Request new designated driver form

Request new designated driver form

Complete this form to request a new designated driver for a Kōhanga Reo waka.
Before you begin

You’ll need:
- Colour photos or scans of the new driver’s licence
- To know the driver’s police vetting status
- Whānau hui minutes confirming this new designated driver request.

New driver details
Please enter the details for the new designated driver.
Enter driver’s name*
Enter name as it appears on drivers licence.
Date of birth*

DayMonthYear
Drivers licence number*
License version number*
What is the driver’s police vetting status?*
Enter date application was submitted*

DayMonthYear
Date
Comment
Enter any comment required.
Please upload colour photos or scans (pdf, doc, docx, jpg, jpeg or png) of both the front and back of your licence.
Please upload images of current licence*

Please upload or drag and drop your files here
Multiple files can be uploaded here. Maximum size of 10mb. Cancelof

Declaration and submit
I {enterYour} confirm that:
Has held a whānau hui to discuss Pay Parity and made a decision.
I have approval from our whānau to request this new designated driver.
Please upload whānau hui minutes that support this request**

Please upload or drag and drop your files here
Acceptable file types are: pdf, jpg, jpeg, png, gif. Cancelof
Review the form to ensure you have completed all relevant fields then click Submit.
Should be Empty: