Write Off Application Form [pdf, 514 KB]
...assistance payments You will need to attach proof of your benefit, eg statement from WINZ Yes Tick one or more below For how many months in the last year? Tick if you are still getting this payment Benefit stopped month year Jobseeker Support Please tick if one of the following applies to you Sole parent Single, 18-19, at home Single, and received the Domestic Purposes Benefit woman alone or Widows Benefit woman alone, before 15 July 2013 Sole Parent Support...