2026 Travel, Accommodation Health Grant

OMR2 Shareholder Information
Who is the owner or beneficiary? *
Whanau Trust Name*
The full name of the Whanau Trust as it appears in the Maori Land Court Registry
Shareholder Name*
The full name of the Individual Shareholder as it appears in the Maori Land Court Registry
Your Whakapapa Link to Omataroa Trust?
Is the applicant a minor ?*
A minor is an applicant who is aged 17 years and younger

Parent Details
Parent Name*

First NameLast Name
Your allocated BE Number*
This number is given once you have registered with the Trust. If you do not know it, please contact the office.
Phone Number*

Area CodePhone Number
E-mail*
example@example.com

Grant Purpose
Main Grant Purpose*
Briefly explain grant purpose*
Location of Treatment*
To qualify for the travel grant you must have travelled 70km in total from your home address
Date of Appointment*

DayMonthYear
Date
Upload 2026 specialist letter or appointment cards *

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Accommodation Costs
Travel Only
Costs
Upload 2026 Tax Invoice or receipt of accommodation costs *

Tax invoice/receipt of accommodation costs must coincide with the dates of treatment
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Has your bank details changed
Bank Account Details

The grant is to be paid to either an applicant, parent/guardian Please make sure you enter the correct account number to avoid delays in payment
Account Name*
NZ Bank Account No.*
Enter like this 00-0000-0000000-00.
Upload bank verification*

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Office Use Only