Transcription of Accommodation Supplement Application - Work …
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Accommodation Supplement Application - Work …
Page 1 S01 APR 2020 Write your Client number here. It can be found on your Community Services Card or SuperGold number Tell us your detailsWhat is your full name?First and middle namesSurname or family nameWhat date were you born?DayMonthYearTell us how we can contact youHOW TO ANSWER Q3:If you live in a rural area, flat/house number could include your RAPID number, fire number, emergency services TO ANSWER Q4:Mailing address can include a PO Box, rural delivery details, or C/O TO ANSWER Q5:Please only give uscontact details you d like us to do you live?Flat/House numberStreet nameSuburbTown/CityIs your mailing address different from where you live?NoYe sTell us your mailing addressHow else can we contact you? Tick the best way for us to first contact youHome phone( )Mobile phone( )Other phone( )EmailTell us who you live withDo you live alone?NoPlease write below the names of the others you live withYe sFirst nameSurname or family nameRelationship to you123456 Accommodation Supplement helps with rent, board, or home ownership costs.
S01 – DEC 2008 1 Name Birth date Accommodation Supplement Application If you pay rent for a property owned or managed by Housing New Zealand, you are not entitled
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