New zealand travel request form 2026

1. Click ‘Get Form’ to open the New Zealand Travel Request Form in the editor.
2. Begin by filling in your claimant details, including your name, claim number, physical address, date of injury, and date of birth. Ensure all information is accurate for a smooth processing experience.
3. In the 'Travel to Treatment/Rehabilitation Details' section, specify the calendar month for which you are requesting travel costs. Include your travel origin and type of treatment received.
4. Attach any tickets or receipts for public transport used. If you require reimbursement for non-private transport (like taxis), remember to seek prior approval by calling 0800 101 996.
5. Fill in the total kilometers traveled and corresponding fares for each trip. Make sure to double-check your calculations for accuracy.
6. Complete the declaration section by signing and dating the form. If applicable, have a representative sign on your behalf and provide their details.

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