Here you will find the claim forms required to be completed to lodge a claim in insolvencies we are administering.


Please follow these simple steps to file a claim:

  1. Click on the link below of the form you require (the form will open in a new tab in your browser)
  2. Download the PDF form to your desktop (or the desired location on your computer)
  3. Open the PDF and complete the required sections (you can save the form part way through to complete later if you wish)
  4. Print the completed form and sign
  5. Compile and attach any required documents as evidence of your claim
  6. Scan and email your completed form with the attachments to (Alternatively, you can post your completed form and documents to us)


Note: If you are an employee or ex-employee please use the “Unsecured Creditors Claim Form” and choose the “I am making a preferential claim” option.

Creditor Claim Forms:

Unsecured Creditors Claim Form  (PDF Download, 1.2mb)

Secured Creditors Claim Form (PDF Download, 1.2mb)


Khov Jones is a specialist insolvency and consulting firm that delivers practical solutions to clients that encounter often challenging and complex issues. Our directors are Licensed Insolvency Practitioners.

With over 25 years of commercial experience providing specialist advice we have the skills and expertise to provide robust advice to clients when it counts.

Our specialist insolvency areas include liquidations, receiverships, voluntary administration and creditor compromises. We also undertake forensic accounting assignments and consult to our clients on insolvency related matters.



Auckland Office: I4, 59 Apollo Drive, Albany, Auckland 0632

Waikato Office: Level 7, 711 Victoria Street, Hamilton 3204

Postal: PO Box 302261, North Harbour, Auckland 0751

Phone: 0800 275 554