C3 Holidays Act Service

Completion of this form is an important step of our verification process and ensures that the information we hold for you is up to date. It safeguards C3 from making payments to incorrect people and reduces any risk of fraudulent activity. It also ensures that we apply accurate tax calculations and KiwiSaver deductions where applicable.

Eligibility and Preparation
Was the person you are applying on behalf of working for C3 Ltd any time between 6th October 2012 to 5th October 2018?
Do you have a valid NZ bank account?
Do you have power of attorney for the person that you are applying on behalf?

Ready to apply text

 

Great, it sounds like you are eligible to make a request!

Before you apply, there is information that is needed....

Before you apply, there is information that is needed

Before we begin, please ensure you have the following information ready to upload....

Note: files can be uploaded in PDF, JPG, PNG formats and must be smaller than 10Mb

Proof of Identity

To validate your identity and ensure we are doing everything to reduce fraudulent activity, you will need to upload a copy of a your ID. You can use your New Zealand driver licence, current New Zealand passport, Kiwi Access card or 18+ card, or New Zealand citizenship certificate.

Tax Code Declaration - IR 330 signed and dated

Before we make payment, we first need to verify your information and collect new IR330(external link) form so we know the correct tax deduction rates to apply. These forms are available from IRD.

Proof of Bank Account

One of the following to confirm you have a fully functional bank account.
• A New Zealand bank statement or print out showing your name, bank account number and at least one deposit and one withdrawal of differing amounts
• A letter from the bank showing your name, bank account number and clearly states the account:
- is a fully functional bank account, or
- is an active bank account, or
- has had due diligence completed in accordance with the Anti-Money Laundering and Countering Financing of Terrorism Act 2009

Additional Information is required if you're applying on behalf of someone else

If you are applying  on behalf of someone else you must have a power of attorney or be appointed the executor of the estate. We ask that you provide evidence of this authority in the form of notarized letter or Enduring Power of Attorney (EPA) document. 

Confirm applying for someone else
Former Employee Information
Your Information
Your Address Information
Your Banking Details
Your IRD Details
Confirmation