Western Australia Transport Optional Plates/Remake ...

1 CONTACT DETAILS (IF CORRESPONDENCE NOT TO BE SENT TO THE OWNER) Government of Western Australia Department of Transport Optional Plates/Remake Application When blank, this form is classed as OFFICIAL, when completed, this form is classed as OFFICIAL SENSITIVE PLATE OWNER DETAILS (NAME IN WHICH PLATES ARE TO BE REGISTERED) PLATE SIZES FAMILY NAME FIRST NAME DRIVER S LICENCE NUMBER DATE OF BIRTH / / PHONE NUMBER MOBILE NUMBER EMAIL ADDRESS RESIDENTIAL ADDRESS SUBURB POST CODE STATE W A To assist Driver and Vehicle services in assessing your Optional plate application, provide a brief description for your chosen character combination (nickname, pets name etc) FAMILY NAME FIRST NAME DRIVER S LICENCE NUMBER DATE OF BIRTH / / PHONE NUMBER MOBILE NUMBER EMAIL ADDRESS RESIDENTIAL ADDRESS SUBURB COLLECTION DETAILS POST CODE W ASTATE NOMINATE YOUR PREFERRED COLLECTION SITE* *Note identification will be required when collecting platesDECLARATION I take full responsibility for the displaying of the approved plates and agree to abide by the terms and conditions as stated on the website SIGNATURE OF APPLICANT DATE / / motor Vehicle Normal 372mm x 134mm Slimline 372mm x 100mm 1/2 size 190mm x 134mm 3/4 size 315mm x 134mm Combination 1 normal & 1 slimline Euro 520mm x Baby Euro 372mm x 100mm Euro Combination 1 Euro & 1 Baby Euro Motorcycle Normal 254mm x 100mm Small 190mm x 100mm Optional District Remake Only ALUMINIUM COLOUR LETTERS/NUMBERS Maximum of 7 characters for motor vehicles.

2 Maximum of 7 characters for normal motorcycle size. Cannot contain numbers only. VEHICLE TYPE MOTORCYCLE SIZE motor vehicle Normal 1-7 characters Trailer Motorcycle Local Authority Remake Only LETTERS/NUMBERS VEHICLE TYPE motor vehicle Local Authority plate type will be remade as per the original application and no changes are permitted. Trailer Note that the current design will be used, and may not be identical to the original design. Corporate or Fundraising Remake Only LETTERS/NUMBERS VEHICLE TYPE Corporate or Fundraising plate type will be remade as per the original application and noMotor vehicle changes are permitted. Trailer Note that the current design will be used, and may not be identical to the original design. Check the provider website to Remake Only ALUMINIUM LETTERS NUMBERS Bizplate plate type will be remade as per the original application and no changes are permitted.

3 VEHICLE TYPE motor vehicle Trailer Last updated: 02/11/2021 YES YES YES YES Custom Series - If a space is required please mark Intense Series - no space permitted Is this application for a remake of existing Optional plates? YES NO Is this application for a remake of existing Optional plates? NO ALUMINIUM COLOUR ALUMINIUM COLOUR LETTERS NUMBERS Cannot contain numbers only. No leading space. BLACK ON WHITE GREEN ON WHITE contains 2 letters and 4 numbers ACRYLIC LETTERS NUMBERS Maximum of 9 characters for motor vehicles. RED ON WHITE BLUE ON WHITE WHITE ON BLACK WHITE ON ORANGE contains 3 letters and 2 numbers Maximum of 7 characters for motorcycle size. LETTERS NUMBERSC annot contain numbers only. No leading space. VEHICLE TYPE motor vehicle contains 3 letters and 3 numbersTrailer Motorcycle LETTERS NUMBERS motor VEHICLE SIZE Normal contains 4 letters and 2 numbers WHITE ON DARK BROWN WHITE ON DARK GREEN WHITE ON OLIVE GREEN WHITE ON PINK Slimline VEHICLE TYPE PLATE SIZE Combination WHITE ON BLUE WHITE ON DARK BLUE motor vehicle Normal size only1/2 size 1-3 characters Trailer 3/4 size 1-5 characters Not available for motorcycle, slimline, 1/2 or 3/4.

