The association between geographic access to alcohol outlets and serious violent crime was examined in New Zealand. Serious violence offences recorded between 2005 and 2007 were aggregated for 286 police station areas. Geographical Information Systems geocoded 9,320 licensed premises and road travel distances to the closest alcohol outlet type/category were calculated for each area. Significant negative associations were observed between distance (access) to licensed outlets and the incidence of serious violent offences with increased levels of serious violent offending recorded in areas with close access to any licensed premises compared to those areas with least access (IRR 1.5; 95% CI, 1.10 to 2.03); with on-licensed premises (IRR 1.6; 95% CI, 1.16 to 2.08); and off-licensed premises (IRR 1.4; 95% CI 1.05 to 1.93).