• Have you been provided with a Civifleet Contractor Number?*
  YesNo

• This number can be found on your letter of Contractor Registration Approval.

• Contractor Number*
  Case sensitive
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• Equipment Registration

• Business Name*
• Type*
  TruckPlant/Machinery
• Truck Type*
  TandemTwin Steer RigidTruck & Tipper TrailerSemi TipperFloat
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• Truck

• Truck Make*
  Bedford Bobcat Case Caterpillar DAF Doosan Everdigm Mitsubishi Freightliner FUSO Hino Hitachi Hyundai International Isuzu Iveco JCB John Deer Kato Kenworth Kobelco Komatsu Kubota Liebherr Mack MAN McGrath Mercedes Mitsubishi New Holland Northern Samsung Scania Shantui Skidsteer Sterling Sumitomo Takeuchi Terex Volvo Wacker Neuson Western Star Yanmar Other
• Other*
• Truck Model*
• Year*
  Eg. 2018
• Semi Type*
  SideConventionalWalking Floor
• Which of the following apply to your truck?*
  Asphalt ChuteRock BodiesTarpsSpreader ChainsSwinging TailgateCab OverBonnetedOther 
  
• Which of the following apply to your float?*
  Spreader DeckTilt TraySteerable Trailer AxleLow LoaderPilot ServiceDrop DeckWinchOther 
  
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• Truck Registration

• Registration Number*
• Registration Code*
  SR3 - Truck OnlySR3 - 3 Axle TrailerMR3 - Truck OnlyMR3 - 3 Axle TrailerMR3 - 4 Axle TrailerSP3 - 2 Axle Semi TipperSP3 - 3 Axle Semi TipperSP3 - 3 Axle FloatSP3 - 4 Axle Float
• Truck Tare*
  Kilograms
• Please upload a copy of you current registration.*
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• Trailer

• Trailer Make*
  Borcat BTE CBB Gorski Hamilex Hercules Shephard Other
• Other*
• Trailer Model*
• Year*
  Eg. 2018
• Which of the following apply to your trailer?*
  Asphalt ChuteRock BodiesTarpsSpreader ChainsSwinging TailgateOther 
  
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• Trailer Registration

• Registration Number*
• Trailer Tare*
  Kilograms
• Please upload a copy of you current registration.*
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  Cancelof
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• Legal Payload

• GVM*
• Tandem Legal Payload*
  Kilograms
• Truck & Trailer Legal Payload*
  Kilograms
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• Plant Registration

• Type*
  Excavator Bobcat Positrak Grader Backhoe Water Truck Compactor Dozer Other
• Other*
• Make*
  Bedford Bobcat Case Caterpillar DAF Doosan Everdigm Mitsubishi Freightliner FUSO Hino Hitachi Hyundai International Isuzu Iveco JCB John Deer Kato Kenworth Kobelco Komatsu Kubota Liebherr Mack MAN McGrath Mercedes Mitsubishi New Holland Northern Samsung Scania Shantui Skidsteer Sterling Sumitomo Takeuchi Terex Volvo Wacker Neuson Western Star Yanmar Other
• Other*
• Model*
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• Excavator

• Excavator Size*
  3 or less 3.5-6 7-8.5 10-13 15-17 20-22 24-25 30 Other Tonnes
• Other*
• Excavator Attachments*
  BucketsAugerHammer/BreakerRipperGrabs/GrappleCompaction PlateTilt HitchZero SwingRubber Pads/TracksOffset BoomRemovably CanopyKnuckle BoomOther 
  
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• Attachments

• How many buckets do you have?*
  1 2 3 4 5 6 7 8 9 10
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Buckets Further Information -If Applicable*
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• Attachments

• Auger Size*
  Centimetres (cm)
• Auger Depth*
  Millimetres (mm)
• Auger Further Information -If Applicable*
• Back

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• Attachments

• Grab/Grapple Type*
  Demolition Rock
• Grab/Grapple Further Information -If Applicable*
• Back

