Any information that shall be received whether such information pertains to the Society itself, the trustees (or any of them), the Welfare Board, or the members (or any one of them) in absolute confidence for the whole of my life (except where any such information discloses criminal activity or where nondisclosure would require me to breach any statutory duty I have pursuant to the Friendly Societies and Credit Unions Act 1982, the Trustee Act 1956 or any other legislation) whether or not I remain a member or an officer of the Society, or cease to have any connection with the Society whatsoever. If I breach this condition I will hold the Society indemnified for any claims demands or costs which the Society may incur as a result of my breach of confidentiality and in addition I shall indemnify the Society for any loss of income the Society may incur itself from any loss of members or potential members as a result of a breach hereof.
Healthcare 99 collects personal information about you so the New Zealand Firefighters Society can consider your claim(s). The information is received and held by the New Zealand Firefighters Welfare Society, Private Bag 31999, Lower Hutt 5040. You may request access to, and correction of, this information according to the provisions of the Privacy Act 1993.
• I declare to the best of my knowledge the details given in this claim form are true. • I agree that the New Zealand Fire Fighters Welfare Society may give or obtain from appropriate individuals or organisations information relevant to evaluate and administer this claim. • With regard to any injury or illness, I hereby authorise any hospital, physician or other person who has attended me to furnish the New Zealand Firefighters Welfare Society, or its representatives, with any and all information with respect to any medical history, consultation, prescription or treatment and copies of all hospital or medical records. • I agree that an electronic version of this authorisation shall be considered as effective and valid as the original and that electronic invoices submitted are copies of the original invoices (please retain the original invoices in case we require them later).
Privacy Conditions for the NZFFWS APP