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About this form

This form is for employers to enrol eligible employees in KiwiSaver.

Adobe Acrobat PDF | 86kb | 2 pages

When to use this form

This form is for employers to notify Inland Revenue about:

• a new employee being enrolled automatically in KiwiSaver
• an existing employee who opts in.

What you will need

All employees who are automatically enrolled or opt into KiwiSaver should give their name, IRD number and address to their employer.

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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.

List of postal addresses for Inland Revenue >