and do not have an existing West State Super or GESB Super account, please select GESB Super, as a GESB Super account will be opened for you.

If you’re a GESB Super member, there’s a limit on how much you can contribute to your super each year and still be taxed at 15% (the concessional tax rate1). Your concessional contributions cap is $30,0002. For more information, please read the Contributing to your super brochure.

Payroll details

(if known)

Declaration and signature *

  • I understand the conditions that apply to contributions to my super account
  • I am an existing GESB member
  • If my employer is not part of the WA public sector, I understand that contributions from this non-government employer can only be directed to a GESB Super account and that one will be opened for me if I do not already have one
  • I have received financial advice on my proposed salary sacrifice packaging arrangements if I have chosen to salary sacrifice more then 50% of my total employment cost3 to super

You can choose to print or download a copy of your form after clicking 'submit'.




1 If you are a high-income earner whose income and relevant concessionally taxed contributions exceed $250,000 then you may be liable for Division 293 tax. For more information, see the Tax and super brochure.
2 For the 2024/25 and 2025/26 financial years. The concessional contributions cap is indexed in line with Average Weekly Ordinary Time Earnings in increments of $2,500 (rounded down).
3 Your total employment cost is made up of your base salary, other cash allowances, non cash benefits, any fringe benefits tax liabilities currently paid by your employer and any variable components. You should talk to your employer if you need to confirm the value of your total employment cost.

Disclaimer: the information contained on this page is of a general nature, and does not constitute legal, taxation or personal financial advice. In providing this information, we have not considered your personal circumstances including your investment objectives, financial situation or needs. We are not licensed to provide financial product advice. Before acting or relying on any of the information on this page you should review your personal circumstances, and assess whether the information is appropriate for you. You should read this page in conjunction with the relevant Product Information Booklet and disclosure documents. You may also wish to seek advice specific to your personal circumstances from a suitably qualified adviser.

Note: we have a privacy statement that explains how we handle private information about individuals responsibly. Our privacy statement is available on our website or can be obtained by contacting your Member Services Centre on 13 43 72.

Page last updated 22 April 2026

Thank you for printing this page. Remember to come back to gesb.wa.gov.au for the latest information as our content is updated regularly. This information is correct as at 07 June 2026.