October 26, 2014

Submission Form

Date ________________

 

POST TO:
Secretariat

Social Services Select Committee
Parliament Buildings
WELLINGTON 6011

SUBMISSION
Social Security (Benefit Categories and Work Focus) Amendment Bill

Name of Individual / Family / Organisation: ______________________________________________

Email Address: _________________________________________________

I/We wish to appear before the Committee to speak to my/our Submission       YES / NO
If you circled YES, please provide daytime contact number: ____________________________

SUBMISSION:

I/We OPPOSE Social Security (Benefit Categories and Work Focus) Amendment Bill

Reasons:

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Continued over page (if required)

NOTE: YOU NEED TO SEND 2 COPIES OF YOUR SUBMISSION TO THE SELECT COMMITTEE

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