Form
Stolen FLT Report Form
The purpose of this form is to provide information on stolen Forklift Trucks (FLTs) to be included in a publicly available register on the AFITA website. The contact information requested will be used to verify any information that needs to be confirmed, but will not appear on the publicly available Register.
FLT Manufacturer
FLT Type
Please Select
Counterbalance - sit down 3 wheel
Counterbalance- sit down 4 wheel
Counterbalance - Stand Up
Order Picker
Turret Order picker
High Lift Rider Reach
Side Loader
Pedestrian Low Lift
Rider Low Lift
Pedestrian Stacker
Pedestrian Reach Stacker
Tow Tractor- Sit Down
Tow Tractor- Stand Up
Rough Terrain Counterbalance
Variable Reach Rough Terrain
Container Handler
Please see resources section of AFITA website for truck type descriptions
FLT Model Number
Manufacturers model number
FLT Serial Number
FLT Year of Manufacture
Power Source
Please Select
Battery Lead Acid
Battery Lithium
Fuel Cell
IC LPG
IC Diesel
IC Dual Fuel
Date of Theft
-
Month
-
Day
Year
Date
Suburb where theft occurred
State/Territory where theft occurred
Please Select
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Police Incident Number
Person Submitting Report
Full Name
Company
Position Title
Email Address
Phone Number
-
Area Code
Phone Number
Submission Date
-
Month
-
Day
Year
Date
Other relevant information
Submit
Should be Empty: