Date:
...
Order Number:
Applicant's Details
Company Name * Applicant Name *
Address * Phone *
Fax
Mobile
Email *
Load Details
Pilot / Operator's Name * Pilot / Operator's Mobile Number *
Load Description *
Starting Address *
Delivery Address *
Dimensions
Length * m Width * m Height * m
Total Vehicle Mass * t Max Axle Loading * t  
Attach File
Click here to attach a file
NOTE: You must attach a copy of a valid NZTA Over Weight permit or diagram showing axle loads and spacings for all loads in excess of 105T or Exceeding 12T per axle.
Dangerous Goods Declaration
Are dangerous goods being carried?
No items to display
UN Number
Quantity
Level Crossings Details
Is this application for a long term permit?Up to a maximum of 6 months from the day of issue - $180.00 + GST
This application includes the following bypass crossings (leave unchecked if none):
Has a NZ Heavy Haulage Assn Crossing Supervisor been confirmed?
Crossing Supervisor Name
Or
Do you require KiwiRail to arrange protection for this crossing?
Line *
Level Crossing
Date From *
Date To *
ETA
(Add new row)
...
...
Additional Comments
Declaration
1.) This application is subject to all Terms & Conditions as agreed to on the signed copy of the Information For Operators of Over Dimension Loads agreement currently held by this office.
2.) This application is subject to the fees set out in the schedule in the above mentioned agreement.
3.) All Level Crossings you are applying for must be included in this application.
*