HR - Annual leave correction | Victoria University of Wellington

Former employee - Request for recalculation of Holidays Act payments

You should complete and submit this form if you are an eligible former employee at the University and wish to request a recalculation of your Holidays Act payments as part of the University’s Holidays Act remediation work. For further details on eligibility criteria, please refer to the FAQs and other information at www.victoria.ac.nz/holidays-remediation.

Please do not complete and submit this form if you are or were employed at the University as at 19 November 2018. For further details of the remediation work that the University is undertaking for current employees please refer to the notice in Victoria News, 12 December 2018.

Employee details

First name (required)

Last name (required)

Name at time of employment

University Staff ID number

If known—this is not required but will help in processing your request

Date of birth (required)

Day

Month

Year

Have you changed your legal name since working at the University? Yes

Are you making this request on behalf of another person? Yes

Current contact details

Address (required)

Email (required)

Phone

Preferred form of contact

Email
Post

Payment details

IRD number (required)

Bank account (required)

Name on bank account (required)

Documents

Proof of Identity (required)

A copy of biographical page of passport, driver licence or HANZ 18+ card

Tax code declaration - IR330 (required)

An IR330 form is avaible from IRD's website, please attach completed and signed

Superannuation/KiwiSaver details

Are you a contributing member to KiwiSaver, GSF or UniSaver? Yes

Acknowledgement and consent

I confirm that I am the person named in this request, that the information I have provided is true and correct, and that I agree to Victoria University of Wellington collecting, storing and using this personal information for its Holidays Act Remediation process, including where applicable liaising with my superannuation/KiwiSaver scheme provider and/or the Inland Revenue, and updating its records with my current contact details.

Confirm

Further information about how the University collects and uses your personal information can be found in the Privacy Notice on the University website, by emailing privacy@vuw.ac.nz or calling 0800 VICTORIA (0800 842 867).