Submit A Request

Please contact the IRD if you are unsure of your number.

By providing your personal information in this form, you consent to Latitude Financial Services Limited, 8 Tangihua Street, Auckland, 1010, New Zealand, collecting, using and disclosing your personal information to consider and process your claim as part of Latitudes remediation process to comply with the requirements of the Holiday Act 2003. Your information will also be disclosed to third parties that we have engaged to assist us with this process. If you do not provide the information requested in this form and further information as necesary, we may not be able to process your claim. Our privacy policy can be viewed at and it contains further information on your rights to access and correct the information we hold as well how you can raise a complaint in relation to our privacy practices.

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