Fillable Application for Recognised Seasonal Employer Status (Ministry of Business, Innovation and Employment New Zealand)

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Application for Recognised Seasonal Employer Status (Ministry of Business, Innovation and Employment New Zealand)

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OFFICE USE ONLY Client no.: Date received: / / Application no.:
August 2018
Application for Recognised
Seasonal Employer Status
INZ 1140
Applying for Recognised Seasonal Employer (RSE) status
immigration.govt.nz
Information for employers
The Recognised Seasonal Employer (RSE) Scheme is intended to help the horticulture and viticulture industries
to plan for, and meet, their seasonal labour requirements at times where labour demand exceeds the available
New Zealand workforce.
The term ‘overseas worker’ is used throughout this form. This term has the same meaning as ‘non-New Zealand
citizen or residence class visa holder worker’ as used in RSE Instructions.
Eligible seasonal workers
Employers who have gained RSE status can apply for an Agreement to Recruit (ATR). An ATR allows employers to recruit
aset number of workers who are not New Zealand citizens or residence class visa holders, to plant, maintain, harvest, and
pack crops in the horticulture and viticulture industries. An ATR may be granted where the Ministry of Social Development
confirms there are not enough New Zealand citizens or residence class visa holders available and willing to fill the employer’s
seasonal labour requirements.
What is an RSE?
An RSE is a New Zealand employer who has had an application for recognition as an RSE approved by Immigration New Zealand
(INZ). RSE status is only granted where an employer meets specified standards, particularly in regard to recruitment and
employment practice, and has satisfied INZ that they will continue to meet these standards throughout their period as an RSE.
To gain recognition as an RSE an employer must, among other things, be financially viable, comply with relevant
NewZealand Instructions and legislation, and have good employment practices.
RSE status will be granted for two years for successful first-time applicants. Prior to RSE status expiring, employers are
required to re-apply for RSE status if they wish to apply to recruit more overseas workers.
Obtaining RSE status is step one in a four-step process to employ overseas seasonal labour in the horticulture and
viticulture industries.
Applications for RSE status
Applications for RSE status must be made on this form and must be accompanied by any documents which are required
tosupport the application and the required fee. See our Fees Guide (INZ 1028) for more details.
Send your completed application to:
Recognised Seasonal Employer Unit
Immigration New Zealand
PO Box 50728
Porirua 5240
To speed up the application process, please supply all requested information and documents when you lodge
yourapplication.
2 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
RSE Instructions process
STEP 1:
Recognised Seasonal Employer (RSE)
STEP 2:
Agreement to Recruit (ATR)
STEP 3:
Visa application
Employer applies for recognition as an RSE.
Validity: twoyears. A further application
must be made prior to the end of this
period. (RSE status may be granted for
three years for subsequent applications.)
Employer with RSE status applies
for an agreement to recruit workers
from offshore.
Validity: one seasonal period.
Prospective worker with an offer of
employment linked to an ATR applies for
a visa offshore.
Validity: seven months maximum in any
11-month period.
However, if the applicant is a citizen
of Tuvalu or Kiribati, and is normally
resident in Tuvalu or Kiribati, they may
be granted a visa for a maximum stay
of ninemonths.
Step 4:
Following season
Options for the overseas worker to return to New Zealand next season if conditions are met, and:
• they have complied with all immigration requirements, and
• there is a continued labour shortage present, and
• a new Agreement to Recruit is obtained.
RSE requirements
To be granted RSE status, applicants must demonstrate that they:
• are a New Zealand employer (as defined in RSE Instructions), and
• are in a sound financial position, and
• have human resource policies and practices that are of a high standard, promote the welfare of employees,
andinclude a dispute resolution process, and
• have shown a commitment to training New Zealanders, and to recruiting New Zealanders, and
• have good workplace practices, including a history of compliance with all immigration and employment laws
such as the Immigration Act, the Injury Prevention, Rehabilitation, and Compensation Act, the Minimum Wage Act,
the Health and Safety at Work Act, the Employment Relations Act, the Holidays Act, and the Wages Protection Act.
• are able to meet the further requirements set out below.
