Our 3-Step Escape Plan

  • First Escape Route
  • Second Escape Route
  • Meeting Place
Notes

Use this space to note any additional information about your escape plan, i.e. who will assist

Your checklist

  • Get low

    Smoke is poisonous and more deadly than flames.

    If you breathe smoke for more than a few breaths it can kill you.

  • Be fast

    A house fire can kill you in less than three minutes.

    Don't spend time trying to save possessions.

  • Close doors

    A closed door buys you time.

    It slows down the spread of fire, giving you more time to get to safety.

  • Get out - stay out!

    People have died by going back into a fire.

    Don't leave the meeting place to go back inside for any reason.

Call emergency services as soon as you are out and safe. Ask for FIRE.

Clearly state your address and let the operator know it anyone is still inside or has not made it to the safe meeting place.

Emergency call 111 Emergency text 111
Fire & Emergency New Zealand

Levy payments and forms

Levy payments can be made to our bank account:

Fire and Emergency New Zealand 
Bank of New Zealand
North End Branch - Wellington
02-0536-0062111-00
SWIFT: BKNZNZ22 

Ensure that the reference ‘FEL’ and your client number is included in the particulars field.

Note: Your customer number is written on the top right of all letters that the levy team issue. If you do not know your customer number, please contact us.

Please note: We no longer accept cheques. This is in line with other major agencies and recognises the significant decline in cheques received over the last 5 years.

Forms

All payments of levy must be accompanied by the appropriate forms. If you cannot find your situation in the table below, contact us for guidance.

Situation

Classification

Forms Required

New Zealand-based insurer covering property insured against fire in New Zealand.

Insurer

Form 6

New Zealand-based broker places contract of insurance against the risk of fire offshore.

Broker

Form 1

Form 2

A contract of insurance covering property in New Zealand against the risk of fire placed with an offshore insurer and no New Zealand-based broker.

Direct Payer

Form 2

Form 3

Provision or reserve set aside to cover loss by fire or where there are any other arrangements similar to a contract of fire insurance, but there is no insurance company or broker used anywhere.

Direct Payer

Form 4

Form 5

Completion of Form 2 or Form 5 statutory declaration

The statutory declaration is a legal document, and must be witnessed in accordance with the Oaths and Declarations Act 1957.

If you're completing the form outside of New Zealand, the form must be witnessed according to your local requirements for a formal declaration.

Completed forms can be emailed to fel@fireandemergency.nz or posted to us at this address:

Funding and Procurement
Fire and Emergency New Zealand
P O Box 2133
Wellington 6040
New Zealand

Find out more about Statutory declaration requests.

Avoiding common errors

Follow these tips to avoid some of the common errors when calculating and paying levy: 

  • Calculate the levy payment on the amount insured or indemnity value, NOT on the premium.
  • Include GST with payment, and use the most recent GST rate.
  • Sum insured and indemnity values shown in NZD. Calculate the levy payment in NZD. When dealing with overseas policies, make sure you convert all values in the local currency to NZD.
  • Ensure bank fees/costs are paid in full by the levy payer when paying from offshore.

Related documents

Levy Form 1 - Levy Return

Levy Form 1 - Levy Return

103 KB
Levy Form 2 - Statutory Declaration

Levy Form 2 - Statutory Declaration

1.6 MB
Levy Form 3 - Levy Return

Levy Form 3 - Levy Return

118 KB
Levy Form 4 - Levy Return

Levy Form 4 - Levy Return

102 KB
Levy Form 5 - Statutory Declaration

Levy Form 5 - Statutory Declaration

856 KB
Levy Form 6 - Levy Certificate

Levy Form 6 - Levy Certificate

1 MB

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