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New Zealand Gazette – 2002 – No. 40

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✨ Maternity Claim Form

1170

NEW ZEALAND GAZETTE

No. 40

RURAL TRAVEL

Semi Rural / Rural / Remote Rural $□□□.□□

ADDRESS OF WOMAN

ADDRESS OF BABY (if different from above)

LESS DISBURSEMENTS TO AUTHORISED PRACTITIONERS

Payee Number of Recipient	Payee Name	Amount to pay
□□□□□□□□□□	___	$□□□.□□

Payee Number of Recipient	Payee Name	Amount to pay
□□□□□□□□□□	___	$□□□.□□

TOTAL AMOUNT CLAIMED
(GST inclusive) $□□□□.□□

LESS TOTAL DISBURSEMENTS
(GST inclusive) $□□□□.□□

AMOUNT PAYABLE
(GST inclusive) $□□□□.□□

CERTIFICATION

I certify that I have provided the above services in accordance with the service specifications in the Section 88 Notice and that the above information is correct.

Name of Lead Maternity Carer (Please print in capital letters)

Signature of Lead Maternity Carer Date

VUW Te Waharoa — NZ Gazette 2002, No 40

Gazette.govt.nz — NZ Gazette 2002, No 40

The General Assembly Library (on the right) was completed in 1899 and survived the 1907 fire. Now the oldest remaining original Parliament building, still used as the Parliamentary Library.

✨ LLM interpretation of page content

🏥 Claim Form for Services Following Birth (continued from previous page)

Domain🏥 Health & Social Welfare
KeywordsMaternity, Claim Form, Services Following Birth, Health Benefits

As the Gazette has been published for more than 185 years, copyright status depends on the publication date of each issue:

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Nothing in this project is intended to infringe copyright, trademark law or personal privacy. Please contact me immediately if you have any concerns.

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Where third-party content (e.g., notices submitted by external organisations) is identified within the Gazette, users should satisfy themselves regarding the copyright status of that specific content, as it may be subject to different ownership terms than the Gazette itself.

Sources and Attribution

NZ Gazette Sources

The primary sources for the issues of the NZ Gazette indexed by this project are:

New Zealand Gazette Archive, provided by Victoria University Library, copyright 2008 LexisNexis NZ Limited, Crown Copyright of New Zealand Gazette Office
- Issues from 1841-2008, including the New Munster, New Ulster, and Provincial Gazettes
New Zealand Gazettes by New Zealand Legal Information Institute (note: "NZLII is not the copyright owner in the source documents published on NZLII")
- Issues from 1913-1999
Gazette.govt.nz, Crown copyright / licensed by the Department of Internal Affairs under CC-BY 3.0 NZ
- Issues from 2000-2017

Additional Sources

Wellington City Recollect have made available a comprehensive and excellent-quality scan of the Wellington Provincial Gazette which was used to fill in a number of issues missing from Victoria University's Gazette Archive; in particular, all 1856 issues, issues 22-34 for 1864 and issues 9-19 for 1870.
27 issues of The New Zealand Advertiser and Bay of Islands Gazette (1840) were sourced from Papers Past (public domain).
Gazette Extraordinary No. 1 (1840), held at the Alexander Turnbull Library, Wellington, New Zealand. Imaged by Luke Howison at the National Library reading rooms; PDF released into the public domain.

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The PDF PDF Icon was made by Good Ware, CC BY-SA 4.0.

Masthead

The logo in the header is an edited version of “Winning Coat of Arms Competition Entry, 1908” by Archives New Zealand, CC BY 2.0 (found via Wikipedia).

Who made this?

I'm Luke Howison, a freelance web developer with an interest in genealogy. I have created several websites for genealogical research, such as NZ Ancestor Search Helper.

New Zealand Gazette Index