Redress New Zealand

Printed from: https://forms.redress.govt.nz

Printed: 20 September 2026

State redress registration form

About this form

To make a redress claim, please fill in and submit this form.

We use the information you give us to:

  • assess if we can register your claim
  • understand what support you may need
  • contact you if we need more information.

It is okay if you cannot give us all the information now. We can talk with you about what else we need and how we can support you.

We can help you complete this form – call us on 0800 110 886 (or for international calling +64 4 910 9886).

If you have a legal representative acting on your behalf, they can fill in this registration form for you.

If you would like someone to act on your behalf or you are under the age of 18, you will need to complete an Authority to Act form. This form is available for download from the Redress New Zealand website or can be sent to you by post.

Please note the questions in this form may change dynamically based on your answers to previous questions.

Keeping a copy of this form

After you submit the form, you’ll see a confirmation page with all the information you entered. If you want to keep a copy, you can print that page or save it as a PDF using the browser’s print function. We can’t provide you with a copy of the form later.

Identifying information

Have you been known by any other names? (required)
Please type the date as day / month / year.
Did you have a different gender while in care? (required)
What is your ethnicity? (optional)

What are the names of your parents and / or siblings?

We may need this information to help find records that support your redress claim. If you choose not to provide it now and we need it to assess your eligibility, we will get in touch with you.

Contact details

International numbers must start with a plus sign +
This must be a valid New Zealand mobile number.

What is your home address?
Are you in a Correctional Facility? (required)

Redress claim details

We need some information about your experience in care. This helps us understand if you may be eligible for state redress. We know this can be a big step. Anything you share with us will be treated with care and respect. You can share details in this form, or you can talk with our staff later. Anything you share will be recorded. We may need to contact you if we need further information to help us determine if you are eligible.
For example, a mental health facility, in the care of Child Welfare, in the care of the Department of Social Welfare, a school, a borstal, Maatua Whāngai, in the care of Child, Youth and Family, or in the care or custody of Oranga Tamariki.
Is your claim about a youth penal institution? (required)
Do you believe you suffered abuse or neglect while in state care? (required)

For example, 'September 1992', 'when I was in Year 6 at school' or 'when I was 10 years old'. If you cannot remember or you are unsure please note this and a member of our team will follow up with you.

You can write up to 1000 characters, including spaces.

This is needed so we can check that you are eligible to register a claim.

You can write up to 1000 characters, including spaces.

This question is optional. This means that you do not have to answer it now, and we can still register your claim if you leave it blank. If your claim is eligible for redress we can support you to share more later if you choose to.

You can write up to 1000 characters, including spaces.

Representation

Do you have an agent or representative? (required)

What is your agent or representative's postal address?
Are you working with a lawyer for your claim? (required)
International numbers must start with a plus sign +

What is your lawyer's postal address?

Accessibility and cultural needs

You can write up to 1000 characters, including spaces.

Identification

To progress your registration, we also need a proof of identity.

What type of identification can I use?

To verify your identity, we need you to provide a copy (scan, photo or photocopy) of one of the following forms of identification:

Your identification must meet these requirements:

  • overseas identification must be current
  • New Zealand identification can be used up to 2 years after it expires
  • your identification cannot be cancelled
  • your identification cannot be damaged or changed in a way that makes it hard to read.

If you do not have one of these forms of identification or are not sure if your identification meets these requirements, we can work with you to find another way to verify your identity.

Please indicate below which form of identification you will be providing and how you will be providing it.

How will you send us your identification? (required)

Declaration and consent

This form is operated by the Ministry of Social Development (MSD). The information you provide will be collected, stored, and managed by MSD as part of the State Redress system.

See 'Privacy and information sharing' on the Redress New Zealand website

Please confirm you understand that the information you have provided will be collected, used, and shared by State Redress NZ and redress agencies (the Ministry of Social Development, Ministry of Education, Ministry of Health, Health NZ, Te Puni Kōkiri, Department of Corrections, Oranga Tamariki) as needed to assess and process your claim.