Download either the Word or PDF file and complete it on your own computer, or print a blank form and complete it by hand.
You will need to submit 10 printed copies of the completed application.
If you choose not to use this application form, please ensure all questions asked here are answered.
Download the application form:
Please send 10 completed copies of your application to:
The Executive Secretary
Road Safety Trust
PO Box 11 470
Wellington
Page updated: 19 June 2008
Page created: 2 March 2006