Fillable Form Ir880 - Paid Parental Leave (Ppl) Application (Page 5 of 8) in pdf

Which work verification do you need?

Did you tick employee or self-employed at question 10?

Employee

Self-employed

Have you worked for only one employer for the last 52 weeks

Do you have a chartered accountant or tax advisor?

up to the due date or the date the child came into your care?

YES

Can just one employer verify

that you have worked for

them for at least an average

of 10 hours per week for any

Are you:

26 of the last 52 weeks?

(This can be your current or

• a doctor rotating between

a previous employer)

different district health

boards, or

YES

• a teacher who was

employed by different

boards of trustees in a state

Can the same

school or integrated school

employer verify

that you earned

YES

the income you

YES

have provided in

this application?

Employer's declaration

Statutory declaration

Chartered accountant and tax advisor

declaration

After signing below you must take this

After signing below you must complete

form to your employer and have them

the statutory declaration on page 5 of this

After signing below you must take this

complete the declaration on page 4 of this

application.

form to your chartered accountant or

application.

tax advisor and have them complete the

People authorised to take this declaration

declaration on page 4 of this application.

• Your employer is required to fill in the

• a Justice of the Peace

employer's declaration on this form.

To verify your application, your

• a person enrolled as a barrister and

Your employer will declare that you

chartered accountant or tax advisor

solicitor of the High Court

have worked the required hours and

must be a member of an organisation

• a registered legal executive (fellow of

number of weeks to qualify, and that

who has approved advisor status with

the NZILE)

the income you have declared is

Inland Revenue.

• a notary public

accurate.

• a registrar or deputy registrar of the

These organisations are:

• When your employer has filled in

High Court, District Court, Court of

• Chartered Accountants Australia

the employer's declaration, they'll

Appeal or Supreme Court

New Zealand (CA ANZ)

give the form back to you to send

• a member of parliament

to Inland Revenue along with your

• other government officer authorised to

• Accountants and Tax Agents

supporting documentation.

take statutory declarations.

Institute of New Zealand (ATAINZ)

Please call the Ministry of Business,

You can usually find a list of JP's or

Innovation & Employment on 0800

209

020

other people authorised to take a

• CPA Australia

if your employer won't fill in the form.

statutory declaration in the Yellow Pages

Applicant’s declaration - applicant must complete this section

I declare the information I supply in this application is true and correct to the best of my knowledge.

I confirm that I choose to receive paid parental leave instead of parental tax credit for the child in this application.

And I understand:

•

if I return to work before I have received all of my paid parental leave payments (except for Keeping in Touch hours), I must notify

Inland Revenue immediately because I’ll no longer be entitled to receive PPL and

•

there are penalties of up to $15,000 for providing false or misleading information or failing to provide information with the intention to mislead.

Signature

Day

Month

Year

Page 3

Form Ir880 - Paid Parental Leave (Ppl) Application Page 5

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