Applicants must consent to INZ seeking information from other services of the Ministry of Business, Innovation
&Employment, the Ministry of Social Development, Inland Revenue, the Accident Compensation Corporation and any
relevant unions, agencies, and industry bodies concerning the applicant’s compliance with New Zealand employment,
health and safety, and immigration laws.
Where such consent is not given, an application for RSE status may be declined.
INZ must be satisfied that employers will:
• take all reasonable steps to recruit and train New Zealanders for available positions before seeking to recruit
workers who are not New Zealand citizens or residence class visa holders, and
• not use a recruitment agent who seeks a commission from workers in exchange for securing an employment
agreement, to recruit overseas workers, and
• pay for half the return airfare between New Zealand and the worker’s country of residence for each worker recruited
under RSE Instructions (or half the return airfare between New Zealand and Nadi, Fiji, for workers from Kiribati and
Tuvalu), and
• comply with the requirements for employment agreements including the minimum remuneration and pay deduction
requirements as set out in RSE Instructions, and
• make available appropriate pastoral care (including food, shelter, clothing, and access to health services and
suitableaccommodation) to their overseas workers at a reasonable cost during the period of employment, and
• promptly notify INZ if any overseas workers breach the conditions of their visa, and
• promptly notify INZ of any disputes with holders of RSE limited visas that have resulted in the suspension or
dismissal of the worker, and
Application for Recognised Seasonal Employer Status – August 2018 – 3
When filling in this form, please write clearly using CAPITAL LETTERS.
• not engage the services of a contractor who does not have good workplace practices and who employs overseas
workers, and
• have direct responsibility for the daily work output and supervision of overseas workers recruited under these
Instructions (unless the exception to this requirement described below applies), and
• pay to MBIE any costs reasonably incurred by MBIE, to a maximum of NZ$3000 per worker, in relation to the
repatriation (including any maintenance and accommodation) of any overseas worker who requires repatriation
as a result of a breach of the terms and conditions of their RSE limited visa, and
• disclose, on request, to representatives of MBIE all payments received from RSE workers (including payments for
airfares, accommodation and other pastoral care).
Under RSE Instructions, INZ is required to be satisfied that all of the information and documents included in an
application for RSE status are genuine and accurate, and may take any steps it considers necessary to verify such
information or documents, including interviews. INZ may also, where necessary, conduct a site visit of an employer’s
premises. Where any information is identified by the employer as commercially sensitive, is provided to INZ in confidence,
and INZ considers the disclosure of that information is necessary for the determination of the application, INZ will
seek the consent of the employer for the disclosure of that information.
Note: for the purposes of these Instructions, the return airfare is defined as the total cost of travel from the worker’s country of residence (or from
Nadi (Fiji) for a worker who is a citizen of Tuvalu or Kiribati) to New Zealand and back, including all associated taxes and fees.
Direct responsibility and supervision exception
An RSE does not have to be directly responsible for the daily work output and supervision of overseas workers when the
workers are temporarily working on the worksite or worksites of another RSE who has agreed to take on these responsibilities.
We call this second RSE the recipient RSE. The RSE who employed the workers under RSE Instructions (the first RSE)
remains accountable for all other responsibilities under RSE Instructions. We only allow this arrangement if:
• the total period of work on the recipient RSE’s worksite/worksites is of one month or less;
• the recipient RSE’s worksite/worksites is within the region specified in the first RSE’s ATR; and
• the first RSE has notified INZ in advance of the arrangement.
Agreement to Recruit
If the business is granted RSE status, the employer may then apply for an ATR before recruiting overseas workers.
To apply for an ATR, a completed Application for an Agreement to Recruit under the Recognised Seasonal Employer
Instructions (INZ 1141) must be submitted to INZ, including the required supporting evidence. If an ATR is granted,
it will allow an employer to recruit a specified number of overseas workers to work in specific jobs with the RSE.
Who is eligible to work for an RSE?
An RSE that has been granted an ATR may make an offer of employment to workers from the Pacific nations listed
below (within the conditions of the ATR). Workers from these nations who are 18 or over may be granted a limited
visa if they hold an acceptable job offer, hold a return ticket to their home country, meet health and character
requirements, and meet the requirements for a bona fide applicant.
