NOTES FOR APPLICANT
Forward this application with your supporting documentation to:
Fuel Excise Duty
NZ Transport Agency
Private Bag 11777
Palmerston North 4442
We do not return any documents that you forward to support your application. Ensure that you take a copy of all original documents
before submitting your application.
A separate claim must be completed for each quarter and for each fuel type.
Claim periods are for three month periods ending 31 March, 30 June, 30 September and 31 December. Only one claim per period per
fuel type is to be lodged.
CHANGE OF DETAILS
If you have a change in details (eg commercial activity change, farm location, farm size) phone 0800 108 809 or email email@example.com
to let us know the changes.
The claim should be lodged within 3 months after the close of the quarter.
If it is lodged after 3 months but not later than 2 years, the refund will be reduced by 10%.
If it is lodged more than 2 years after the close of the quarter the refund will be declined.
Proof of purchase
Applications must be made on the basis of supply date. Suitable documentation showing supplier, quantity, type of fuel and date of
purchase is required to support all purchase details. Please attach copies of proof of purchase.
Documents that may be acceptable are:
a copy of the fuel purchase tax invoice or statement, or
an ocial fuel summary from the company the fuel was purchased from.
At any time during the next 7 years you may be required to provide additional information to support the claim.
PAYMENT OF CLAIM
After your refund has been approved, a direct credit refund and remittance advice will be supplied.
Legislation providing for the refund of excise duty on fuels is contained in section 5 of the Land Transport Management (Apportionment
and Refund of Excise Duty and Excise-Equivalent Duty) Regulations 2004. Refunds of ACC levies are provided by the Injury Prevention,
Rehabilitation and Compensation (Refund of Fuel Levy) Regulations 2003.
Refund rates may vary due to Government Regulations. The actual rate used to calculate your refund will be shown on the remittance
advice returned with your refund (GST inclusive).
ACC MOTOR VEHICLE ACCOUNT LEVY
ACC motor vehicle account levy refund is included in the refund payment where applicable.
Any queries concerning refunds of fuel excise duty contact the above address, phone 0800 108 809 or email firstname.lastname@example.org.
NZ Transport Agency Factsheet 14 Excise duty: Who can get refunds and how is available from Transport Agency oces, or online at
The particulars speciﬁed will be stored and/or form part of the Excise Duty Refund Register maintained by the Transport Agency and
may be used to amend information on other registers held by the Transport Agency.
The personal information requested on this form is collected for the purposes of section 5 of the Land Transport Management
(Apportionment and Refund of Excise Duty and Excise-Equivalent Duty) Regulations 2004 and the Injury Prevention, Rehabilitation and
Compensation (Refund of Fuel Levy) Regulations 2003.
The application will not be accepted unless all the required information is provided.
You are entitled to, and may request correction of, any readily retrievable information about you held by the Transport Agency, by
writing to the NZTransport Agency, Private Bag 11777, Palmerston North 4442 or email email@example.com.