Business Information Form

In order to be able to provide the best support possible the Recover Canterbury team need a little information about your business.

Please complete the form below. It will take around 10 minutes. If you have any questions about the information required in the form please feel free to contact Recover Canterbury on 0800 50 50 96 or email info@recovercanterbury.co.nz.

As part of the application for support you will need to complete Recover Canterbury Service Agreement. You can download a copy of the Service Agreement here. Completed agreements can be emailed to info@recovercanterbury.co.nz. Alternatively you can complete the Service Agreement during your meeting with your Business Recovery Coordinator.

Eligibility criteria

To be eligible for business and/or financial assistance you must answer yes to the following.




Business and Contact Information

Contact Person

Postal Address

Physical Address (If different from above)

Telephone Numbers

Number of employees If zero please enter "0" into the field



Business Snapshot


Since 22 February has the business received insurance payments for any of the following?









What actions have been taken since 4 September & 22 February to improve the business situation? Please tick all that apply.