This form is for new employees to opt out of
You can opt out on or after day 14 and on or before day 56 of
starting new employment.
You can’t opt out in the rst 13 days.
Every time you start new employment, you’ll need to opt out
Complete the form then, either:
• give this form to your employer so they can stop deductions
immediately (for prompt return of your contributions, your
employer can direct refund any KiwiSaver deductions they
haven’t sent to us), or
• send this form to Inland Revenue—see address below.
Late opt-out request
We may accept late opt-out applications if:
• your employer didn’t give you a KiwiSaver information pack
within seven days of starting employment
• we didn’t send you an investment statement when we’ve
allocated you to a default scheme
• your employer didn’t give you an investment statement (for
their chosen KiwiSaver scheme)
• events outside your control meant you couldn’t give us your
opt-out application within the eight-week time limit
• you chose to opt in or were opted in to KiwiSaver but you did
not meet the criteria to (see Employee information pack (KS 3 )
Note: Give this form to your employer, or send it directly to
InlandRevenue, if you are making a late opt-out application.
Your request can only be considered if it’s received by
InlandRevenue or your employer within three months from
the day Inland Revenue receives your rst contribution. We
will advise you if your opt-out request has been accepted or
When we approve your opt-out request, we’ll send you
We’ll also advise your employer to stop making deductions.
Either Inland Revenue or your employer will refund any
deductions that have been made.
Bank account details
We need your bank account details so we can direct credit any
KiwiSaver funds we are holding for you to your bank account.
If you don’t have these details, send the form to us anyway.
You’ll nd more information in your
Employee information pack
(KS 3 )
or by going to www.kiwisaver.govt.nz
Meeting your tax obligations means giving us accurate
information so we can assess your liabilities or your
entitlements under the Acts we administer. We may charge
penalties if you don’t.
We may also exchange information about you with:
some government agencies
another country, if we have an information supply agreement
Statistics New Zealand (for statistical purposes only).
If you ask to see the personal information we hold about you,
we’ll show you and correct any errors, unless we have a lawful
reason not to. Call us on 0800 549 472 for more information.
What an employer should do with this completed
Send this form to Inland Revenue no later than the next time
you’re required to send an Employer monthly schedule (IR 348)
to Inland Revenue at the address below, or you can send the
information through ir-File (see www.ird.govt.nz for details
Please send this completed form to:
PO Box 39090
Wellington Mail Centre
Lower Hutt 5045
For more information about KiwiSaver go to
www.kiwisaver.govt.nz or call us on 0800549472.