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All forms are available in hard copy on request, from the relevant business group. See our contact details.

The majority of documents are available for download as pdf files. You need Adobe Acrobat Reader to view these documents, which can be downloaded for free from the Adobe site.


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Request for a Birth, Death, Marriage, or Civil Union Certificate BDM 93
Description: Request for original birth, death, marriage, or civil union certificate.
File Format: Adobe Acrobat
File Size: 66k

Request for Electronic Printout of a Birth, Death, Marriage, or Civil Union Record BDM 92
Description: Request for an electronic printout of a birth, death, marriage or civil union record.
File Format: Adobe Acrobat
File Size: 68k

Notice of Intended Marriage BDM 60
Description: Notice of intention to marry.
File Format: Adobe Acrobat
File Size: 103k

Notice of Intended Marriage (Resident Outside NZ) BDM 58
Description: Notice of intended marriage for persons ordinarily resident outside New Zealand.
File Format: Adobe Acrobat
File Size: 74k

Notice of Intended Marriage (Change of relationship from civil union) BDM 59
Description: Notice of intended marriage for persons changing relationship from civil union to marriage.
File Format: Adobe Acrobat
File Size: 103k

Notice of Intended Marriage of New Zealand Citizen in Another Country BDM 189
Description: Notice of intended marriage of a New Zealand citizen in another country.
File Format: Adobe Acrobat
File Size: 75k

Consent to Marriage of a Minor BDM 11
Description: Consent form for marriage of a person aged 16 or 17.
File Format: Adobe Acrobat
File Size: 32k

Change of Name by Statutory Declaration BDM 120
Description: Change of name by statutory declaration for a person over 18 years of age, or under 18 years of age who is, or has been married or in a civil union.
File Format: Adobe Acrobat
File Size: 182k

Change of Name by Statutory Declaration of person aged under 18 who has not been married or been in a civil union BDM122
Description:
File Format: Adobe Acrobat
File Size: 231k

Change of Name Request Within 2 Years of Birth BDM 36
Description: Request for change of name within 2 years of birth for a person born in New Zealand.
File Format: Adobe Acrobat
File Size: 206k

Notice of Intended Civil Union BDM 360
Description: Notice of intended civil union.
File Format: Adobe Acrobat
File Size: 55k

Notice of Intended Civil Union (Resident Outside NZ) BDM 358
Description: Notice of intended civil union for persons ordinarily resident outside New Zealand.
File Format: Adobe Acrobat
File Size: 55k

Notice of Intended Civil Union (Change of Relationship from Marriage) BDM 359
Description: Notice of intended civil union for persons changing relationship from marriage to civil union.
File Format: Adobe Acrobat
File Size: 55k

Application for Certificate of No Impediment to Civil Union in Another Country or Jurisdiction BDM 389
Description: Application for a certificate of no impediment to a civil union in another country or jurisdiction.
File Format: Adobe Acrobat
File Size: 127k

Consent to Civil Union of a Person aged 16 or 17 BDM 311
Description: Consent form for a civil union of a person aged 16 or 17.
File Format: Adobe Acrobat
File Size: 108k

Civil Union Celebrant Application Form
Description: Application for appointment as a Civil Union Celebrant in accordance with section 26 of the Civil Union Act 2004.
File Format: Adobe Acrobat
File Size: 80k

Application by Donor Offspring (or Guardian) to Access Information Held on the Human Assisted Reproductive Technology Register BDM 404
Description: Application by donor offspring or guardian to access information held on the Human Assisted Reproductive Technology Register.
File Format: Adobe Acrobat
File Size: 76k

Application by Donor to Access Information Held on the Human Assisted Reproductive Technology Register BDM 403
Description: Application by donor to access information held on the Human Assisted Reproductive Technology Register.
File Format: Adobe Acrobat
File Size: 72k

Authorisation for Disclosure of Information to Agent BDM 405
Description: This form is to be completed with the BDM 403 or 404 if information from the Human Assisted Reproductive Technology Register is being sent to an agent (e.g. lawyer) acting on behalf of a donor, donor offspring or donor offspring’s guardian.
File Format: Adobe Acrobat
File Size: 55k

Application to Record (or Update) Donor Details on the Human Assisted Reproductive Technology Register (Voluntary Scheme) BDM 401
Description: This form collects information about people who donated sperm, eggs or embryos to a fertility service provider before 22 August 2005 for use in assisted reproductive procedures.
File Format: Adobe Acrobat
File Size: 156k

Application to Record (or Update) Donor Offspring Details on the Human Assisted Reproductive Technology Register (Voluntary Scheme) BDM 402
Description: This form collects information about people (“donor offspring”) who were born as a result of an assisted reproductive procedure performed through a fertility service provider, using sperm, eggs or embryos that were donated before 22 August 2005.
File Format: Adobe Acrobat
File Size: 181k

