Kaumatua Hauora Grant Form

IMPORTANT: Health Grant Policy and Criteria:
1. Applicants must be aged over 60 years at the time of this application.
2. Grants will be considered to assist with the cost of spectacles, hearing aids, dental work and dentures only.
3. The amount of the grant is up to $500 at the discretion of the trustees.
4. If purchase has not yet been made, payment will be made direct to the supplier on production of a Quote or
Invoice. (Please provide Health Professionals account number with Quote or Invoice).
5. Payment direct to the applicant will only be made if a receipt confirming payment is attached to this form and will
be paid direct into the applicant’s bank account. Please attach a bank deposit form.
6. Any beneficial owner who meets the criteria will only be entitled to receive one Health grant in any 12 month
period.
7. This grant is taxable in the hands of the recipient with a Maori Authority Tax Credit attached. If no IRD number
is provided, the grant will be subject to Resident Withholding Tax which will be deducted from the grant.
8. This grant will not be payable to an applicant whose total costs are fully funded elsewhere. By completing this
application the applicant confirms that the costs are not fully funded by any other party and authorises Te
Tahuna Trust to contact any other Trust to which an application has been made.