Printed from: https://services.workandincome.govt.nz

Printed: 09 December 2024


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
Please select which region this job is based in so one of our staff in this region can contact you about your request.
Do you have a candidate in mind? (required)
Contact Details
This must be a valid New Zealand number.
Declarations