COMPANY NAME
PLATE NUMBER
DECLARATION
I have no further interest in the above plates and wish to transfer the plates to
the nominated person for a re-issue of plate fee.
SIGNATURE OF DECLARANT
DATE
Personal plate
PLATE TYPE TRANSFER TO:
Applications for the remake of State, District, Seasonal or Passenger Transport plates complete sections 1, 2 and 4. This form can be presented in person at a Driver
and Vehicle Services centre or regional agent or by mail to: Department of Transport, Plates Section, GPO Box R1290, Perth WA 6844.
Note: Lost or stolen State, District and Seasonal plates cannot be remade.
Applications for the transfer of State, District or Personalised plate (immediate family only) complete sections 1, 2 and 3. This form can be presented in person at a
Driver and Vehicle Services centre or regional agent.
DRIVER’S LICENCE NUMBER
FAMILY NAME
Government of Western Australia
Department of Transport
E45
Application for Plate Remake/Transfer
SECTION 1 - PLATE INFORMATION
SECTION 2 - CURRENT PLATE HOLDER DETAILS
SECTION 3 - PLATE TRANSFER
(IMMEDIATE FAMILY ONLY)
FAMILY NAME
PHONE NUMBER
EMAIL ADDRESS
/ /
Motor vehicle
Motorcycle
Trailer
VEHICLE TYPE
COLLECTION DETAILS
(DVS centre or agent from which you wish to collect your plates)
I acknowledge that all previously issued plates are to be returned at time of
collection.
DISTRICT
Black characters on the yellow background
Black characters on the white background
Brand WA (blue characters on the white background)
SEASONAL
PASSENGER TRANSPORT VEHICLE
Green characters on the yellow background
PTV rank or hail (taxi) authorisation
PLATE REMAKE TYPE
STATE (plates originally issued as Brand WA can only be remade
in Brand WA format)
Black characters on the yellow background
Black characters on the white background
Brand WA (blue characters on the white background)
SECTION 4 - PLATE REMAKE DETAILS
SIGNATURE OF DECLARANT
DATE
/ /
State/District plate
Spouse Child
Parent
Sibling
Last Updated: 08/07/2020
PTV
(Black characters on white background)
charter, tourism,or regular passenger transport authorisation
(Black characters on white background)
When blank, this form is classed as OFFICIAL, when completed, this form is classed as OFFICIAL SENSITIVE
FIRST NAME/S
FIRST NAME/S
W A
SUBURB
RESIDENTIAL ADDRESS
STATE
POST CODE
SUBURB
RESIDENTIAL ADDRESS
STATE
POST CODE
