Vehicle needs and modifications assessment form (for Provider use only)


For Occupational Therapists – This form should only be completed upon referral from the TAC post the completion of a Transport Needs Assessment Form. Complete this form to submit applications for TAC-funded vehicle modifications, to ensure the safety, accessibility and independence of our clients as drivers or passengers.

You will need to provide details about the person's transport needs, as well as whether their current or pre-accident vehicle is suitable for modification and, where relevant, if it has the capacity to fit a wheelchair.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. Please email forms or other documents to and include the client's claim number in the subject line.