ACC housing modification forms

Forms used in ACC housing modification services

Find the forms you need for requesting or progressing ACC housing modification services from Enable New Zealand.

ACC7404 - Request for housing modification - grab rail (DOCX, 136 KB, 2 pages)

ACC263 - Housing modification assessment report – minor modifications (DOC, 259 KB, 5 pages)

ACC1563 - Housing modification consent (property owner) (DOC, 162 KB, 1 pages)

ACC1564 - Housing modification responsibilities (ACC client) (DOC, 169 KB, 2 pages)

ACC1565 - Housing modification certificate of satisfactory completion (DOC, 161 KB, 1 pages)

ACC7403 - Housing modification service referral (DOC, 185 KB)

ACC257 - Housing Modification Assessment Report - Standard and Complex Modifications (DOC, 304 KB, 6 pages)

Guide to ACC housing forms

For more information about ACC forms used, and who completes them, see the housing modification service toolkit.

Toolkits and guidelines for ACC staff and housing assessors