Information
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Conducted on:
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Officer's present:
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Address / location
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Registration:
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State Registration:
- New South Wales
- Queensland
- Victoria
- South Austrlia
- Tasmania
- Western Australia
- Australian Capital Territory
- Northern Territory
- Unknown
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Is the vehicle currently registered? [Check on your Service NSW App]
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Is the vehicle more than 15 days out of registration?
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Penalty to be issued:
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Reason for UV report:
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ECM Refrence:
Inspection / investigation
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Make:
- Alfa Romeo
- Aprilia
- Audi
- BMW
- Cat
- Chery
- Chevrolet
- Chrysler
- Citroen
- DAF
- Daewoo
- Daihatsu
- Datsun
- Dodge
- Ducati
- Fiat
- Ford
- Great Wall
- Harley-Davidson
- Hillman
- Hino
- Holden
- Honda
- Hummer
- Hyosung
- Hyundai
- International
- Jaguar
- Jeep
- Kawasaki
- Kenworth
- Kia
- Lada
- Lancia
- Land Rover
- Lexus
- Mack
- Man
- Mazda
- Mercedes Benz
- MG
- Mini
- Mitsubishi
- Nissan
- Norton
- Opel
- Other
- Peugeot
- Piaggio
- Porsche
- Proton
- Range Rover
- Rover
- Renault
- Saab
- Scania
- Seat
- Skoda
- Smart
- Ssangyong
- Subaru
- Suzuki
- Toyota
- Triumph
- UD
- Vespa
- Volkswagen
- Volvo
- Yamaha
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Model:
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Type:
- Sedan
- Station wagon
- Hatchback
- Utility
- Van
- Coupe
- Truck
- Box Trailer
- Trailer
- Boat trailer
- Motorcycle
- Other
- Panel van
- Motorscooter
- Campervan
- Motorhome
- 4X4
- SUV
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Colour:
- Aqua
- Black
- Blue
- Cream
- Gold
- Green
- Grey
- Maroon
- Orange
- Other
- Pink
- Purple
- Red
- Silver
- White
- Yellow
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Vin/chassis:
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Condition of vehicle:
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Is the vehicle in a dangerous position?
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Is the vehicle locked and secure?
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Is there damage?
- Yes
- No
- Scratches
- Dents
- Rust
- Flat tyre/s
- Broken window/s
- Broken lens/es
- Major damage
- Parts missing
- Fluids leaking
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Photograph of damage:
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Are there valuables or personal belongings visible?
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Photograph of valuables:
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Discription:
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Photograph front:
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Photograph right hand side: (Drivers)
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Photograph Rear:
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Photograph left hand side: (Passenger)
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Photograph of date chalk marks [Preferable - rear left hand tyre]
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Tyre chalked
Outcome / notification
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Comments and/or follow up actions:
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Report forwarded to ranger_tasks@northsydney.nsw.gov.au
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Completed by (Name & signature)
