Change of Vehicle Particulars Notication
Transport Operations (Road Use Management) Act 1995
Page 1 of 3 LTSR Forms Area F3524 CFD V01 Jul 2020
Private
Special purpose
limousine
Rental (self
driver rental)
Commercial
Emergency
vehicles
Driver training
or tuition
TransLink
Urban Service
Farming
Licensed
tow truck
Booked hire
Booked hire
rental
Taxi
School activities
only (transporting
children teachers,
and so on)
Used for
non prot
Limousine
Public Passenger
Service
Private/Business/Company name/s
Residential/Business address
Postal address (complete only if different to residential address)
Postcode
Postcode
1. Registered Operators details
2. Vehicle details
Registration number
Make/Model/Body shape (for example, Ford Falcon sedan)
Year of manufacture
6. Purpose of use (POU)
Do you want to change the vehicle’s POU?
Yes
No
Go to 7
Please indicate POU below
(please tick one box only)
Please note:
• You can lodge this application at a Department of Transport
and Main Roads (TMR) Customer Service Centre, or if
you live in a rural area, a Queensland Government Agency
Program Ofce or police station that conducts vehicle
registration business.
A self-assessment inspection of the change of vehicle details
must be carried out by the registered operator/representative
of the registered operator, a departmental approved agent
or authorised motor dealer prior to lodging this application.
Refer to section B.
A Certicate of Modication or an Approval letter may need
to be provided if the vehicle has been modied in any way
from its original design.
TMR must be notied if a heavy vehicle is used in a
combination where registration fees or vehicle use are
different to current fees/use.
You must provide evidence of identity (EOI) at the time of
making this application. For example, original Queensland
Driver Licence. For EOI requirements refer to the separate
Evidence of Identity Requirements for Individuals and
Organisations (form F4362) or www.qld.gov.au/transport/.
For more information about changing vehicle particulars or
The CTP Insurance class is determined according to the type and use of
the vehicle. For details visit www.maic.qld.gov.au.
YesNo
Is anyone entitled to claim the GST component of the CTP
insurance premium for the vehicle as an ITC?
Note: Only GST registered businesses may be
able to claim an ITC - if unsure please consult
your tax advisor.
continued page 2...
Yes
No
Do you wish to change your CTP insurance class?
Note: A change of class letter from your CTP
insurer is required for a change to a higher CTP
insurance class (not required for changes to a
higher class at transfer or changes with payment
of renewal).
If yes, record new CTP class
Yes
No
5. Compulsory Third Party (CTP) insurance
Do you wish to nominate a new CTP insurer?
If yes, name of CTP insurer
Section A - Change of vehicle registration information
For a list of licenced insurers visit www.maic.qld.gov.au.
Email address
Mobile/Telephone number
3. Authority to represent (if applicable)
I authorise this person to lodge the application on my behalf.
Your representative will need to bring personal identication as
well as proof of your identity.
4. Details being changed
Depending on what you are changing, both sections below may
need to be completed.
Change of vehicle registration information:
Compulsory Third Party insurance. Go to 5
Purpose of use. Go to 6
Transition from the Federal Interstate
Registration Scheme to the National Heavy
Vehicle Registration Scheme. Go to 7
Change of other registration information. Go to 8
Change of vehicle details (for example, engine
number). Go to 9
Section A -
Dealer
Yes No
Would you like to receive emailed notication and reminders?
Name of representative
Signature
Date
Section B -
Identication of representative
Print Form
Reset Form
click to sign
signature
click to edit
Change of Vehicle Particulars Notication ... continued page 2 of 3
A self-assessment of the changed vehicle/registration details
must be carried out by the registered operator/representative of
the registered operator or a departmental approved agent and
recorded in the table below.
Note: Complete only the details that are being changed.
mLs
tonnes/kgs/lbs/cwt
cylinders
One seat - seat is less than
or equal to 500mm (50cm) in
length and with no pillion foot
pegs.