RSE Instructions Pacific Nations
Federated States of Micronesia Palau Solomon Islands
Fiji Papua New Guinea Tonga
Kiribati Republic of Marshall Islands Tuvalu
Nauru Samoa Vanuatu
In circumstances where an RSE cannot recruit overseas workers from the list of nations listed in the table above,
they may be granted an agreement to recruit overseas workers from other nations if the RSE:
• was unsuccessful in recruitment after reasonable attempts to recruit from the nations listed above, or
• has pre-established employment relationships with workers of other nationalities, or
• can provide reasonable grounds why it is not feasible to recruit from the Pacific nations listed above.
When assessing whether an RSE has made reasonable attempts to recruit from the eligible Pacific nations, INZ will
require evidence that attempts to recruit have been made, such as a written communication from a national RSE
officer stating that they have been consulted and agree that employing workers from the Pacific nations is not
feasible in the circumstances.
4 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
INZ will assess whether a business has a pre-established employment relationship. Such factors considered are
thenumber of workers employed from each country relative to the total number of workers, the number of previous
occasions on which workers have been recruited from these countries, the length of time for which these workers
were employed, and whether the RSE has made a substantial investment in establishing formal training opportunities
or recruitment processes with workers or communities within these countries.
Any ATR application to recruit outside the Pacific nations listed above must be accompanied by a written request
stating the country/countries that the RSE wants to recruit from and supporting evidence documenting why they
have not been able to recruit workers from the Pacific.
RSE status may be declined or rescinded
An application for RSE status will be declined if an employer does not meet the criteria for RSE status, or if INZ
considers that giving the employer RSE status would create unacceptable risks to the integrity of New Zealand’s
immigration or employment laws or policies.
RSE status may be rescinded if there is any breach of RSE or ATR requirements, other than of a minor nature, or if INZ
considers an employer’s conduct has created an unacceptable risk to the integrity of New Zealand’s immigration or
employment laws or policies. Where an employer’s RSE status has been rescinded, INZ will not approve any further
applications for RSE status from the employer that are made within one year from the date their RSE status was rescinded.
Applications for reconsideration
There is no statutory right of appeal against a decision by INZ to decline an application for RSE status; however,
INZwill reconsider a decision to decline RSE status if the employer provides new information and does so promptly.
Any application for reconsideration must be made in writing. INZ’s decision on a reconsideration assessment is final.
Checklist of required documents
Section I: Evidence required includes a checklist of the documents that are required to be submitted with this
application form.
Lodging this application
Check before submitting your application.
Have you:
• read Section J: Declaration, and signed and dated the application form?
• enclosed the application fee, or authorised a credit card payment in Section K: Paying your application fee?
• checked that all supporting documents required by this form (see Section I: Evidence required), or indicated
byyouas being attached, are either attached or enclosed for submission with the application?
Send your completed application to:
Recognised Seasonal Employer Unit
Immigration New Zealand
PO Box 50728
Porirua 5240
Immigration Advisers Licensing Act 2007
Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration advice without being
licensed or exempt. If your immigration adviser is not licensed when they should be, INZ will return your Request
for Approval in Principle. For more information and to view the register of licensed advisers, go to the Immigration
Advisers Authority website www.iaa.govt.nz or email info@iaa.govt.nz.
Work entitlement
It is an offence under the Immigration Act 2009 to employ a person who is not entitled to work in NewZealand.
One way for employers to avoid committing this offence is to check a person’s entitlement to work through
Immigration NewZealand’s online VisaView system. For more information or to register please visit
www.immigration.govt.nz/visaview. Disclosure of information through VisaView is authorised by legislation.
Tear off and retain pages 1 to 4 if you wish.
OFFICE USE ONLY Client no.: Date received: / / Application no.:
August 2018
Application for Recognised
Seasonal Employer Status
INZ 1140
Applying for Recognised Seasonal Employer (RSE) status
immigration.govt.nz
When filling in this form, please write clearly using CAPITAL LETTERS.
Section A
Employer’s details
Employers who currently hold RSE status may confirm that their answers to some questions in this form are the same
as those provided in their last Application for RSE Status form by ticking the ‘Refer to previous form’ box. First-time
applicants for RSE status should not mark these boxes.
