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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.

ACC1766 authorisation

Login to MyACC for Business

Details required

Summary of Earnings

To process your adjustment, we require a Summary of Earnings from Inland Revenue, for each requested tax year. Please ensure the Summary of Earnings document supplied includes the 'Detailed Income Breakdown’ section.