Form Ks 6 - Contributions Holiday Request (Page 2 of 2) in pdf

Form Ks 6 - Contributions Holiday Request Page 2

This form is for employees to request a contributions holiday

We will automatically approve your request for a contributions holiday if you have been a member of KiwiSaver for at least 12 months.

You can take a contributions holiday for any period between three months and five years. You can take as many contributions holidays

as you like while you are a KiwiSaver member. You’ll find more information in your KiwiSaver information pack or by going to

Financial hardship

If you haven’t been a member for at least 12 months but you are experiencing financial hardship, you may be able to apply for a

contributions holiday for a minimum of three months. In this case, attach an explanation of your situation or call us on 0800 549 472

to give us details of your situation.

We will advise you when your financial hardship application is accepted or declined.

Contributions holiday approval notice

We will send you a confirmation notice. You can have a holiday from one or all of your employers at the same time. We’ll ask the ones

you nominate to stop making deductions or you can show them your contributions holiday notice.

You can ask your employer to restart deductions from any income source at any time while you are on a contributions holiday.

Privacy Act 1993

We ask you for information so we can effectively manage your KiwiSaver account under the KiwiSaver and Inland Revenue Acts.

You must, by law, give us this information. Penalties may apply if you do not.

We may also pass on some information about your account to your KiwiSaver scheme provider. You can ask to see the personal

information that we or KiwiSaver scheme providers hold about you by calling us on 0800 549 472. Unless we have a lawful reason for

withholding the information, we will show it to you and correct any errors.

For more information about KiwiSaver go to or call us on 0800 549 472.

Form Ks 6 - Contributions Holiday Request Page 2