I want to request an absence for someone else

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Required fields are marked with an asterisk (*).

My details

Business name

First name *

Last name *

Phone number *
Must be between 9 and 20 digits long and include only numbers.

Email address

My relationship to the person *

-- Please Select --EmployerLawyer/Legal CounselMedical ProfessionalNZ PoliceOranga TamarikiParentProbationProgramme FacilitatorOther

If other, please specify *