4 The colours displayed may MOTORCYCLE SIZE WHITE ON PURPLE WHITE ON GREY BLUE ON BRAND WA vary from the actual plate. Normal 1-7 characters Small 1-5 characters (Aluminium only) Is this application for a remake of existing Optional plates? Retro Series - motor vehicles - no space permitted NO Brand WA only available in normal size. Not available for motorcycle, slimline, ALUMINIUM COLOUR 1/2 or 3/4. The colours displayed may vary from the actual plate. LETTERS NUMBERS BLACK ON WHITE WHITE ON BLACK Design Series - no space permitted Is this application for a remake of existing Optional plates? YES NO X contains 3 letters, 3 numbers ALUMINIUM COLOUR PLATE SIZE ORLETTERS NUMBERS NormalLETTERS NUMBERS Slimline Combinationcontains 3 letters and 3 numbers U contains 3 letters, 3 numbers. OR NUMBERS LETTERS Retro Series - Motorcycles - no space permitted Is this application for a remake of existing Optional plates?

5 YES NO ALUMINIUM COLOUR contains 3 numbers and 3 letters. LETTERS NUMBERS VEHICLE TYPE motor vehicle Trailer BLACK ON WHITE WHITE ON BLACK X contains 2 letters, 3 numbers PLATE SIZE Motorcycle OR Normal MotorcyclePLATE SIZE LETTERS NUMBERS size only Normal Slimline -not available for motorcycles U contains 2 letters, 4 numbers; or 2 letters, 3 -not available for motorcycles World Rally Championships - no space permitted Is this application for a remake of existing Optional plates? NO Prestige Series - no space permitted Is this application for a remake of existing Optional plates? NO ALUMINIUM COLOUR ALUMINIUM COLOUR LETTERS NUMBERS PLATE SIZE Up to 3 ON WHITE WHITE ON BLACK Normal PLATE SIZE VEHICLE TYPE W R C - Pre determined Slimline Combination motor vehicle Trailer YES YES YES YES YES YES YES YES Euro Premium- If a space is required please markChinese Zodiac Series - no space permitted Is this application for a remake of existing Optional plates?

6 NO Is this application for a remake of existing Optional plates? NO ALUMINIUM COLOUR ALUMINIUM COLOUR LETTERS/NUMBERS LETTERS NUMBERS Cannot contain numbers onlyLETTERS NUMBERS PLATE SIZE Euro size PLATE SIZE Baby EuroNormal Combination TYPE Pig Horse Rabbit Rooster Dog Monkey Goat Snake Dragon Ox Rat Tiger Euro Custom Plus - no space permitted Metallic Series - If a space is required please mark Is this application for a remake of existing Optional plates? NO ALUMINIUM COLOUR Is this application for a remake of existing Optional plates? LETTERS/NUMBERS NO ALUMINIUM COLOUR Blue Sash PLATE SIZE Euro size Maximum of 7 characters for motor vehicles. Baby EuroMaximum of 7 characters for normal motorcycle size. Maximum of 5 characters for small motorcycle size. Combination Cannot contain numbers only. No leading space. VEHICLE TYPE motor vehicle Euro Custom - no space permitted Is this application for a remake of existing Optional plates?

7 NO Trailer ALUMINIUM COLOUR Motorcycle LETTERS NUMBERS motor VEHICLE SIZE MOTORCYCLE SIZE Blue Sash Normal Normal 1-7 characters PLATE SIZE Euro size Slimline -not available for motorcycles Small 1-5 characters Combination -not available for motorcycles and trailers Baby Euro CombinationPersonalised - no space permitted Is this application for a remake of existing Optional plates? NO ALUMINIUM COLOUR Euro Series - characters allocated Is this application for a remake of existing Optional plates? NO LETTERS NUMBERS ALUMINIUM COLOUR LETTERS NUMBERS Blue Sash VEHICLE TYPE motor vehicle Trailer Motorcycle PLATE SIZE Euro sizeName Series - If a space is required please mark Is this application for a remake of existing Optional plates? NO ACRYLIC COLOUR Platinum Series Remake Only ALUMINIUM LETTERS/NUMBERS 1 F Platinum plate type will be remade as per the original application andMaximum 9 letters, including spaces no leading space.

8 No changes are permitted. Frangipani Series Remake Only PLATE SIZE Slimline size only ALUMINIUM COLOUR LETTERS/NUMBERS Department of Transport Contact Information PLATE SIZE Driver and Vehicle services Centre or regional Agent (see website for details). Normal Slimline Combination Web: Email: Phone: 1300 765 106