*** Transcriber's Note: Please set your voice synthesiser to read most punctuation. When you encounter the caret sign (^) at the end of a line, please enter the applicable information, if necessary. *** Department of Internal Affairs – Te Tari Taiwhenua BDM93C Request for New Zealand civil union certificate or copy of record Tono tiwhikete hononga ā-ture o Aotearoa, tānga rānei Last updated 17 June 2024 The easiest way to order a certificate is online at govt.nz/bdm. Before you apply Hei mua i te tononga Did the civil union take place in New Zealand? If the civil union took place overseas you need to order your certificate from that country. Do you want to use the certificate outside New Zealand? When you need to use a New Zealand certificate in another country, you might be asked to get the document apostilled or authenticated. Apostilles and authentications are certificates that prove the signature, stamp or seal on a document is genuine. If you want to use the certificate overseas, go to govt.nz/authentications to find more information. Do you need a certificate or a copy of the record? You can order a certificate or a copy of the record. A certificate is a legal official document. A copy of the record contains more information than a certificate and is usually used for research purposes. If you want to order by post or courier Complete this form by hand or on-screen using Adobe Acrobat Reader. Print and sign the form by hand. Send the completed form and any required documents to us. Our address is at the end of this form. Fees and entitlements statement All fees and entitlements are correct as at the form version date. All fees are in New Zealand dollars. Timeframe To view our current timeframes, go to govt.nz/bdmtimeframes. If you have ordered a certificate, it will be sent by post or courier. Allow extra time for postage. Contact details Website: govt.nz/bdm/contactus Email: bdm.nz@dia.govt.nz Only use email for queries about the form. Do not email the completed form to us. BDM93C Request for New Zealand civil union certificate or copy of record Tono tiwhikete hononga ā-ture o Aotearoa, tānga rānei How to answer this form: • You can complete this form by hand or on-screen using Adobe Acrobat Reader. • You can use the Tab key to move to the next fillable form field in Adobe Acrobat Reader. • You must still print off the application and sign by hand. • When you see this icon [Hand icon] it means you need to take extra care with your answers. Section 1: Your details and declaration This section is about you — the person who is ordering the certificate. You need to provide some basic information about yourself. This is so we know who is requesting the record. Your name will then be recorded in the access register. 1. Your name First and middle names ^ Surname or family names ^ 2. Your name at birth (if different) First and middle names at birth ^ Surname or family names at birth ^ 3. Your birth details Date of birth (dd/mm/yyyy) ^ Town or city of birth ^ Country of birth ^ 4. Are you ordering this certificate or copy of record on behalf of a company? (Tick one) Yes (Yes or no) ^ If yes, include a signed request on company letterhead. No (Yes or no) ^ 5. Sign and date I declare that the information above is true and correct. I understand that any person who makes a false statement will be liable on conviction to a fine or imprisonment, or both. I understand the information on this form is collected under the Births, Deaths, Marriages, and Relationships Registration Act 2021. As part of processing my request, I understand that my identification details will be checked against other records held by the Department of Internal Affairs or other government agencies, as authorised by law. I understand that my name will be recorded on the access register for any non-historical certificates that I order. Signature ^ Date signed (dd/mm/yyyy) ^ Section 2: Proof of identity This section is about you — the person who is ordering the certificate. We check your details in this form against another identity record. 6. Choose one of the following to confirm your identity (Tick one) I was born in New Zealand (Yes or no) ^ I was married or entered into a civil union in New Zealand (provide details below): (Yes or no) ^ (If applicable) Date of marriage or civil union (dd/mm/yyyy) ^ (If applicable) Town or city of marriage or civil union ^ My child was born in New Zealand (provide details below): (Yes or no) ^ (If applicable) Child’s date of birth (dd/mm/yyyy) ^ (If applicable) Child’s full name ^ I am including a copy of one of the following identity documents: (Yes or no) ^ • Passport (New Zealand or overseas) • Driver licence (New Zealand or overseas) • Kiwi Access Card or 18+ Card (issued by Hospitality New Zealand) • New Zealand firearms or dealer’s licence • New Zealand refugee travel document • New Zealand emergency travel document • New Zealand certificate of identity (issued by Immigration New Zealand) • New Zealand certificate of identity (issued under the Passport Act 1992) • Steps to Freedom document (issued by Department of Corrections) Do not send the original identity document. Section 3: Civil union certificate details This section is about the people whose civil union certificate you are requesting. The information you provide will help us to find the record. [Hand icon] 7. Details of the people entered into a civil union (required) 7a. Name of person 1 (before the civil union) First and middle names ^ Surname or family names ^ 7b. Name of person 2 (before the civil union) First and middle names ^ Surname or family names ^ [Hand icon] 8. Date of civil union (required) Date of civil union (dd/mm/yyyy) ^ 9. Place of civil union (if known) Town or city of civil union ^ 10. Other information (optional) Providing more information may help us to find the record. Other information ^ Section 4: Fees and delivery 11. Quantity and fees [Images of certificate and copy of the record] Enter quantity: Civil union certificate - The certificate will be sent folded: $33 (Enter quantity) ^ Copy of the record - This is a copy of the civil union record usually used for genealogical research and is not a legal document. It will be typed: $25 (Enter quantity) ^ If the record cannot be found, we will contact you for more information to try to locate it. If the record still cannot be found, a search fee of $25 will apply and this is non-refundable from fees already paid. 12. Delivery 12a. Select a delivery method: I want the certificate(s) sent by standard post for $0 (Yes or no) ^ I want the certificate(s) or copy of the record couriered to a New Zealand address for $5 (Yes or no) ^ I want the certificate(s) or copy of the record couriered to an overseas address for between $15 and $30 (Yes or no) ^ Australia, Asia, Pacific courier costs $15 USA courier costs $20 UK, Europe (unless listed here) courier costs $25 Rest of world courier costs $30 Rest of world includes: Azerbaijan, Armenia, Bulgaria, Bosnia and Herzegovina, Cyprus, Croatia, Greece, Georgia, Macedonia, Malta, Moldova I am ordering a copy of the record and want it emailed for $0 (Yes or no) ^ I am ordering a copy of the record and want it sent by standard post for $0 (Yes or no) ^ 12b. Enter delivery details: Delivery name ^ Street number and name ^ Suburb ^ Town or city ^ State or province (if not New Zealand) ^ Postcode ^ Country ^ Contact phone number ^ Email address ^ 13. Payment Do not post cash or card. Do not email credit card details. Charge my credit or debit card (Visa, MasterCard, American Express, Prezzy Card): Card number ^ Card expiry date ^ Name on card ^ Cardholder’s signature ^ Next steps Print and sign the form. Send the form and any required documents to us. Postal address Certificate Team Births, Deaths and Marriages PO Box 10526 Wellington 6140 New Zealand Courier address Certificate Team Births, Deaths and Marriages Department of Internal Affairs Level 2 7 Waterloo Quay Wellington 6011 New Zealand