Title Page

  • Registration Number

  • Location
  • Conducted on

  • Officer

Vehicle Details

  • VIN Number

  • Registration Number

  • Registration Expiry

  • UVP Number

  • UVP Expiry

Vehicle Details

  • Make

  • Model

  • Other if none of the above

  • Colour

  • Photograph

Initial Registration Status

  • State

  • Initial Registration Status

  • - Current is a fully registered Vehicle
    - Suspended is a fully registered vehicle temporarily suspended.
    - Active-Expired is a three-month period given by VicRoads for the re-registration of an expired registration following expiry.
    - Cancelled is a purposely cancelled registration.
    - Expired is an expired registration.
    - UVP (Unregistered Vehicle Permit) is a temporary registration to get the vehicle from A-B for the purpose of roadworthiness. It is not intended for parking on a road or road-related area.

Follow up check

  • Has registration status changed

  • Follow up check comments

2nd follow up check

  • Has registration status changed?

  • 2nd follow up check comments

Chalkmark Details

  • Vehicle mark date

  • Wheel Marked

  • Photograph of marked tyre

First recheck

  • Time of check

  • Condition of chalkmark

  • Chalkmark recheck photo

2nd recheck

  • Time of check

  • Condition of chalkmark

  • Photo 2nd chalkmark check

Chalkmark result

  • Chalkmark result

Valve Stem Details

  • Initial Valve Stem Date

  • Side of vehicle valve stemed

  • Front Wheel Photograph

  • Rear Wheel Photograph

  • Officers drawing of car, wheels and stems

Follow up check

  • Date of follow up check

  • Do the valve stems remain in same locations?

  • Front wheel Photograph

  • Rear Wheel Photograph

  • Vehicle location photograph

  • Follow up comments

2nd follow up check

  • Date of 2nd follow up check

  • Do the valve stems remain in same locations?

  • Front Wheel Photograph

  • Rear Wheel Photograph

  • Vehicle Location Photoraph

  • 2nd follow up comments

Result of valve stem checks

  • Valve Stem Results

Obstruction

  • Is the vehicle parked dangerously?

  • Is the vehicle obstructing other traffic?

  • Is the vehicle continuously obstructing a parking bay?

  • If the answer is yes to any of the above, the vehicle can be towed under Schedule 11.4 or 11.5 of the Local Government Act.

ABV Details

  • ABV Applied Date

  • Reason for ABV application?

  • ABV Number

  • Due date/time

  • Photo of ABV applied

ABV Result

  • Date of recheck

  • Status of vehicle

  • Photo of vehicle remaining in play

Tow Details

  • Date of tow request

  • Reason for tow request

  • Pre vehicle tow photos

  • Photos of all sides of the vehicle

  • Comments about vehicles pre-tow condition

  • CW Number

  • ABV Register Number

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