Two seat - seat is greater
than 500mm (50cm) in length
or pillion foot pegs are tted.
month year
GVM GCM
Primary colour Secondary colour
7. Federal Interstate Registration Scheme (FIRS)
Are you transitioning your FIRS vehicle to the National Heavy
Vehicle Registration Scheme?
Vehicles transitioning to the National Heavy Vehicle
Registration Scheme from 1 July 2018 to 30 June 2019
(inclusive) will be exempt from paying vehicle duty and
the National Heavy Vehicle Registration plate fee.
Note: You must surrender the vehicle’s current number plates
when lodging this application.
No
Yes
8. Change of other registration information?
No
Yes
Please specify
Electric
Diesel
Petrol
Petrol and Gas
Lead trailer is used in a
B-Double/B-Triple combination
(body shape BDDT)
Middle trailer is used in a
B-Triple combination (body
shape BDDT)
Page 2 of 3 LTSR Forms Area F3524 CFD V01 Jul 2020
continued page 3...
Petrol and Electric
Section B - Change of vehicle details
9. Do you want to change the vehicle’s details?
Yes
No
Go to 10
Please specify the vehicle details being changed, for
example, engine number.
Note: If the vehicle has been modied in any way from its
original design (other than modications to motorcycle/
moped seating capacity), please provide the Certicate of
Modication or an Approval letter.
Particulars New details
VIN/Chassis number
Engine number
Make
Model/Body shape
Number of cylinders
Seating capacity -
motorcycle/moped
Seating capacity - all
other vehicles
Motorcycle engine
capacity
Identication plate
Tare
GVM/GCM
Colour
Fuel type/Motive power
Note: You must present the relevant
Gas Certicate, Form PGR101/102
(fuel system) or Form PGA734
(cooking facilities), with this application
unless exempt. The issue date of the
certicate must not be more than three
months before the lodgement date of
this application.
Trailer conguration
- lead/middle trailer
(trailers more than 4.5t
ATM)
Privacy Statement: TMR is collecting the information on this form for the
purposes of maintaining TMR’s vehicle/vessel registration register as required
under the Transport Operations (Road Use Management) Act. TMR or its agents/
contractors may use your information in its communications with you and
where relevant, may give some of the information to vehicle insurers, statutory
entities, insolvency entities, lawyers, persons involved in vehicle incidents/
accidents, vehicle manufacturers, third parties who are involved in or intend
to commence legal proceedings, tolling entities, law enforcement agencies and
interstate registering authorities. Your personal information will not be disclosed
to any other third party without your consent, unless authorised to required to
do so by law.
10. Declaration
I/We declare the information and statements provided in
this application are true and correct. I/We consent to the
department verifying my evidence of identity documents or
information with the issuing authority or their agencies.
Registered operator’s signature/s (In the case of joint
registered operators at least one must sign)
It is an offence to give false or misleading information under
the Transport Operations (Road Use Management) Act.
Maximum penalty may exceed $7000.
Change of Vehicle Particulars Notication ... continued page 3 of 3
Page 3 of 3 LTSR Forms Area F3524 CFD V01 Jul 2020
Date
Agency use only
New registration number plate/s
How many plate/s returned?
Vehicle combination -
vehicles used to tow
a trailer more than
4.5t ATM
Truck and one trailer (select one)
Truck - not towing a
trailer more than 4.5t
ATM
Combination is less than 7 axles
and up to 42.5T total operating
mass (TRTT)
Complete details below
Number of axles in
combination
Overall length
of combination
Combination is 7 or more
axles or more than 42.5T total
operating mass (TRTM)
Complete details below
Number of axles in
combination
Overall length
of combination
Road Train
What is the maximum
number of trailers in the
combination? (excluding
dolly trailers)
Prime Mover Combination
Registered operator/representative
I have assessed the vehicle indicated on this form and certify
the information contained in this form is complete, true and
correct and has been taken from the vehicle itself, where
applicable.
Departmental approved agent
Full name (please print)
Signature
Date
Customer Reference Number
Self-assessment declaration: Self-assessment was carried
out by (tick one box)
Authorised motor dealer
Truck Combination
What is the maximum
number of trailers in the
combination? (excluding
dolly trailers)
Truck only
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
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