All applicants must complete this section.
A1
Employer’s name (eg name of business)
New Zealand Business Number
For help search: www.nzbn.govt.nz
A2
Employer’s legal status (eg limited liability company, sole trader)
A3
Name of person completing this application for RSE status
Family/last name
Given/first name(s)
Your title or position in the business
Do you have authority to represent the business that is applying for RSE status?
Yes
No
Do you have authority to enter into legally binding agreements on behalf of the business that is applying for RSE status?
Yes
No
A4
Does the business currently have RSE status?
Yes
No Go to question
A7
A5
Provide the business’s current RSE number
A6
On what date did you submit your previous RSE application?
D M Y YD M Y Y
A7
Has the business ever had RSE status rescinded?
Yes When was RSE status rescinded?
No
6 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
A8
Employer’s contact details for any communications about this application:
Name of contact person (if different from above)
Address
Telephone (daytime)
Telephone (evening)
Fax
Telephone (mobile)
Email
Business website address
Section B
Employer’s business details
Provide the following details about the business.
B1
Date the business was established
Refer to previous application or
D M Y YD M Y Y
B2
Number of New Zealand citizen or residence class visa holders who are permanent full-time employees
B3
Estimated maximum number of full-time workers the business is likely to require during a seasonal peak
B4
Estimated number of overseas workers the business is likely to recruit under these instructions during a seasonal
peak. (Do not include temporary non-New Zealand workers that you intend to recruit under other INZ instructions.)
B5
Does the business currently pay workers from overseas and New Zealand workers the applicable market rate?
Yes No
B6
What is the core area of business (eg strictly planting crops, crop maintenance, harvesting crops, packing crops)?
Refer to previous application
B7
Does the business perform work for other businesses in the horticulture or viticulture industries under a contract
for service?
Yes
No Go to
B9
B8
Does the business have direct responsibility (including responsibility for work output) for the workers that are
part of the contracted service?
Yes
No
Application for Recognised Seasonal Employer Status – August 2018 – 7
When filling in this form, please write clearly using CAPITAL LETTERS.
B9
As an RSE, what type of employment positions does the business intend to fill with overseas workers under RSE
Instructions?
Planting
Maintaining
Harvesting
Packing
Indicate what type of crop and crop size the business grows or deals with (if applicable, more than one can be chosen).
Refer to previous application
Crop Tick Crop size (hectares)
Avocados
Flowers and foliage
Fruit – berryfruit
Fruit – citrus grapefruit
Fruit – citrus lemons
Fruit – citrus mandarins
Fruit – citrus oranges
Fruit – citrus tangeloes
Fruit – kiwifruit gold
Fruit – kiwifruit green
Fruit – pipfruit apples
Fruit – pipfruit nashi
Fruit – pipfruit pears
Fruit – subtropical
Fruit – summer apricots
Fruit – summer cherries
Fruit – summer nectarines
Fruit – summer plums
Fruit – other (specify)
Grapes – table
Grapes – wine
Hops
Olives
Vegetables – asparagus
Vegetables – onions
Vegetables – potatoes
Vegetables – squash
Vegetables – sweetcorn
Vegetables – other (specify)
Other (specify)
8 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
B10
Does the business have any established employment relationships with workers of other nationalities?
Yes Provide further details in the table below.
No
Refer to previous application
Nationality Number of
workers
Number of seasons workers
have been recruited through the
established relationship
Section C
Business record and practice
C1
Is the business registered with the Companies Office?
Yes Provide the Companies Office registration number
No
Refer to previous application
C2
Do you, or any of the directors or managers of the business, have an association with any organisation that
facilitates the entry to New Zealand of non-New Zealand citizens and residence class visa holders (eg any
association with an immigration adviser)?
Yes
Provide further details below
No
Refer to previous application
C3
Have you, or any of the directors or managers of the business, ever been declared bankrupt?
Yes Provide details below including names, dates, and when discharged.
No
Application for Recognised Seasonal Employer Status – August 2018 – 9
When filling in this form, please write clearly using CAPITAL LETTERS.
C4
Have you, or any of the directors or managers of the business, ever been investigated by the Serious Fraud Office
or the New Zealand Police for any offences arising in the course of, or resulting from, business dealings?
