Review application - ACC33

How to request a review of your claim or levy

Apply for a decision review

If you disagree with a decision we have made about your claim, you can apply for a formal, independent review. To do this, you’ll need to complete and submit the ACC33 form (Application for review).

What happens when you apply for a review?

Once you submit your ACC33 form:

  • We will try to resolve the issue with you early in the process.
  • If no agreement is reached, an independent reviewer (not employed by ACC) will be assigned.
  • The reviewer will organise a review hearing, which may be held in person, online, or over the phone. During the hearing, the reviewer considers:
    • All the information related to your case
    • Relevant ACC legislation
    • Written submissions from both you and ACC

After the hearing, the reviewer will issue a decision. They may rule in your favour or in favour of ACC.

Other options before applying

If a formal review doesn’t feel right for your situation, you may wish to consider these alternative. These options may help resolve your concerns without a formal review.

Alternative Dispute Resolution

Talk to us or make a complaint

How to complete the ACC33 form

You need to complete a separate form for each review you want to apply for.

What you’ll need:

  • Details of the ACC decision you're reviewing

  • Your reasons for disputing the decision

  • Any supporting information you want to include

Completing the form takes about 10 minutes, depending on how much detail you provide.

Note: This online form cannot be saved, so we recommend having all your information ready before you start.

Time limits for review applications

You must apply for a review within 3 months of the date on your ACC decision letter.

We may accept late applications in some situations — for example, if something outside your control stopped you from applying in time. You can explain your reason in the form.

Note: We can't extend the deadline for levy-related reviews or applications where the applicant is an employer

Need help?

If you need help completing the form contact the person at ACC who has been assisting you with your claim or levies, or

Call 0800 101 996

Privacy

In the collection, use, disclosure, and storage of information, ACC will at all times comply with the obligations of the Privacy Act 2020, the Health Information Privacy Code 2020 and the Official Information Act 1982. For further details see ACC’s privacy policy.

Our privacy notice

Primary contact details

Preferred contact method:
The core working hours for ACC are 9am to 5pm

Complete an Authority to Act form and upload it

Authority to Act

Please email this completed form to accreviewapplication@acc.co.nz

Who is the review application about?

You will need to complete a new form for each review application you are wanting to submit.
You can find the date of the decision letter in the top left corner of your letter from ACC.
You need to apply for a review within three months from the date of our decision letter. In some circumstances, we can accept late review applications. We are unable to extend the time for levy reviews or where the applicant is an employer.
Please explain why you would like to review our decision and what your ideal outcome is. Include any information that supports your application.

Cultural support services

We will do our best to ensure that your needs are considered. You also have the right to have your culture, values and beliefs respected. This could include:

  • whānau, kaumātua or family support to be present
  • interpreters, if required, for you or your support person or people
  • have your review hearing at an appropriate community venue, if possible

Other support required

Alternative dispute resolution

If you aren’t sure if you want to go to a formal hearing, but want to have a meaningful conversation with an independent party to find a way forward,  Alternative dispute resolution can be beneficial.

Review process

ACC engages two suppliers to provide Independent Reviewer Administration and Dispute Resolution services. Please let us know if you have a preference of supplier:
Are you happy to proceed directly to a review hearing if there is agreement that no case conference is required?” (yes, no)

Declaration

To collect this information and use it, as well as share it, according to ACC rules for reviewing your case and ACC privacy policy

·       Medical and other records which are or may be relevant to my claim 

·       Details of my accident 

·       Tax records, employment details and history which are or may be relevant to my claim

·       The holders of such information to provide it to ACC

  •   ACC to provide my claim file or relevant documents to an independent reviewer or conciliator and to external ACC advisors (such as medical experts).