Title Page
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Registration Number
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Location
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Conducted on
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Officer
- Sam Allan
- Lydia Beker
- Buck Cerridwyn
- Chris McKee
- Fiona McNeil
- Craig Neville
- Sheena Ninan
- Mitchell Robinson
- Ryan Salvesen
- Taleen Toughladjian
Vehicle Details
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VIN Number
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Registration Number
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Registration Expiry
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UVP Number
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UVP Expiry
Vehicle Details
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Make
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Model
- Sedan
- Ute
- Van
- Wagon
- Station Wagon
- Coupe
- Other
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Other if none of the above
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Colour
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Photograph
Initial Registration Status
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State
- A.C.T.
- Federation
- New South Wales
- Northern Territory
- Queensland
- South Australia
- Tasmania
- Victoria
- Western Australia
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Initial Registration Status
- Active Expired
- Cancelled
- Current
- Expired
- Registered
- Suspended
- Unknown
- UVP
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- 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
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Has registration status changed
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Follow up check comments
2nd follow up check
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Has registration status changed?
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2nd follow up check comments
Chalkmark Details
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Vehicle mark date
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Wheel Marked
- Drivers front
- Passengers Front
- Drivers rear
- Passenger Rear
- Driver Other
- Passenger Other
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Photograph of marked tyre
First recheck
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Time of check
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Condition of chalkmark
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Chalkmark recheck photo
2nd recheck
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Time of check
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Condition of chalkmark
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Photo 2nd chalkmark check
Chalkmark result
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Chalkmark result
Valve Stem Details
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Initial Valve Stem Date
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Side of vehicle valve stemed
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Front Wheel Photograph
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Rear Wheel Photograph
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Officers drawing of car, wheels and stems
Follow up check
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Date of follow up check
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Do the valve stems remain in same locations?
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Front wheel Photograph
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Rear Wheel Photograph
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Vehicle location photograph
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Follow up comments
2nd follow up check
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Date of 2nd follow up check
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Do the valve stems remain in same locations?
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Front Wheel Photograph
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Rear Wheel Photograph
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Vehicle Location Photoraph
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2nd follow up comments
Result of valve stem checks
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Valve Stem Results
Obstruction
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Is the vehicle parked dangerously?
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Is the vehicle obstructing other traffic?
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Is the vehicle continuously obstructing a parking bay?
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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
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ABV Applied Date
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Reason for ABV application?
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ABV Number
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Due date/time
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Photo of ABV applied
ABV Result
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Date of recheck
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Status of vehicle
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Photo of vehicle remaining in play
Tow Details
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Date of tow request
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Reason for tow request
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Pre vehicle tow photos
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Photos of all sides of the vehicle
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Comments about vehicles pre-tow condition
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CW Number
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ABV Register Number