Forms & Documents
Here you can print forms (such as application forms) and view documents (such as employment agreements) online.
Simply select the form or document you are looking for from the list below. You can narrow your search by selecting the category (e.g. Life Insurance, Travel Insurance, or Membership) from the drop-down list . Alternatively, you can use the keyword search box above to search the whole website.
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When emailing forms, documents or pictures: Please use the attachment function to attach your jpeg, png or PDF to your email. Do not insert them into your email as this will delay processing. |
Fire & General Insurance - all policy wordings
View the policy wordings for home, contents, vehicle and pleasurecraft insurance.
Health Plan - Brochure
Information about Police Health Plan, including benefits, terms and conditions, and exclusions.
Health Plan - Medical Claim Form
You can print a blank claim form and complete, or edit the claim form online.
Make sure you have Adobe Acrobat Reader downloaded (not Adobe Preview). Download Adobe Acrobat Reader
To edit the claim form online please
1. Open the 'editable online' pdf using either Chrome or Internet Explorer internet browsers for optimal results.
2. SAVE it to your computer before you complete the form.
Health Plan - Surgical Approval Request Form
If you need surgery you must complete this form.
If you require surgery with a GP, you do not need surgical prior approval.
If you need surgery with a GP, you can pay for the procedure and claim back up to $750 per visit.
Simply complete a Medical claim form and attach the full invoice.
All Health Plan surgical claims must be pre-approved prior to surgery. Complete this form as soon as surgery has been decided necessary, for pre-approval of your surgical claim.
Health Plan Amendment Form
Adding or removing family on your policy.
Current members wanting to amend their plan, or to add/remove a partner, children or grandchildren to their plan need to complete a Health Plan Amendment Form.
Health Plan Application
New members joining Health Plan for the first time complete the attached form.
Current members wanting to amend their plan, or to add/remove a spouse, children or grandchildren to their plan need to complete a Health Plan Amendment Form.
How Much Contents Cover do you Need?
This handy guide will help you calculate how much contents insurance you need.
Membership Application Form
When emailing forms, documents or pictures:
Please use the attachment function to attach your jpeg, png or PDF to your email. Do not insert them into your email as this will delay processing.
MRI/CT/PET Scan Form
Complete this form if you have Basic or Comprehensive cover and require a CT, MRI or PET Scan.
Upon receipt of this form Police Health Plan will confirm cover then send confirmation to the radiology clinic.
IF YOU ARE ON OUR SURGICAL PLAN...
Police Fire & General - General Claim Form
Police Fire & General - Pleasurecraft Claim Form
Police Fire & General Insurance - Brochure & Quote Form
Information on Police Fire & General Insurance. You can get a quote online, through 'My Insurance' on your dashboard above, or use the quote form included in this brochure.
Police Fire & General Insurance - Motor Vehicle Claim Forms
Police Life Insurance - Benefit Nomination - Police Employee
When emailing forms, documents or pictures:
Please use the attachment function to attach your jpeg, png or PDF to your email. Do not insert them into your email as this will delay processing.
Police Life Insurance - Benefit Nomination Form - Constabulary
When emailing forms, documents or pictures:
Please use the attachment function to attach your jpeg, png or PDF to your email. Do not insert them into your email as this will delay processing.
Police Life Insurance - Constabulary
Police Life Insurance - Police Employee
Police Life Insurance - Policy Document - Constabulary
Police Life Insurance Extra - Application
Police Life Insurance Extra - Benefit Nomination Form
Police Life Insurance Extra - Brochure
Police Travel Insurance - Allianz Claim Form
This document is for making a claim under an Allianz Police Travel Insurance policy.
Make sure you have Adobe Acrobat Reader downloaded (not Adobe Preview). Download Adobe Acrobat Reader
To edit the claim form online, please
1. Open the 'editable online' pdf using either Firefox or Internet Explorer internet browsers for optimal results.
2. SAVE it to your computer before you complete the form.
Police Travel Insurance - Credit Union Payment
Police Welfare Fund - Benefit Application
This form should be used when applying for the following Welfare Benefits:
Birth Benefit
Adoption Benefit
Public Hospital TV Hire
Relationship Counselling
You can print a blank claim form and complete, or edit the claim form online.
Make sure you have Adobe Acrobat Reader downloaded (not Adobe Preview). Download Adobe Acrobat Reader
To edit the Benefit Application form online please:
Police Welfare Fund Newborn Form
Use this form to claim Police Health Plan and Police Welfare Fund Birth Benefits, and PWF adoption benefits.
You can also use this form to sign your newborn up to Police Health Plan.
You can scan and email the completed form, along with any copies of birth certificates, notices and receipts, to enquiries@policeassn.org.nz
You can print a blank claim form and complete, or edit the claim form online.