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• Attachments

• Hammer/Breaker Specifications*
• Back

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• Attachments

• Ripper Specifications*
• Back

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• Attachments

• Compaction Plate Specifications*
• Back

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• Attachments

• Tilt Hitch Specifications*
• Back

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• Attachments

• Zero Swing Specifications*
• Back

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• Attachments

• Rubber Pads/Tracks Specifications*
• Back

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• Attachments

• Offset Boom Specifications*
• Back

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• Attachments

• Removeable Canopy Specifications*
• Back

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• Attachments

• Knuckle Boom Specifications*
• Back

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• Attachments

• 'Other' Specifications*
• Back

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• Bobcat

• Bobcat Attachments*
  HoeForks4 in 1 BucketSmudge BarGrader BladeOther 
  
• Back

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• Attachments

• Hoe Specifications*
• Back

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• Attachments

• Smudge Bar Specifications*
• Back

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• Attachments

• Fork Specifications*
• Back

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• Attachments

• Grader Blade Specifications*
• Back

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• Attachments

• 4 in 1 Bucket Specifications*
• Back

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• Attachments

• 'Other' Specifications*
• Back

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• Positrak

• Positrak Size*
  Standard up to 2 Large 2.1-3.5 Other Tonnes
• Other*
• Positrak Attachments*
  HoeForks4 in 1 BucketSmudge BarGrader BladeOther 
  
• Back

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• Attachments

• Hoe Specifications*
• Back

  Next

• Attachments

• Smudge Bar Specifications*
• Back

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• Attachments

• Fork Specifications*
• Back

  Next

• Attachments

• Grader Blade Specifications*
• Back

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• Attachments

• 4 in 1 Bucket Specifications*
• Back

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• Attachments

• 'Other' Specifications*
• Back

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• Compactor

• Compactor Size*
  815 825 Other
• Other*
• Back

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• Dozer

• Dozer Size*
• Back

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• Grader

• Grader Size*
  12FT 14FT 16FT Other
• Other*
• Grader Attachments*
  ArticulatedRear RippersFront RippersBull BladeWheel Roller4WDBatter TiltGPSOther 
  
• Back

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• Attachments

• Articulated Specifications*
• Back

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• Attachments

• Rear Rippers Specifications*
• Back

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• Attachments

• Front Rippers Specifications*
• Back

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• Attachments

• Bull Blade Specifications*
• Back

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• Attachments

• Wheel Roller Specifications*
• Back

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• Attachments

• 4WD Specifications*
• Back

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• Attachments

• Batter Tilt Specifications*
• Back

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• Attachments

• GPS Type*
• GSP Specifications*
• Back

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• Attachments

• 'Other' Specifications*
• Back

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• Backhoe

• Backhoe Size*
  Small Medium Large Other
• Other*
• Backhoe Attachments*
  4WDBig TyreBuckets4 in 1 BucketForksSmudge BarOther 
  
• Back

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• Attachments

• How many buckets do you have?*
  1 2 3 4 5 6 7 8 9 10
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Bucket Type*
  Digging Mud General Purpose Aggi Shaker
• Bucket Size*
  Millimetres (mm)
• Buckets Further Information -If Applicable*
• Back

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• Attachments

• 4WD Specifications*
• Back

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• Attachments

• Big Tyre Specifications*
• Back

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• Attachments

• 4 in 1 Bucket Specifications*
• Back

  Next

• Attachments

• Fork Specifications*
• Back

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• Attachments

• Smudge Bar Specifications*
• Back

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• Attachments

• 'Other' Specifications*
• Back

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• Water Truck

• Water Truck type*
  Single Axle Tandem Semi Twin Steer Other
• Other*
• Water Truck Attachments*
  Carrying Cap (L)Front SprayersBatter SprayersCannon SprayerDribble BarSuction PumpRear SprayersOther 
  
• Back

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• Attachments

• Carrying Cap (L) Specifications*
• Back

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• Attachments

• Front Sprayers Specifications*
• Back

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• Attachments

• Batter Sprayers Specifications*
• Back

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• Attachments

• Cannon Sprayer Specifications*
• Back

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• Attachments

• Dribble Bar Specifications*
• Back

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• Attachments

• Suction Pump Specifications*
• Back

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• Attachments

• Rear Sprayer Specifications*
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• Attachments

• 'Other' Specifications*
• Back

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• Plant 'Other'

• 'Other' Specifications*
• Back

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• Risk Assessment

• Do you have a valid risk assessment?*
  YesNo
• Assessment Number*
• Please provide a copy of the risk assessment.*
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• Driver/Operator

• Default Driver (name as appears on licence)*
  First NameMiddle NameLast Name
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• Would you like information about parking your truck/plant at Civifleet?*
  YesNo
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• Submit
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