Extra Help Application Work And Income-Books Pdf

Extra Help Application Work and Income
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commitment,We will get to know you,your situation and Ka mohio We will make sure you. understand everything,your needs ki a koe you need to know. We will use your We will respect your,feedback to improve privacy and be clear. our service about how we use,your information and,who we share it with. We will let you know,everything you may Ka tautoko We will help you.
owever we can,be eligible for i a koe as soon as we can. The information We will be honest,we give you will a bout our mistakes. be accessible and and put them right,consistent no matter. how you contact us,We will respect you,and what is important Ka mahi We will work. together to achieve,to you tahi ki a koe shared goals.
We will let you know Our actions will,your options rights follow our words. and obligations,wedo Let us know by visiting msd govt nz feedback. or call us on 0800 559 009,Page 2 M43 FEB 2020,Extra Help. Once you have filled out the application form use this checklist to tick off all the documents you need. for your meeting with us, Talk to us if you do not have any of the documents have given them to us recently or if there might be. a delay in getting them,For your partner,Proof of who you are For you if you have one.
need to bring If you were born in New Zealand bring one type of official. identification that has your full legal name and your date of. birth for example your birth certificate passport driver. INFORMATION NOTE licence firearms licence deed poll. Documents need to be, originals or copies of If you were born overseas bring proof that you have a right. documents that have, been certified as a true to live in New Zealand for example a citizenship certificate. copy by a Solicitor Lawyer a New Zealand passport a passport from another country. Notary Public Registrar with residence class visa or proof of permanent residence. of the Court or Justice of, If your name has changed bring your marriage certificate. deed poll or other proof of the name change, All people applying need to bring two more documents. that help to prove who you are for example a marriage. certificate bank statement phone or power account,driver licence.
A form or letter from Inland Revenue showing your tax. Proof of your bank account details such as a bank statement. or deposit slip, One of the documents above must be at least two years old. There are more things you need to bring in the table over the page. M43 FEB 2020 Page 3, Depending on answers in the applicant form pages 5. Applicant to 14 and partner form pages 25 to 31 you may need For your partner. and partner to bring For you if you have one,Proof of your assets and their value. Proof of payments if you receive a benefit allowance or. pension from overseas, Full birth certificates for each dependent child in your care. Your marriage or civil union certificate for a current. relationship, Your business accounts if you have your own business.
Proof of any before tax income for the 52 weeks before the. application for example wages holiday pay and any other. income and details of your income for the last 26 weeks. Trust documents if you re involved in a trust for example. trust deed deed of debt gift statements accounts, Depending on your answers on pages 15 to 24 you may. Extra help need to bring For you, forms If you re applying for an Accommodation Supplement. proof of accommodation costs,proof of your assets and their value. If you re applying for help with Health and Disability Costs. proof of health related costs, a Disability Allowance medical certificate for each person. you apply for, If you re applying for Temporary Additional Support.
proof of any essential ongoing costs,proof of accommodation costs. proof of your rates rebate if you get one,proof of your assets and their value. Page 4 M43 FEB 2020,Extra Help,applicant s form, In the applicant form you your and yourself means the person applying for Extra Help. If we say your partner this only applies to you if you have one. Tell us about yourself, If you have received a benefit or extra financial help from us before write your client number here if you know it. This number can be found on your Community Services Card or SuperGold Card if you have one. Client number,Tell us the 1 What is your full name.
names you Mr Mrs Ms Miss Other,known by First and middle names. ATTACHMENT FOR Q1,Surname or family name,Bring proof of your. identity What you need,to bring is explained on,pages 3 and 4. 2 Is the name on your birth certificate the same as above. No Tell us the name that is on your birth certificate Yes. First and middle names,Surname or family name,HOW TO ANSWER Q3. 3 Have you ever been known by any other name,For example have you.
had married names,No Yes Write them all out below,English names changes. by deed poll or aliases,ATTACHMENT FOR Q3 2,Bring your marriage. certificate deed poll, or other proof of any 4 What name would you like us to call you. name change, The name I wrote in Question 1 The name I wrote in Question 2. Write the full name,M43 FEB 2020 Page 5,Tell us more 5 What date were you born.
Day Month Year,Male Female Gender diverse,ATTACHMENT FOR Q7. 7 What is your Inland Revenue tax number,Bring a form or letter. from Inland Revenue,showing your tax number,ATTACHMENT FOR Q8. 8 What bank account would you want your payments to be paid into. You need to provide,proof of your bank The account is in the name of. account details,The account number is,Tell us how 9 Where do you live.
we can Flat House number Street name,contact you,HOW TO ANSWER Q9 Suburb. If you live in a rural,area flat house number,could include your RAPID Town City. number fire number,emergency services,HOW TO ANSWER Q10. 10 Is your mailing address different from where you live. Mailing address can,include a PO Box rural,No Yes Tell us your mailing address. delivery details or C O,HOW TO ANSWER Q11,11 How else can we contact you.
Please only give us Tick the best way for, contact details you d like us to first contact you. Home phone,Mobile phone,Other phone,12 Do you agree to get emails from us. No Yes Tell us your mailing address I don t have an email address. Page 6 M43 FEB 2020, Tell us your 13 Tick the group s you most identify with. ethnicity M ori Which tribe s or iwi,INFORMATION FOR Q13. We collect this New Zealand,Niuean Samoan Indian,information for statistics European.
we use in research and Other European Tolelauan Tongan Chinese. future development work, Cook Island M ori Other Please write below Don t want to answer. Tell us 14 Do you usually live in New Zealand,about your. HOW TO ANSWER Q14, 15 What best describes your residence status in New Zealand Tick only one box. This means you consider New Zealand citizen,New Zealand your home Go to question 18. you re a legal resident,you usually live here and Granted New Zealand.
