Certificate Of Workers Compensation (Insurance) Template for New Zealand

Create a bespoke document in minutes,  or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Certificate Of Workers Compensation (Insurance)

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Certificate Of Workers Compensation (Insurance)

"I need a Certificate of Workers Compensation (Insurance) for my construction company operating in Auckland and Wellington, with coverage extending to our projects in Australia, ensuring compliance with both ACC requirements and including additional private insurance coverage for overseas operations starting March 2025."

Document background
The Certificate Of Workers Compensation (Insurance) is a crucial document in New Zealand's workplace safety and insurance framework. While New Zealand operates under the comprehensive ACC scheme, which provides universal no-fault accident coverage, some employers maintain additional private insurance coverage for enhanced protection or specific business requirements. This certificate serves as official documentation of both ACC compliance and any supplementary private insurance coverage. It is commonly required for government contracts, international business relationships, major construction projects, or when dealing with overseas entities unfamiliar with New Zealand's ACC system. The certificate includes detailed information about coverage levels, policy periods, and specific conditions, providing stakeholders with clear verification of an employer's worker protection arrangements.
Suggested Sections

1. Certificate Details: Unique certificate number, date of issuance, and validity period

2. Insured Party Information: Full legal name of the insured employer, business number, and registered business address

3. Coverage Information: Details of ACC coverage and any additional private insurance coverage, including policy numbers and coverage limits

4. Scope of Coverage: Description of covered employees, activities, and geographical locations where coverage applies

5. Statutory Compliance Statement: Declaration of compliance with relevant New Zealand legislation, including ACC requirements

6. Certification Statement: Formal statement certifying the validity of the insurance coverage

7. Authorizing Signatures: Signatures of authorized representatives, including insurance provider and/or ACC representative

Optional Sections

1. Additional Private Insurance Details: Used when the employer maintains private insurance coverage beyond ACC, including specific terms and conditions

2. International Coverage Extensions: Required when coverage extends to employees working overseas or international operations

3. Claims Procedures: Include when specific claims procedures need to be documented, particularly for private insurance coverage

4. Special Conditions: Any special conditions or exclusions that apply to the coverage

Suggested Schedules

1. Schedule A - Coverage Limits and Specifications: Detailed breakdown of coverage limits, including any sublimits and specific coverage terms

2. Schedule B - Listed Locations: Complete list of covered business locations and operations

3. Appendix 1 - ACC Levy Classification: Details of ACC classification codes and associated levy rates

4. Appendix 2 - Claims Contact Information: Contact details and procedures for filing claims under both ACC and any private insurance

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant Industries

Construction

Manufacturing

Mining

Agriculture

Transportation

Healthcare

Retail

Hospitality

Professional Services

Education

Industrial Services

Maritime

Aviation

Energy

Telecommunications

Relevant Teams

Human Resources

Legal

Risk Management

Compliance

Health and Safety

Operations

Finance

Procurement

Facilities Management

Project Management

Relevant Roles

Human Resources Director

Risk Manager

Compliance Officer

Health and Safety Manager

Operations Manager

Legal Counsel

Insurance Manager

Chief Financial Officer

Procurement Manager

Contracts Administrator

Facilities Manager

Project Manager

Human Resources Business Partner

Workplace Health and Safety Officer

Chief Operating Officer

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Workers Compensation Exemption Form

A New Zealand legal document enabling workers and employers to opt out of standard ACC coverage under specific circumstances, with alternative compensation arrangements.

find out more

Insurance Termination Letter

A formal notice compliant with New Zealand law that terminates an insurance policy and outlines the termination terms and conditions.

find out more

Certificate Of Workers Compensation (Insurance)

A New Zealand legal document certifying an employer's workers compensation coverage under ACC and any additional private insurance arrangements.

find out more

Insurance Claim Form

A New Zealand-compliant form for submitting insurance claims, designed to capture all necessary information and evidence for claim processing under NZ insurance law.

find out more

Insurance Waiver Form

A New Zealand-compliant legal document recording the voluntary waiver of specific insurance rights or claims under New Zealand law.

find out more

Accident Claim Form

A New Zealand ACC form for reporting accidents and claiming compensation under the national no-fault accident compensation scheme.

find out more

Medical Claim Form

A New Zealand-compliant form for claiming medical expenses from insurers or ACC, incorporating all necessary elements for healthcare reimbursement processing.

find out more

Insurance Verification Form

A New Zealand-compliant legal document used to verify and confirm insurance coverage details, policy status, and related information.

find out more

Short Term Disability Form

A New Zealand-compliant form for processing short-term disability claims and benefits, ensuring proper documentation and privacy protection under local legislation.

find out more

Dental Claim Form

A New Zealand-compliant form for processing dental treatment claims and reimbursements through insurance providers or ACC.

find out more

Subrogation Letter

A formal document used in New Zealand to transfer an insured's recovery rights to their insurer after claim settlement, enabling the insurer to pursue compensation from responsible third parties.

find out more

Subrogation Form

A New Zealand-compliant legal document that transfers recovery rights from an insured party to their insurer following the payment of an insurance claim.

find out more

Health Insurance Cancellation Letter

A formal letter for cancelling health insurance coverage in New Zealand, compliant with local insurance laws and regulations.

find out more

Life Insurance Cancellation Letter

A formal letter compliant with New Zealand law for terminating a life insurance policy, including policyholder details and cancellation instructions.

find out more

Home Insurance Cancellation Letter

A New Zealand-compliant formal letter template for cancelling home insurance policies, ensuring proper notification and legal requirements are met.

find out more

Non Renewal Insurance Letter

A formal notice under New Zealand law informing a policyholder that their insurance policy will not be renewed upon expiration.

find out more

Workers Comp Waiver Form

A New Zealand-specific workplace document acknowledging ACC coverage terms and establishing injury management protocols within NZ's no-fault compensation system.

find out more

Auto Insurance Cancellation Letter

A formal notice under New Zealand law to terminate an automobile insurance policy, including policy details and cancellation instructions.

find out more

Transfer Of Insurance Form

A New Zealand-compliant legal document used to transfer insurance policy rights and obligations from one policyholder to another.

find out more

Insurance Proposal Form

A New Zealand-compliant form for collecting essential risk information from potential insurance clients to facilitate underwriting decisions.

find out more

Insurance Cancellation Form

A New Zealand-compliant form for formally requesting and processing the cancellation of an insurance policy.

find out more

Insurance Declaration Form

A New Zealand-compliant declaration form capturing essential information for insurance risk assessment and policy issuance.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: https://www.genieai.co/our-research
Oops! Something went wrong while submitting the form.

Genie’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; Genie’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our Trust Centre for more details and real-time security updates.