Gather your information
You will need to provide a doctor's declaration of serious illness, signed by the doctor.
There is a declaration on page 3 of the Application for withdrawal of initial KiwiSaver contribution – KS5.
Fill in the form
Send the form to us
PO Box 39090
Wellington Mail Centre
Lower Hutt 5045
What happens next
We'll review your application and let you know the outcome.
If we approve it, we’ll send you a confirmation letter and make a refund to your bank account.
If we don't approve your application, we'll send a letter telling you why.
We may contact you if we need more information.
If you want to stop making contributions to KiwiSaver you must also apply for a savings suspension.
You can apply for a savings suspension within the first 12 months if you’re experiencing, or likely to experience, financial hardship.