NZFFWS
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Contact NZFFWS

Phone: 0800 65 34 73
Email: office@firefighters.org.nz

Benefit Application Form (BA1)

It can be easiest to fill this form out on a mobile phone or tablet. This makes it easy to take photos of your receipts, then attach them to the form.

PLEASE REMEMBER ALL CLAIMS MUST HAVE RECEIPTS ATTACHED.

If you are using a computer, you will need to transfer copies/images of your receipts to your computer, then add them to the form when you fill it out.

Drop files here or
Accepted file types: jpg, gif, png, pdf, heic, heif, Max. file size: 100 MB.
    Date of Application*
    Consent*