Multiple employer adjustment
Who is this form for?
This form is for individuals who have multiple sources of income, for example, a mixture of PAYE wages and non-PAYE shareholder remuneration, or PAYE earnings from multiple employers, and have been charged ACC levies exceeding the maximum liable income level for a levy year.
If you’re eligible, ACC will refund any overpayment.
Who is this form not for?
You do not need to request an adjustment if you:
- receive one type of income from one employer, for example, PAYE wages or non-PAYE shareholder remuneration
- are self-employed only.
What do I need to do before submitting the form?
Complete these tasks for all levy accounts related to the adjustment, including employers and the individuals (self-employed account).
- Add or update bank accounts in MyACC for Business so we can promptly refund any overpayment.
- If you’re an agent, please link to all related ACC accounts in MyACC for Business.
- If you’re an advisor, please complete an ACC1766 authorisation form.