Get Nz V01 2019-2026

This guide provides clear, step-by-step instructions on how to fill out the NZ V01 form, which is used to appoint an agent for dealing with the Ministry of Social Development. Follow these instructions to ensure a smooth and efficient submission process.

Follow the steps to successfully complete the NZ V01 form.

1. Click ‘Get Form’ button to obtain the form and access it in an online editor.
2. Provide information about yourself. If you have a client number, please enter it here, which can be found on your Community Services Card or SuperGold Card.
3. Enter your full name, including your first and middle names as well as your surname or family name.
4. Indicate your date of birth by filling in the day, month, and year.
5. Specify the person or organization you wish to appoint as your agent. If selecting a person, provide their full name.
6. Describe your relationship with the agent, such as partner, friend, or family member.
7. If your agent is a person, indicate their date of birth by entering the day, month, and year.
8. Provide your agent's mailing address, including flat/house number, street name, suburb, town/city, and any additional mailing details.
9. Select the preferred contact method for your agent. Include any relevant phone numbers and email.
10. Decide how long you want your agent to act on your behalf, whether until a specified date or indefinitely.
11. Indicate the rights and responsibilities you wish to assign to your agent by ticking the appropriate boxes.
12. If applicable, specify if you want community housing providers to communicate with your agent.
13. Provide information about any additional responsibilities you want your agent to have.
14. Confirm if there is anything you do not want your agent to do.
15. Indicate whether you filled out the form yourself or if it is being completed on your behalf.
16. Complete the client's declaration and ensure to sign and date the form.
17. Have the appointed agent read the agent’s declaration, sign, and date the form as well.
18. Once completed, save the changes, download if necessary, and print or share the form as required.

Complete your NZ V01 form online today to appoint your agent.