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This is a supplementary form to the Application for an administrative review (IR470) when the high cost of access is one of the grounds for your application.
Use this form if you are applying for an administrative review under ground 5.
You will need your IRD number and you should complete an Application for an administrative review (IR470) form stating ground 5 as one of the grounds of your application.
We suggest you complete a Child support review - statement of financial position (IR178) form and send this with your application.
After you finish, check that you have:
Send your application and any supporting forms to:
PO Box 39010
Wellington Mail Centre
Lower Hutt 5045