Wage subsidy schemes and Leave Support complaint form

Fill out this form if you believe your employer is receiving a wage subsidy or Leave Support Scheme but not meeting the conditions they agreed to.

If you require help to fill out this form please call us on 0800 20 90 20 and we can assist you.

Fields marked with an asterisk (*) are mandatory

1. The payment scheme

Which payment is your complaint about? *

2. Affected employees contact details

This is the person we should contact about this complaint.

What is the best time to contact you?

To see a complete list of languages available to you please visit Ezispeak NZ

3. Complaint details

What type of employee are you? *

NOTE: Working 20 hours or more equals full time employment and working less than 20 hours equals part time employment.

Have you discussed these concerns with your employer?

4. Details about your employer

If you don’t know the business name of your employer you can look them up now using one of the below websites.

New Zealand Business Number (NZBN)
Ministry of Social Development (MSD)
Companies Office 

How many staff does your business employ? *

5. By submitting your complaint

You agree for the information you provide to be used by Employment New Zealand and other agencies to investigate your complaint. This includes Ministry of Social Development, Inland Revenue and the NZ Police.

You agree that Employment New Zealand or other agencies listed above may contact you.

You understand that if you have asked for your details to be kept confidential from your employer, we cannot completely guarantee your privacy. We will not give your name to your employer without your consent. Subject to the right of appeal, we will not give your name to anyone asking for it advising that to do so would be prejudicial to the maintenance of the law. This in line with the Official Information Act. For further information, read our Privacy Policy.

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