Form Ir 880 - Paid Parental Leave Application For An Employee Page 5
Download a blank fillable Form Ir 880 - Paid Parental Leave Application For An Employee in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ir 880 - Paid Parental Leave Application For An Employee with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6IR 880
June 2013
Paid parental leave
application for an employee
Office use
Applicant to complete
First name
Surname
IRD number
(8 digit numbers start in the second box.
)
Postal address
Please put street address or PO Box number and suburb, box lobby or RD
Town or city above (see note 1)
Phone number
Home
Work
We collect the following information for statistical purposes. This question is optional.
Please tick the ethnic group(s)
NZ European
Cook Island Māori
Chinese
you belong to
Māori
Tongan
Indian
Samoan
Niuean
Other (please specify)
Yes
No
Has your employer granted you parental leave from work?
Yes
Please attach documentation
No
Is this application for an adopted child?
Birth date of your child (or adopted child) or expected due date
DoB
EDD
(see note 2)
Day
Month
Year
Have you received paid parental leave (PPL) for a child previously? If “yes”, please tick here
Your bank account number
(see note 3)
Bank
Branch
Account number
Suffix
Note:
You may qualify for both parental tax credit (PTC) and paid parental leave (PPL) payments, but you cannot receive both. In most cases PPL
payments will be higher than parental tax credit payments
.
(see note 4)
Are you expecting three or more children? (from multiple birth or adoptions)
Yes
No
Is your income from your job less than $25,384.84 (before tax)?
Yes
No
Are you planning to take less than 14 weeks parental leave?
Yes
No
If you’ve answered “Yes” to any of these questions, we’ll get in touch with you to help you work out which is better for you.
If you’ve answered “No” to all three questions, PPL is better for you.
Yes
Please tick the circle to show you’re choosing to receive PPL payments instead of PTC.
If you’re unsure about any of these questions please tick this circle and we will contact you.
Do you want to transfer any of your entitlement to your spouse or partner?
Yes
No
You might have a spouse or partner who’ s also taking parental leave from their job or self-employment and you may want to transfer your
entitlement to them for some or all of the period (up to the 14 weeks’ entitlement), If you do you’ll also need to fill in a Paid parental leave
transfer to an employee (IR 881) form or a Paid parental leave transfer to a self-employed person (IR 889) form.
Do you make or receive child support payments through Inland Revenue?
Yes
No
(see note 5)
For the financial year ending
If you’ d like to estimate your income for child support, enter your new income
3 1 0 3 2 0
estimate for the current financial year
(see note 5)
Day
Month
Year
Do you want to make voluntary student loan payments on top of your required payments
Yes
No
(see note 6)
%
If you’ d like to make voluntary payments, enter the amount here
fortnightly payment
Declaration There are penalties for giving false or misleading information or failing to provide information with the intention to mislead.
I understand if I return to work before I have received all of my payments, I must notify IR immediately.
I declare that the information in this application form is true and correct to
Signature
the best of my knowledge. I understand that I have chosen to receive paid
/
/
parental leave payments and cannot receive parental tax credit for the children
this application relates to.
Date
Form/page 1
Give this form to your employer to fill in page 2
RESET form
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal