The below form can be used by victims of road crashes to refer themselves to RoadPeace support services. On receipt of this form RoadPeace will reach out and conduct a needs assessment to discuss what services might be suitable for you. Services include 1-2-1 support, allocation of a befriender, attending regional meetings or taking part in remembrance events.Â
Please only fill this form out for yourself, not for a friend or family member.