Accidental Death Unit (ADU)

Below is a list of all the Accidental Death Unit forms available for submission using the Inbound Documents API.

Form / Document

Description

ACC001 Survivors Grant / Weekly Compensation Application
ACC136  Funeral Grant payment authority
ACC137  Continuing dependency (transitional only)
ACC138  Certificate of Attendance
ACC1600 Ministry of Justice Funeral Payment Application
ACC1602  Ministry of Justice Funeral Payment Decision
ACC163  Authority for the collection and disclosure of information (deceased person)
ACC167  Authority for the collection and disclosure of information
ACC21 
ACC21 (no party record)
Advice of accidental death
ACC210  
ACC211  
ACC44  Statutory declaration
ACC4515  Confirmation of health condition
ACC537  Dependency check (transitional only)
ACC5429 Earner Levy Refund Form
ACC6253 Confirmation of acting parent
ACC6254 Intention to study full time
ACC6256 Confirmation of reasons for living apart
ACC6257 De Facto Relationship Confirmation
ACC6258 Confirmation of who is responsible for arranging day-to-day childcare
ACC6269  Confirmation of financial support
ACC6300  Authority to collect medical and other records
ACC654  Application for a Converted Amount (1972 and 1982 Acts)
ACC655  Application for a converted amount (1992, 1998 & 2001 Acts)
ACC656  Converted Amount Offer
ACC693  Medical questionnaire
ACC694  Continued entitlement
ACC695  
ACC696  Continued entitlement -  children
ACC697  Continued entitlement -  dependant other than children
ACC729 Shareholder Employee Earnings Certificate
ACC742  Converted amount offer assessment and sign off
ACC743  Converted amount payment record
ACC748  Fatal questionnaire for self employed or shareholder employee
ACCS60  
 
Bank account details Claimant Payment details
Birth Certificate  
Child Care Application  
Coroner's Findings  
Death Certificate  
Deposit Slip Bank deposit slip
Driver's Licence  
Funeral Invoice  
IR330 - Tax Code Declaration  
Letter from other party RE: IRD, Tax Code etc  
Marriage Certificate   
Medical records/ notes IB - Medical Reports/ Notes
Passport