Yes Provide details below including name, date, and outcome. Include any penalty imposed and/or remedial action required.
No
Refer to previous application
C5
In the previous 12 months, have you or any of the directors or managers of the business contacted Work and
Income (a service of the Ministry of Social Development) to seek workers or advertise vacancies?
Yes Provide further details in the table below.
No
When was Work and
Income contacted
(approximately)
Who was the business’s contact
person at Work and Income?
How many people were
employed as a result of
contacting Work and Income?
What positions did these workers fill?
C6
In the previous 12 months, what other recruitment methods has the business used to fill seasonal shortages
(both New Zealand and overseas workers)?
C7
What, if any, organisations does the business deal with as an employer (eg industry organisations, horticulture
orviticulture cooperatives, recruitment or employment agencies)?
Refer to previous application
Name of organisation/association Phone Fax Email
10 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
C8
Is the business a member of a professional industry body?
Yes Provide the name(s) of the professional industry body below.
No
Refer to previous application
C9
Are any of the workers in the business represented by a union?
Yes Provide the name(s) of the union(s) below.
No
Refer to previous application
Name of union and organiser Phone Fax Email
C10
Is the business certified by any quality standard organisation?
Yes
Provide the name(s) of the quality standard organisation below.
No
Refer to previous application
Section D
Training details
D1
What training does the business regularly provide to New Zealand permanent and seasonal employees?
Training for permanent employees
Training for seasonal employees
Provide evidence to support your statement – for example, of any in-house training and development
programmes, or funding of employees’ attendance at training courses by external training providers, and/or
anyother evidence that you consider demonstrates your commitment to employing and training NewZealanders.
Ifdetails are set out in an attached document please state this.
Application for Recognised Seasonal Employer Status – August 2018 – 11
When filling in this form, please write clearly using CAPITAL LETTERS.
D2
As part of the business’s training programme, have you or any of the directors or managers of the business
engaged with a relevant Industry Training Organisation (ITO)?
Yes
Provide the name and contact details of the ITO, details of the relationship the business has with the ITO, and how the ITO is used
totrain employees (includes all employees).
No
Section E
Human resources
E1
Who normally has overall responsibility for human resources (HR) or personnel matters in the business?
Name and position
E2
Who is normally responsible for staff recruitment in the business? (Eg yourself, HR manager, local managers,
recruitment agency.)
Section F
Compliance with health and safety, employment and immigration instructions
and procedures
F1
Has the business ever been found to be in breach of employment or labour law by the Ministry of Business,
Innovation & Employment (MBIE), or by any New Zealand tribunal, authority or court? (This includes any breaches
of the Injury Prevention, Rehabilitation, and Compensation Act, the Minimum Wage Act, the Health and Safety at
Work Act, the Holidays Act, and the Wages Protection Act.)
Yes Provide details below, including type of breach, date of notification by MBIE or date of tribunal, authority or court decision, and
penalty imposed or remedial action required. If full details are set out in an attached document please state this.
No
F2
Has the business ever been found to be in breach of New Zealand’s immigration legislation (either the
Immigration Act 1987 or 2009)?
Yes Provide details below, including type of breach, date of notification by INZ, or date of court decision if convicted, penalty imposed
or remedial action required. If details are set out in an attached document please state this.
No
12 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
Section G
Employer requirements
G1
If granted RSE status, will the business take all reasonable steps to recruit and train New Zealanders for available
positions before seeking to recruit overseas workers?
Yes
No
G2
If granted RSE status, does the business intend to use a recruitment agent to recruit overseas workers?
Yes
No
G3
If granted RSE status, will the business ensure that they will not use a recruitment agent, to recruit overseas
workers, who seeks a commission from workers in exchange for securing an employment agreement?
Yes
No
G4
If granted RSE status, will the business pay for half the return airfare between New Zealand and the worker’s
country of residence for each worker recruited under RSE Instructions (or half the return airfare between
NewZealand and Nadi, Fiji, for workers from Kiribati and Tuvalu)?
Yes
No
G5
If granted RSE status, will the business comply with the requirements for employment agreements including the
minimum remuneration and pay deduction requirements as set out in RSE Instructions?
Yes
No
G6
If granted RSE status, will the business make available appropriate pastoral care (including food, clothing, access
to health services and suitable accommodation) to their overseas workers at a reasonable cost during the period
of employment?
Yes
No
G7
If granted RSE status, will the business promptly notify INZ of any overseas workers who breach the conditions
oftheir visas?
Yes
No
G8
If granted RSE status, will the business promptly notify INZ of any disputes with holders of RSE limited visas that
have resulted in the suspension or dismissal of the worker?
Yes
No
G9
If granted RSE status, will the business ensure it does not engage the services of a contractor who employs
overseas workers and does not have good workplace practices?
Yes
No
G10
If granted RSE status, will the business have direct responsibility for the daily work output and supervision of
overseas workers recruited under these Instructions (unless the exception to this requirement described on
page3 applies)?
Yes
No
G11
If granted RSE status, will the business pay to MBIE any costs reasonably incurred by MBIE, to a maximum of
NZ$3000 per worker, in relation to the repatriation (including any maintenance and accommodation) of any
overseas worker who requires repatriation as a result of a breach of the terms and conditions of their RSE
limitedvisa?
Yes
No
G12
If granted RSE status, will the business disclose, on request, to representatives of MBIE, all payments received
from RSE workers (including payments for airfares, accommodation and other pastoral care)?
Yes
No
Application for Recognised Seasonal Employer Status – August 2018 – 13
When filling in this form, please write clearly using CAPITAL LETTERS.
Section H
Further information
Under RSE Instructions, INZ may seek information concerning the business’s compliance with New Zealand
employment, health and safety, and immigration laws from: other services of MBIE, the Ministry of Social
Development, Inland Revenue, the Accident Compensation Corporation, WorkSafe New Zealand, and any relevant
unions, agencies, industry bodies (including any seasonal coordinators engaged by industry bodies) and regional
groups of employer and employee representatives (ie governance groups).
Note: If you do not answer ‘Yes’ to questions
H1
and
H2
, your application for RSE status may be declined.
H1
On behalf of the business, do you consent to INZ seeking information concerning the business’s compliance
with New Zealand’s employment, health and safety, and immigration laws from the agencies listed above?
Yes
No
H2
On behalf of the business, do you consent to INZ conducting a site visit (to assist in determining this application
for RSE and monitor compliance) to all premises the business utilises?
Yes
No
H3
If Recognised Seasonal Employer status is granted to the business, on behalf of the business, do you consent to INZ
disclosing the business’s name and contact details on a publicly-available database for RSE Instructions purposes?
Yes
No
H4
On behalf of the business, do you consent to INZ sharing any relevant information collected in this application
with the agencies listed above for RSE Instructions purposes?
Yes
No
Section I
Evidence required
Provide the following evidence that is required to assist in assessing this application for RSE status.
Evidence required Check
Business record and financial position
A signed statement of credit worthiness from you, confirming the business is financially viable and that you know of no adverse credit
matters affecting the business.
A statement from a chartered accountant confirming the business is financially sound and is able to meet all outstanding contingent
liabilities.
An authenticated set of accounts showing a sound financial position.
Human resource policies and practice
A written statement documenting any changes to human resource policies and practice since the previous application, or confirmation that
there have been no changes.
A copy of the business’s human resource manual or guidelines.
A written statement detailing the employer’s human resource policies and practices.
Evidence of any pastoral care that the business currently provides to overseas workers and details of what pastoral care the business
currently provides to overseas workers recruited under RSE Instructions
Evidence that the business pays New Zealand and overseas workers the market rate.
Good workplace practices
A written statement documenting any changes to health and safety policies and practice since the previous application, or confirmation that
there have been no changes.
A copy of the business’ health and safety policies and procedures.
Commitment to training
Evidence of an employer’s commitment to training New Zealand citizens and residence class visa holders.
Commitment to recruitment
Evidence of an employer’s commitment to recruiting New Zealand citizens and residence class visa holders.
Breach of immigration instructions
If the business has previously breached any of the requirements of immigration instructions (regardless of whether or not that resulted in
RSE status being rescinded), provide evidence that both the cause and consequence of the breach have been remedied.
14 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
Section J
Declaration
I understand the notes and questions in this form and I declare that the information given about the business is true
and correct.
I understand that if I make any false statements, or provide any false or misleading information, or have changed
or altered this form in any way, this application for Recognised Seasonal Employer status may be declined, and that
I may also be committing an offence under section 342 of the Immigration Act 2009 and may be liable to prosecution.
I understand that I am required to inform INZ about any relevant changes to the circumstances of the business that
occur after I lodge this application and during any period that the business holds RSE status.
I understand that I am required to advise INZ, at the earliest convenience, if any overseas workers on a limited visa
breach the conditions of their visa.
I declare that there are no matters or warrants outstanding, or investigations of any kind, which could have any
current or future effect on the ability of the business to honour its obligations as an employer under Recognised
Seasonal Employer Instructions.
I authorise INZ to make any enquiries it deems necessary in respect of the documents or information provided in
respect of this application, and to share information provided about me or the business with other government
agencies (including overseas agencies) to the extent necessary to make decisions about whether I qualify as a
recognised employer under Recognised Seasonal Employer Instructions.
Note: Where any information is identified by the employer as commercially sensitive and is provided in confidence to INZ, and INZ considers that
disclosure of that information is necessary for the processing of this application, it will seek the consent of the employer for the disclosure of that
information.
I accept that any advice given to me by INZ before lodging this application was intended to assist me, and that acting
on that advice does not mean that this application to obtain RSE status will be approved.
I understand that if this application for Recognised Seasonal Employer status is approved I will be required to submit an
Agreement to Recruit (ATR) application before recruiting overseas workers, and at this time I will be required to provide
further details of how the business will meet the conditions and requirements in the Recognised Seasonal Employer
Instructions.
I understand that the information provided in this form may be used by MBIE for in-house research purposes.
I agree to comply with reasonable requests from MBIE for additional information that may be required for research
purposes, ie by taking part in a survey.
This form must be signed by a person who has authority to make representations and enter into legally binding agreements on behalf of the
business.
Job title or position
Name
Signature of applicant
Date
D M Y YD M Y Y
This form has been approved under section 381 of the Immigration Act 2009.
Application for Recognised Seasonal Employer Status – August 2018 – 15
When filling in this form, please write clearly using CAPITAL LETTERS.
About the information you provide
Immigration New Zealand collects the information
about you on this form to decide whether your
business is eligible to be approved Recognised
Seasonal Employer status under Recognised
Seasonal Employer Instructions.
The address of Immigration New Zealand is
POBox1473, Wellington 6140, New Zealand.
Do not send your application to thisaddress.
Collecting the information is authorised by the
Immigration Act 2009 and the Immigration
Regulations made under that Act. You do not have
to provide the information, but if you do not we are
likely to decline your application.
Immigration New Zealand may also share the
information you have provided with other
government agencies that are entitled to it by law,
or with other agencies (as you have agreed in the
declaration).
You have the right to see the information we hold
about you or the business and to have any of it
corrected if you think it is necessary.
For more information
If you have questions about completing the form:
• see our website www.immigration.govt.nz
• telephone our call centre on 0508 558 855
(withinNewZealand)
Section K
Paying your application fee
To find out how much to pay, where to send your
application, and how long a decision may take,
see www.immigration.govt.nz/fees
Your application fee
Amount you are paying: NZ$
Application number
(office use only)
Preferred methods of payment
We recommend that you use one of the following
methods of payment for better security and faster
processing:
Bank cheque/bank draft
Credit card (choose one)
Mastercard
Visa
Name of cardholder
Card number
CVC number:
Note: your CVC/CVV number is the three-digit
number found on the signature strip on the back
of your credit card.
Expiry date
D M Y YD M Y Y
Signature of cardholder
Date
D M Y YD M Y Y
Other methods of payment
Personal cheque. Note that we will hold your application for
10working days to allow the cheque to be cleared.
We do not accept money orders.
16 – Application for Recognised Seasonal Employer Status – August 2018
When filling in this form, please write clearly using CAPITAL LETTERS.
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Application for Recognised Seasonal Employer Status (Ministry of Business, Innovation and Employment New Zealand)

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Completed 20 November 2020

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