TP HOUSING REQUEST FORM

Please use this form to request use of TP emergency accommodation.

Your details

Your name

Your mobile phone number

Your email

To what address should keys be sent?

Property requested

Please select from the list:

Requested dates

Is your request during a ballot period?

Yes

If you are unsure of whether your desired dates fall within a ballot period, please visit: https://transpowernz.sharepoint.com/sites/volt/working/OP/PD/pay-leave-and-benefits/Pages/Wellness.aspx

First preferred date in:

First preferred date out:

Second preferred day in:

Second preferred day out:

Third preferred day in:

Third preferred day out: