Home > Protected disclosure form Use this form to report serious wrongdoing relating to the operation of UniSaver New Zealand (UniSaver), including mismanagement, corruption, illegality or other serious wrongdoing. UniSaver Limited is the trustee and manager of UniSaver. Read UniSaver Limited’s whistleblowing policy for further information. Your submission will be emailed direct to the scheme’s licensed independent trustee (LIT). The LIT is a member of the board of directors of UniSaver Limited with special responsibilities including regular reporting to the Financial Markets Authority. Your name, contact details and any identifying information will be kept confidential to the LIT unless you indicate otherwise. Name Phone number Email * indicates required fields 1. How do you consent to sharing your identity and contact details with UniSaver Limited? * Licensed independent trustee only Licensed independent trustee and Board chair only All directors of UniSaver Limited 2. Do you consent for the information you are providing to be shared with the board of directors of UniSaver Limited, UniSaver service providers as appropriate, and potentially and independent investigation firm? * Yes No 3. How are you associated with UniSaver? * 4. Please detail the nature of your concern, including names, positions, dates, witnesses and specific examples. * 5. Would you like to provide supporting documentation? Yes No If yes, please attach here (maximum file size of 2MB) File 2 (maximum file size of 2MB) File 3 (maximum file size of 2MB) 6. What would you like to see as the outcome/resolution to address your concerns? Read our privacy policy Thank you for your concern and for taking the time to make a disclosure today.
