- Read the eligibility criteria.
- Apply online or Download a PDF (PDF, 0.2 MB) version of the application form.
- For help writing your tribute, please read the guide.
- Call 1300 362 128 for help completing the application by phone.
| Last name | First names | Died | Age | Occupation |
|---|---|---|---|---|
| Caudell | Suzanne | 16 January 2013 | 64 | Traffic controller |
| Cory | Brendon | 23 March 2017 | 42 | Truck driver |
| Erikson | John | 11 November 2012 | 46 | Plant operator |
| Fuller | Matthew James | 14 October 2009 | 25 | Foil insulation installer |
| Garrels | Jason Jon | 27 February 2012 | 20 | Trade assistant |
| Kennedy | Dale Daniel | 12 December 2012 | 20 | Apprentice electrician |
| McPhee | Timothy James | 19 April 2011 | 23 | Labourer house moving / construction industry |
| Morris | Ashley Pengana Paul | 6 October 2016 | 34 | Concreter |
| Murdoch | Kurt | 23 May 2012 | 19 | Truck driver |
| Smit | Ben | 8 September 2015 | 50 | Traffic controller |
| Springer | Daniel | 6 August 2017 | 30 | Boilermaker |
| Te Amo | Whareheera Keepa | 29 July 2014 | 61 | Metal roofer |
| Tullett | Peter | 11 April 2017 | 29 | Mechanical maintenance fitter |
| Vovard | Simon | 5 November 2015 | 29 | Abseiler |
| Viner | Stephen | 6 February 2017 | 57 | Handyman |