Transcription of Vehicle Details Inspection Sheet
1 Print Form Reset Form Vehicle Details Inspection Sheet Transport Operations (Road Use Management) Act 1995. 1. Operator Details 7. Compliance type Vehicle Operator's name and address Is an Identification Plate (Compliance Plate) fitted? Yes What kind of Identification Plate is fitted? Full Volume Identification Plate Date on plate Month Year Postcode Second Stage of Manufacture Plate Year of manufacture 2. Vehicle Details Year Previous plate number (if applicable) State/Territory of issue Low Volume Identification Plate Approval number VIN/Chassis number Personal Import Plate Provide Details Other Engine number No Provide Details Make Model 8. Modification Details Has the Vehicle been modified in any way from its original design? (for example, change of engine type, additional seating).
2 Body shape Series (for example, XH). No Go to 9. Yes Has a modification plate been fitted? Badge (for example, Longreach, Tradesman). No A modification plate may need to be fitted before this application can proceed. Number of cylinders/rotors Fuel type (for example, petrol, gas) Yes Provide Details below (please include A/Officer's number/modification code and description/date of modification). Seating capacity Motorcycle engine capacity persons mL. Odometer reading Conversion to kilometres (if required). 9. Is a Speed Limiter fitted? Yes No km/miles km (Miles x 8)/5. 10. Declaration 3. Vehicle mass Details Inspection was carried out by (Tick one box). Tare GVM/ATM GCM/GTM. Registered operator/representative kg kg kg TMR approved agent 4. What is the steering position?
3 I have inspected the Vehicle indicated on this form and certify Left Right Central Dual control the information contained in this form is complete, true and 5. Vehicle colour correct and has been taken from the Vehicle itself. Primary Secondary Full name (please print). 6. Traction (conditional registration only) Customer Reference Number Tracks Tracks Pneumatic Rollers (metal) (non-metal). Signature Privacy statement: The Department of Transport and Main Roads (TMR) is collecting the information on this form for the purposes of maintaining TMR's Date Vehicle /vessel register as required under the Transport Operations (Road Use Management) or its agents/contractors may use your information in its communications with you and, where relevant, may give some of the information to Vehicle insurers, statutory entities, insolvency entities, lawyers, persons involved in Vehicle incidents/accidents, Vehicle manufacturers, third parties who are involved in or intend to commence legal proceedings, tolling entities, law enforcement agencies and interstate registering authorities.
4 Your personal It is an offence to give false or misleading information under the information will not be disclosed to any third party without your consent, unless Transport Operations (Road Use Management) Act. authorised or required to do so by law. Maximum penalty may exceed $7000. LTSR Forms Area F3529 CFD V01 Nov 2020.
