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Kimihia he parongo mo

Documents numbered between 1 and 99


New employee opt-out request KS10

(published May 2011) 

About this form

This form is for new employees who are subject to automatic enrolment and want to opt out of KiwiSaver. You can also complete this online.

Adobe Acrobat PDF | 57kb | 2 pages

This form can be completed on-screen by typing content directly into the PDF document. Once you have completed the form it is important that you print it out as you will not be able to save the information you enter into the form.

When to use this form

Use this form if you have been automatically enrolled and you don't want to be a member of KiwiSaver.

What you will need

You will need to provide your:

  • name
  • address
  • IRD number
  • bank account number
  • employer's name and IRD number.

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After you finish

Please print, sign and post the completed form to your nearest Inland Revenue office.

You may wish keep a copy of this form for your personal records.

List of postal addresses for Inland Revenue >