Flexi-wage employer

About this form

Complete this form if you are an employer and want us to contact you about Flexi-wage and how to support employees to keep working or upskill to fill a role.

Please note the questions in this form may change dynamically based on your answers to previous questions.

Keeping a copy of this form

After you submit the form, you’ll see a confirmation page with all the info you entered. If you want to keep a copy, you can print that page or save it as a PDF using the browser’s print function.

Your Details

Contact full name (required)

Business name (required)

New Zealand Business Number (NZBN) (optional)

Job region (required)Please select which region this job is based in so one of our staff in this region can contact you about your request.

City (required)

Do you have a candidate in mind? (required)

Yes

Have you had an employee supported by Flexi-wage previously? (optional)

Industry (required)

Job title (required)

Employment start date (optional)

Brief job description (optional)

Contact Details

Phone number (required)This must be a valid New Zealand number.

Email address (required)

Business website address (optional)

Declarations

The information I have provided is true and correct (required)

I have read the Ministry of Social Development's privacy notice and understand how my information will be used (required)

MSD Number