Government of Western Australia
Department of Transport
Lost/Stolen Number Plates Notiﬁcation
This form is to be completed by the vehicle licence holder. Where the vehicle licence holder is a company, a declaration is to be made by an authorised
representative of the company.
In the event that one or both number plate/s have been lost or stolen and you require new number plates, this form must be presented (with any remaining
number plate), at a Driver and Vehicle Services (DVS) centre, regional Department of Transport oce or participating DVS agent, where replacement number
plates can be issued.
In the event that one or both number plate/s have been lost or stolen and you no longer require your vehicle to be licensed, you can post this completed form
(with any remaining plate) to Transfers and Plates Section, Driver and Vehicle Services, GPO Box R1290, Perth WA 6844. If both plates are lost or stolen, and you
wish to end the vehicle licence, you can email this completed form to Plates@transport.wa.gov.au or fax it to 1300 887 027.
For your nearest centre or agent, please visit www.transport.wa.gov.au/dvs or call 13 11 56.
LICENCE HOLDER DETAILS
Last updated: 17.01.2019
ORGANISATION/COMPANY (CORPORATION) IF APPLICABLE
Please indicate () whether plates were:
The plate/s was/were lost or stolen on
Please provide full details for the lost or stolen plate circumstances,
including why the plates cannot be returned.
OFFICE USE ONLY
DoTDirect is a suite of applications and tools that are designed to make your
life easier by letting you do certain licensing transactions online.
Whether you are renewing your licence or checking your demerit points,
DoTDirect is quick and easy to use wherever you are, leaving you more time
to do whatever it is you like to do.
Save time pay online
in the following circumstances:
I declare that the information on this form is true and correct.
I understand that under the provisions of the Road Trac
(Administration) Act 2008, it is an oence to provide false or
SIGNATURE OF DECLARANT
LOST (includes loss of access) NUMBER OF PLATES
NUMBER OF PLATESSTOLEN
NEW PLATES REQUIRED END VEHICLE LICENCE
DRIVER’S LICENCE NUMBER
DATE OF BIRTH
NEW PLATE NUMBER