Information
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Date Inspected
-
Officer Attending
- Jeffrey Hogg
- Wayne Brooks
- Shane Florrimell
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CS Number
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Location from centre front of vehicles bonnet
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Photograph full interior from multiple angles
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Street address or location on roadway
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Registration Number
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State
- New South Wales
- Queensland
- Victoria
- South Austrlia
- Tasmania
- Western Australia
- Australian Capital Territory
- Northern Territory
- Unkown
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Make:
- Alfa Romeo
- Aprilia
- Audi
- BMW
- CAT
- Chevrolet
- Chrysler
- Citroen
- DAF
- Daewoo
- Daihatsu
- Datsun
- Dodge
- Ducati
- Fiat
- Ford
- Great Wall
- Harley-Davidson
- Hino
- Hillman
- Holden
- Honda
- Hummer
- Hyundai
- International
- Jaguar
- Jeep
- Kawasaki
- Kia
- Kenworth
- Lada
- Lancia
- Land Rover
- Lexus
- Mack
- MAN
- Mazda
- Mercedes Benz
- MG
- Mini
- Mitsubishi
- Nissan
- Norton
- Opel
- Peugeot
- Piaggio
- Proton
- Porche
- Renault
- Range Rover
- Rover
- Saab
- Scania
- Skoda
- Smart Car
- Ssangyong
- Subaru
- Suzuki
- Tesla
- Toyota
- Triumph
- Vespa
- Volkswagen
- Volvo
- UD
- Yamaha
- Other
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Model:
-
Colour
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Body Type:
- Sedan
- Station wagon
- Hatchback
- Utility
- Van
- Coupe
- Truck
- Box Trailer
- Trailer
- Boat trailer
- Panel van
- Motorcycle / scooter
- Motorscooter
- Campervan
- Motorhome
- 4X4
- SUV
- Other
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Vin/chassis if number photo not available
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Photo Vin / Chassis number
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Is there damage?
- Yes
- No
- Scratches
- Dents
- Rust
- Flat tyre/s
- Wheel/s Missing
- Broken window/s
- Broken lens/es
- Panels Missing
- Parts missing
- Fluids leaking
- Derelict
- Burnt out
- Severe damage from collision
- Minor damage from collision
- Other - List in notes
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Photograph front,
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Photograph right hand side
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Photograph left hand side
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Photograph Rear
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Photograph of notice close
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Photograph of notice distant
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Interior photos
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Officers Notes (if required)
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Date and Time completed
