2021 Resident Visa refund form

Pre-form questions

Alert

You will be asked for your application and client numbers. The 8-digit numbers will be at the top of correspondence you received from us.

Ensure you enter the 2021 Resident Visa application number, and not your Residence from Work or Skilled Migrant Category application or EOI number.

Do you have a New Zealand bank account that can receive the refund?

2021 Resident Visa application number:

INZ Client Number:

Principal applicant’s date of birth:

Pre-form questions

Alert

You will be asked for your application and client numbers. The 8-digit numbers will be at the top of correspondence you received from us.

Ensure you enter the 2021 Resident Visa application number, and not your Residence from Work or Skilled Migrant Category application or EOI number.

Refund form

*Required field

Principal applicant personal details

Principal applicant’s family or last name:*

Principal applicant’s first names:

Note

If you have only one name, then leave this section blank and enter your name in the ‘family or last name’.

Principal applicant contact details

Full name of contact person:*

Find your New Zealand residential address

Or manually enter below

Building name:

Unit or suite number:

Street number:

Street address or PO Box:*

Suburb:

Town or city:*

Country:*

Postcode:

Mobile phone number — including international calling codes:*

Phone number — including international calling codes:

Email address:*

Note

Make sure your email address is correct. This is how we will contact you about this payment.

Who the refund is being paid to

Who paid the original visa application fee?*

the visa application fee was paid by me, the applicant the visa application fee was paid by someone else — such as an agency

Who is the refund to be paid to?*

the refund is to be paid to me, the applicant the refund is to be paid to someone else

Will it be the same address as previously indicated — above?*

Yes No

Organisation name:

Find their New Zealand residential address

Or manually enter below.

Building name:

Unit or suite number:

Street number:

Street address or PO Box:*

Suburb:

Town or city:*

Country:*

Bank account details for refund

New Zealand bank account number:*

New Zealand bank name:*

Name of bank account holder:*

Phone number of the bank account owner:*

Supporting documents

Note

The file format can be PDF, jpeg, jpg, gif or png. The size of each file must be less than 10MB.

Upload a signed cover letter confirming that you are authorised to receive the refund:*

Note

Upload a signed letter with the following:

your full name and passport number, and
the New Zealand bank account details account you want the refund directed to, and
if you did not pay the fee which you are requesting a refund for, your letter must also be signed by the person who paid the original application or EOI fee.

Upload proof of fee payment for your undecided Residence from Work application, Skilled Migrant Category application or Expression of Interest:*

Note

Proof of payment can include:

bank statements
credit card records
payment receipts.

The payee’s name should be visible on the proof provided.

Upload proof of the bank account the refund will be paid into:*

Note

Acceptable forms of bank account proof include:

A pre-encoded bank deposit slip.
A copy of the vendor’s bank statement showing account number and account name.
A scan or screen shot of the vendor’s online banking page, showing account number and account name.

Declaration

Read our privacy statement. Privacy

I have read and understood the INZ Privacy Statement. To the best of my knowledge the information I have provided in this form is accurate, and I have answered the questions truthfully and correctly.
I understand that Immigration New Zealand is collecting information about me in this form to decide if I am eligible to receive a refund.

Yes, I agree

Refund

Reset

2021 Resident Visa refund form

Who can use this form

Documents you will need to provide

New Zealand bank account

Thank you

Pre-form questions

Refund

Note

Error

Sorry

Pre-form questions

Refund form

Sorry

Sorry

Principal applicant personal details

Principal applicant contact details

Who the refund is being paid to

Bank account details for refund

Supporting documents

Declaration

Refund