Application form

You can either use the application forms provided below, or use your own format, provided all the questions set out in the application guidelines are answered fully.

Be sure to also read the criteria for applications before you start filling in your application.

You will need to submit 6 printed copies of the completed application (either by post or email) to:

The Executive Officer
Road Safety Trust
P O Box 11 470
Manners Street
WELLINGTON
Phone: 04 894 6164
Fax: 04 8946100
Email: road.safetytrust@roadsafety.govt.nz

Download an application form

Download either the Word or PDF file and complete it on your own computer, or print a blank form and complete it by hand.