Notice of Intended Marriage Outside New Zealand BDM 57 (in accordance with the Foreign Marriage Act 1892 to 1947 of the Parliament of the United Kingdom or to marry any such citizen in the United Kingdom)
Description: This is the form of notice required by section 42 of the Marriage Act 1955. A "Certificate that notice has been given of marriage intended to be solemnised out of New Zealand" can be issued if you are a citizen of a Commonwealth country or of the Republic of Ireland and you are resident in New Zealand for at least 7 days, and you intend to marry outside New Zealand in accordance with the Foreign Marriage Act 1892 to 1947 of the Parliament of the United Kingdom or to marry any such citizen in the United Kingdom.
File Format: Adobe Acrobat
File Size: 892k

Licensed Promoters Licence Application
Description: Form to apply for or to renew a licensed promoter's licence, under the terms of the Gambling Act 2003.
File Format: Adobe Acrobat
File Size: 132k

Licensed Promoters Key Persons Information
Description: Form for key persons in relation to a licensed promoter's licence.
File Format: Adobe Acrobat
File Size: 83k

Post-EMS Cancelled Credit, Short Pays and Refills Report
Description: As per the Cancelled Credit and Short Pays Report, but it has provision to record hopper refills as an alternative to recording them on the Cash Clearance Details Report. Note: For use pre-EMS connection. Note: for use post-EMS
File Format: Adobe Acrobat
File Size: 133k

Post-EMS Cash Clearance Details Report
Description: A machine-specific report to record all money removed from, or put into a particular gaming machine (i.e. cashbox and banknote clearances, hopper refills). Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 89k

Post-EMS Cashless Gaming Machine Analysis
Description: As for Gaming Machine Analysis, where gaming machines are connected to a “cashless” system. Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 74k

Post-EMS Daily Jackpot Cancelled Credit Report
Description: A system-specific report for recording manual payments (“hand pays”) generated by “non downloadable” jackpot systems, i.e. those that do not download win information to individual gaming machines). Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 104k

Post-EMS Daily Jackpot Turnover Report
Description: A venue-specific report to be completed for “downloadable” jackpot systems to compare gaming machine hard turnover meters with jackpot controller turnover data. Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 89k

Post-EMS Gambling Equipment Fault/Player Dispute Report
Description: A combined checklist and record of essential details in relation to: gambling equipment faults or malfunctions and/or player disputes in connection with gambling equipment operation. Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 105k

Post-EMS Gaming Machine Analysis
Description: A machine-specific report to record and analyse gaming machine meters, meter differences, machine operation and associated cash transactions. For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 80k

Post-EMS Unpaid Prize Report
Description: A report to record instances where, for any reason, a prize awarded by gambling equipment is not paid out. Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 54k

Post-EMS Weekly Banking Reconciliation
Description: A venue-specific report to record details of individual bank deposits relating to the weekly GMP amount. Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 49k

Post-EMS Weekly Gaming Machine Proceeds Report
Description: A venue-specific report to record weekly 'turnover minus total wins' meter differences for up to four gaming machines per form to determine banking amount. Note: For use post-EMS connection.
File Format: Adobe Acrobat
File Size: 91k

Cash Clearance Details Report
Description: A machine-specific report to record all money removed from, or put into a particular gaming machine (i.e. cashbox and banknote clearances, hopper refills). Note: For use pre-EMS connection.
File Format: Adobe Acrobat
File Size: 136k

Cancelled Credit and Short Pays Report
Description: A machine-specific report to record hand pays initiated by or through individual gaming machines, and any 'short pays' manually paid out. Note: For use pre EMS connection.
File Format: Adobe Acrobat
File Size: 134k

Cancelled Credit, Short Pays and Refills Report
Description: As per the Cancelled Credit and Short Pays Report, but it has provision to record hopper refills as an alternative to recording them on the Cash Clearance Details Report. Note: For use pre-EMS connection.
File Format: Adobe Acrobat
File Size: 185k

Weekly Gaming Machine Proceeds Report
Description: A venue-specific report to record weekly 'turnover minus total wins' meter differences for up to four gaming machines per form to determine banking amount. Note: For use pre-EMS connection.
File Format: Adobe Acrobat
File Size: 140k

Weekly Gaming Machine Proceeds Summary Report
Description: A venue-specific report to summarise a number of Weekly Gaming Machine Proceeds Report and/or adjust banking amount to account for jackpot prizes not recorded as 'total wins' and/or adjust for any unpaid prizes and/or reconcile interim banking. Note: For use pre-EMS connection.
File Format: Adobe Acrobat
File Size: 133k

Monthly Machine Analysis
Description: A machine-specific report to record and analyse meter differences, machine - operation and associated cash transactions - determine/confirm monthly gaming machine profit. NOTE: Erratum An error has been discovered in the previously published version of this form, in the Gaming Machine Profit, Cash method step two section. A field was added to enable the transfer of total (L) from step one to below the calculation (P), (representing total cash payments made) in step two. The following field, (Q) was annotated with the instruction (P) minus (L). This is incorrect. The form has been amended by removing the extra field and re-designating (Q) as the product of (L) minus (P), in line with previous versions of the form. A corrected version of the form has now been included in the table below. Please do not use any copies of the previous version. We apologise for any inconvenience this mistake may have have caused. (10/9/2004). Note: For use pre-EMS connection.
File Format: Adobe Acrobat
File Size: 149k


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