Date citizenship granted,you intend to stay citizenship. Day Month Year,Go to question 16,Granted permanent Date permanent. residency residence granted,Day Month Year,Go to question 16. Other What is your residence status,16 When did you arrive in New Zealand. Day Month Year,17 What country were you born in,M43 FEB 2020 Page 7.
Tell us if you 18 Have you ever lived or worked in any countries outside of New Zealand. have lived, No Go to question 21 Yes Please provide details below. overseas Date you entered Date you left, Name of country this country this country Reason for being in this coun try. INFORMATION FOR Q18,Periods of overseas,residence may. affect entitlement,to some benefits,mean you re eligible for. an overseas,benefit or pension,For more information.
phone 0800 777 227,HOW TO ANSWER Q18,Your reason for being. in a country may be 19 Do you receive or qualify for a social security benefit pension or allowance. that you were there,from overseas,for a working holiday. you were living there,you were born there No Go to question 21. Yes Tick the box that best describes your benefit pension or allowance. Retirement or old age Superannuation Disability or health. Widow or survivor Child or dependent War related,ATTACHMENT FOR Q20. 20 If you ticked yes for question 19 please give details of the payments. You ll need to show us you get,proof of these payments.
such as a pension Payment 1 Payment 2,certificate,What country does the payment come from. How much do you get each time the payment,is made in overseas currency. Is this amount before or after tax,How often do you get the payment. for example weekly fortnightly monthly,What is the name of your pension allowance. or benefit,What is the payment reference number,Tell us if 21 Are you a full time student.
Page 8 M43 FEB 2020,Tell us about the people in your household. Tell us 22 Do you have dependent children in your care. about your, No Go to next page Yes Please provide details below. children Child 1,Full name Date of birth,HOW TO ANSWER Q22. Please give the names Day Month Year,of children you support Relationship to you. financially and who live,with you as a member of, your family including Parent 1 Full name Parent 2 Full name.
your own children,adopted children,stepchildren Child 2. children at Full name Date of birth,boarding school. grandchildren Day Month Year,mokopuna Relationship to you. The child s name should,be the same as on the, child s birth certificate Parent 1 Full name Parent 2 Full name. Tell us the names of all,parents of each child,ATTACHMENT FOR Q22.
Full name Date of birth,Bring the birth certificate. for each dependent child Day Month Year,Relationship to you. Parent 1 Full name Parent 2 Full name,Full name Date of birth. Day Month Year,Relationship to you,Parent 1 Full name Parent 2 Full name. If you need to include more than four children in your application please write. these details about each one on a separate sheet of paper and bring them with. this application form,M43 FEB 2020 Page 9, Tell us Definition of a relationship for benefit purposes.
about your Whether people are single or a couple affects eligibility for certain income assistance and the rate. relationship at which we can pay that assistance, status When we work out your entitlement to income assistance we ll consider you to be in a relationship if. you re married in a civil union or in a de facto relationship and have a degree of companionship. By degree of companionship we mean two people, are committed to each other emotionally for the foreseeable future and. are financially interdependent on each other, To give you a better idea of what we mean by this think about whether your relationship includes. some of the things below, you live together at the same address most of the time. you share responsibilities for example bringing up children if any. you socialise and holiday together,you share money bank accounts or credit cards.
you share household bills,you have a sexual relationship. people think of you as a couple, you give each other emotional support and companionship. HOW TO ANSWER Q23, 23 Do you understand our definition of a relationship. Tick this statement,to confirm you, I understand the definition of a relationship for benefit putposes. understand the definition,of a relationship for,benefit purposes 24 Do you have a partner.
If you don t, understand what we Your partner needs to complete the. No Go to question 28 Yes,mean by a relationship Partner form on page 25. please leave this blank,until you talk with us, In the meantime go to 25 What is your partner s full name. question 28,26 What date was your partner born,Day Month Year. ATTACHMENT FOR Q27, 27 What is your relationship status with your partner.
Bring your marriage or, civil union certificate for Please tick one of the following boxes. your current relationship,Married In a civil union In a relationship. Page 10 M43 FEB 2020,Tell us about your work in the last 52 weeks. By work we mean any employment for which you get paid or get other advantages for such as free or. subsidised board payments in kind or drawings from a business. Tell us 28 Are you working,about your,No Go to question 32 Yes. current work,HOW TO ANSWER Q29,29 What type of work do you do.
By full time we mean,you generally work at,Full time Part time Casual. least 30 hours a week,By part time we mean,Seasonal Self employed Voluntary. you generally work at,least 15 hours a week,If you have more Who are you working for. than one job please,record details of your Employer s name. other employers on,a separate sheet of,paper Employer s contact details.
For each job include the Address,information asked for in. questions 29 30 and 31 Phone number Fax,HOW TO ANSWER Q31. Include the amount, you re paid and also 31 How much are you paid each week. the value of things you, get from your employer Type of payment include goods or services Amount before tax Amount after tax. 1For rNewrZalZ 1 When you apply for Financial Assistance you will need to complete this application form and provide the following for both you and your partner if

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