Vehicle Weight Declaration

1
Site* This field is required.
Please Select
Please Select
Narre Warren North
Bilmont
Batlow
Legana
Ardmona
Harcourt
Irymple
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Operator Name* This field is required.
3
Driver Name* This field is required.
4
Vehicle Registration* This field is required.
5
Trailer 1
6
Trailer 2
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Total Tare of Vehicle Set* This field is required.Including any existing load, in Kilograms.
8
Do you have a weighbridge docket?* This field is required.
YESNO
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Upload a photo of weighbridge docketEnsure the photo clearly shows Docket # and weights.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Declaration of tare weight* This field is required.I, {driverName}, declare that the tare weight stated above is accurate, not misleading, and omission free.
Check this box to make declaration.
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Image Field
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Gross Weight of Vehicle Set (GVM/GCM)* This field is required.If transporting under GML, ignore NHVAS #
Weight (KG)
NHVAS #:
General Mass Limit (GML)
Row 0, Column 0
Row 0, Column 1
Concessional Mass Limit (CML)
Row 1, Column 0
Row 1, Column 1
Higher Mass Limit (HML)
Row 2, Column 0
Row 2, Column 1
General Mass Limit (GML)
Concessional Mass Limit (CML)
Higher Mass Limit (HML)
Weight (KG)
Row 0, Column 0
NHVAS #:
Row 0, Column 1
Weight (KG)
Row 1, Column 0
NHVAS #:
Row 1, Column 1
Weight (KG)
Row 2, Column 0
NHVAS #:
Row 2, Column 1
1 of 3
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Declaration of GVM/GCM* This field is required.I, {driverName}, declare that the GVM/GCM weight stated above is accurate, not misleading, and omission free.
Check this box to make declaration.
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NOTE: This is a statutory declaration of tare weight, and loads will be made up of the difference between declared tare weight and legal GVM if weights are incorrectly declared, the carrier driver will be responsible for any ensuing fines or costs.
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DRIVER: Would you like a copy of this Driver Checklist for your records?* This field is required.
YESNO
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Enter your email below:You will receive a copy of this Driver Checklist via email.
example@example.com
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DRIVER: Sign below to declare all information provided and included in this Vehicle Weight Declaration is accurate, not misleading, and omission-free.Signature of Driver
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Montague Farm Contact Name* This field is required.
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Montague Farm Contact Phone Number* This field is required.
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Confirm all details are correct and accurate before submitting.
Should be Empty: