Relationship Status Verification form contents

A Relationship Status Verification form is required to be completed in writing and Work and Income should receive the original form.

It will include the following information:

• a statement confirming that the nominated person meets the criteria listed on the form
• the full name and the birth date of the client whose relationship status the nominated person is verifying
• a statement of what the nominated person considers the applicant's current relationship status to be
• the nominated person's signature
• the date the nominated person signed the statement
• contact details for the nominated person and an indication of whether or not they give permission for Work and Income to contact them
• acknowledgment from the client that the nominated person may be contacted about the client's application directly

For more information see:

• Relationship Status Verification form received
• Nominated person makes contact after completing form
• Who can verify a client's relationship status