Report a serious problem

This form is to be used by licensed insolvency practitioners who, under section 60 of the Insolvency Practitioners Regulation Act 2019 , are required to report serious problems in relation to a body corporate in respect of which the person acts as an insolvency practitioner.

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Insolvency practitioner details

Insolvency practitioner’s full name (required)

Insolvency practitioner’s registration number (required)

Name of insolvency practitioner’s firm (if applicable)

Practitioner's email address (required)

Practitioner's phone number (required)

Body corporate details

Body corporate type (required)

Company Incorporated society Limited partnership Other

Body corporate name (required)

Body corporate number (required)

Body corporate NZBN (required)

Additional body corporate details (if applicable)

This serious problem involves related body corporates or a group of body corporates.

If so, enter additional body corporate details below.

1. Body corporate type, name, number & NZBN

2. Body corporate type, name, number & NZBN

3. Body corporate type, name, number & NZBN

If there are more body corporates, please upload a document containing their details

Summary of the serious problem being reported (required)

Criminal offending

Misapplication of money or property

Default and breach of trust

Breach of director’s duties

Mismanagement causing insolvency

Select one or more that apply

If you're reporting criminal offending

Criminal offending by —

Their role in the body corporate(s)

Director Officer Shareholder Other (please specify below)

If their role is 'Other' please specify

If you're reporting misapplication of money or property

Misapplication of the body corporate’s money or property by —

Their role in the body corporate(s)

Director Officer Shareholder Liquidator Receiver Other

If their role is 'Other' please specify

If you're reporting a default and breach of trust

Negligence, default, or breach of duty or trust by —

Their role in the body corporate(s)

Director Officer Shareholder Liquidator Receiver Other (please specify)

If their role is 'Other' please specify

If you're reporting a breach of director's duties

Material breach of director’s duty by —

Their role in the body corporate(s)

Current director Previous director Deemed or shadow director Other (please specify)

If their role is 'Other' please specify

If you're reporting mismanagement causing insolvency

Mismanagement of the body corporate that has materially contributed to the body corporate’s insolvency by —

Their role in the body corporate(s)

Director Officer Shareholder Liquidator Receiver Other (please specify)

If their role is 'Other' please specify

Please provide any further details regarding the nature of the serious problem

Other parties that have received the report

The serious problem has also been, or will be, reported to:

the Reserve Bank of New Zealand

the New Zealand Police

the body responsible for investigating or prosecuting the offence*

none of the above

* Name of the body responsible for investigating or prosecuting the offence (if applicable)

You also must identify each person to whom the report has been provided

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