Paid Parental Leave Application For An Employee
Paid Parental Leave Application For An Employee
Paid Parental Leave Application For An Employee
Do you qualify for Paid parental leave (PPL) Do you know when your leave will start? If youre self-employed and are applying for PPL, use a Paid parental leave application for a self-employed person (IR888). Your employer also needs to fill in this form.
You must apply for the PPL payments before you return to work or resign. The payments will be direct credited to your bank account every fortnight. The maximum payment is $458.82 a week before tax.
Yes
Do you know if you qualify for PPL and when your leave will start?
Yes
Yes
No
No
Inland Revenue will send you confirmation of your PPL entitlement, the amounts and payment dates
Yes
Send your form to: Inland Revenue P O Box 39090 Wellington Mail Centre Wellington 5045
If youre self-employed, use a Paid parental leave application for a self-employed person (IR 888).
Yes
Before filling in this form, talk to your employer about the date your leave will start.
General information
You must be taking parental leave from your employer to qualify for PPL payments. You must apply for the payments before you return to work or resign. If your spouse or partner is also taking parental leave from their job and you want to share your entitlement to PPL, you can transfer all or some of your entitlement to your spouse or partner.
Privacy
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 dont. We may also exchange information about you with: some government agencies another country, if we have an information supply agreement with them Statistics New Zealand (for statistical purposes only). If you ask to see the personal information we hold about you, well show you and correct any errors, unless we have a lawful reason not to. Call us on 0800 377 774 for more information. For full details of our privacy policy go to www.ird.govt.nz
If you disagree
If you dont agree with any decisions made about your eligibility for paid parental leave payments, you may apply to the Employment Relations Authority for a review of that decision. To find the Employment Relations Authority office nearest to you, go to or call the Department of Labour on 0800 209 020.
If youre unsure whether an employee qualifies for parental leave, call the Department of Labour on 0800 209 020.
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Office use
Applicant to complete
First name IRD number Postal address
Please put street address or PO Box number and suburb, box lobby or RD Town or city above (see note 1) Work
Phone number
Home
We collect the following information for statistical purposes. This question is optional. Please tick the ethnic group(s) NZ European Cook Island Mori you belong to Mori Tongan Samoan Is this application for an adopted child? Niuean
Chinese Indian Other (please specify) Yes Please attach documentation if available No
Birth date of your child (or adopted child) or expected due date (see note 2)
Day
Month
Year
Have you received paid parental leave (PPL) for a child previously? If yes, please tick here Your bank account number (see note 3)
Bank Branch Account number Suffix
Note: You may qualify for both parental tax credit (PTC) and paid parental leave (PPL) payments, but you cannot receive both. In most cases PPL payments will be higher than parental tax credit payments (see note 4). Are you expecting three or more children? (from multiple birth or adoptions) Is your income from your job less than $23,858.64 (before tax)? Are you planning to take less than 14 weeks parental leave? Yes Yes Yes No No No
If youve answered Yes to any of these questions, well get in touch with you to help you work out which is better for you. If youve answered No to all three questions, PPL is better for you. Please tick the circle to show youre choosing to receive PPL payments instead of PTC. If youre unsure about any of these questions please tick this circle and we will contact you. Do you want to transfer any of your entitlement to your spouse or partner? Yes No You might have a spouse or partner whos also taking parental leave from their job or self-employment and you may want to transfer your entitlement to them for some or all of the period (up to the 14 weeks entitlement), If you do youll also need to fill in a Paid parental leave transfer to an employee (IR 881) form or a Paid parental leave transfer to a self-employed person (IR 889) form. Do you make payments to Inland Revenue Child Support? (see note 5) If youd like to estimate your income for child support, enter your new income estimate for the current financial year (see note 5) Yes No Yes
3 1
Day
0 3
Month
2 0
Year
Declaration There are penalties for giving false or misleading information or failing to provide information with the intention to mislead. I declare that the information in this application form is true and correct to Signature the best of my knowledge. I understand that I have chosen to receive paid / / parental leave payments and cannot receive parental tax credit for the children this application relates to. Date Form/page 1 Give this form to your employer to fill in page 2
Employer to complete
Employers name Employers IRD number Postal address
Please put street address or PO Box number and suburb, box lobby or RD Town or city above (see note 1)
We collect the following information for statistical purposes. This question is optional. Please tick the industry group you belong to. Accommodation, restaurant Agriculture, forestry, fishing Communication Construction Applicants parental leave commencement date
(see note 6)
Cultural and recreational Education Electricity, gas, water supplier Finance, business services, property
Government Health and community services Manufacturing Mining If the applicant is on a fixed-term agreement, enter the completion date of the agreement (if known)
(see note 7)
Personal and other services Transport and storage Wholesale and retail
2 0
Day Month Yes No Year
2 0
Day Month Year
Is the applicant taking less than 14weeks parental leave? (see note 9) Enter the greater of the applicants ordinary weekly pay or average weekly earnings (see note 10)
If yes, what date is the employee expected to return to work? Applicants current tax code
(see note 11)
2 0
Day Month Year
Employers declaration (see note 12 before completing this declaration) Please complete and/or tick the option that applies for each section in the declaration. Please ensure you have fully completed and signed the declaration, so payments can start promptly for your employee. I declare that qualifies for parental leave because they: (applicants name)
will have been employed by me for year(s) month(s) at the babys expected due date or adoption date, and will have worked for an average of hours a week over the 6 or 12 months (circle one) before the babys expected due date or adoption date and has worked at least one hour a week or 40 hours a month over this period. are a teacher employed by multiple boards of trustees, or a junior doctor who has worked for more than one district health board and will have worked for an average of hours a week over the previous 6 or 12 months (circle one) and they have provided me with evidence of their previous jobs, earnings and hours (see note 9) will not have taken parental leave in the 6 months prior to the expected date of birth or adoption of this baby have provided me with a certificate of pregnancy from the lead maternity carer stating the applicants expected due date, or have provided me with documentation that they are adopting a child (see note 12) Note: Youre not required to provide a certificate of pregnancy or documentation that they are adopting a child if this is covered under the parental leave provisions in their employment agreement. There are penalties for giving false or misleading information, or failing to provide information with the intention to mislead. I declare that the information in this application is true and correct to the best of my knowledge.
Signature / Date /
RESET form
Form/page 2
Give this form to your employee to send to Inland Revenue, PO Box 39090, Wellington Mail Centre, Wellington