Forms starting with: C
Contributions holiday request KS6
(published April 2007)
About this form
This form is for employees to request a contributions holiday.
Adobe Acrobat PDF | 62kb | 2 pages
When to use this form
An employee should complete this form to request a contributions holiday.
What you will need
You will need to provide your name, address and IRD number.
You can provide your employer's details if you want Inland Revenue to notify your employer/s of the contributions holiday.
Download Acrobat Reader to view PDF files
Report an accessibility problem for this page
After you finish
Please print, sign and send this completed form to the following address:
Inland Revenue
PO Box 1454
Hamilton 3240
You may wish to keep a copy of this form for your personal records.
