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Application for a helmet exemption (DL4C)

IMPORTANT: make sure you've read and understood all the information on the helmet exemption page before you make this application. 

Read more about helmet exemptions

Exemption type

What type of exemption are you applying for?
Will you be travelling over 50km/h?

STOP: don't apply

You don't need to apply for an exemption if you'll only be travelling at 50 km/h or less. 

You must provide proof to an enforcement officer that you are a member of the Sikh religion if you were pulled over for not wearing a helmet.

 

 

 

 

Your details

Do you have any traffic infringements?
This includes infringements and speed camera infringements, pending offences and breaches of the graduated driver licensing system.

Exemption details

You need to show us that you've considered things like:

  • What risks might there be to myself, my passengers and any other road users?
  • How will I minimise these risks?
  • What behaviours will I adopt to make sure that I'm driving safely?

Tip: make sure you've covered off all our questions from the exemption section if you can:

  • How would granting this exemption maintain or improve land transport safety?
  • How would it contribute to an effective, efficient and safe land transport system in the public interest?
  • Does it support the response to an emergency or other event? 

Declaration

IMPORTANT: Before you submit this application make sure you have:

  • read and understood all the relevant information in our exemption section
  • completed all the relevant fields above
  • uploaded all the evidence we've asked for.

If you haven't given us everything we need to assess your application, it will be delayed while we contact you for more information. 

The particulars you provide will become part of the Driver Licence Register. Collection, dissemination and release of this information is authorised by the Land Transport Act 1998.

NZ Transport Agency Waka Kotahi may also use some of these particulars to provide you with information relating to driver licensing and driving. We may also disclose some of the particulars to our agents and contractors in relation to the above purposes.

Details supplied with your application may be used to make such enquiries as are deemed necessary to consider your exemption request.

Under the Electoral Act 1993, s 263B, the Electoral Enrolment Centre operates an authorised information matching programme with Waka Kotahi. The purpose of this programme is to assist in keeping the Electoral Roll up-to-date.

To keep the Driver Licence Register up-to-date NZTA also operates an authorised information matching programme with Births, Deaths and Marriages. Please refer to our Privacy section for more information.

The Privacy Act 2020 provides rights of access to, and correction of, any readily retrievable personal information held about you.

Should you wish to exercise these rights please contact NZ Transport Agency, Private Bag 11777, Palmerston North 4442 or email info@nzta.govt.nz.

Email address

Giving us your email address is optional. We’ll email you information and reminders about your application and driver licensing, and other NZTA services, including asking for feedback on our services and the transport system.

We recommend using an email address that’s unique to you, so only you can see information we send you.

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