VEHVT Trial Expression of Interest
Submit your organization's interest in participating in the Victorian Electric Heavy Vehicle Trial (VEHVT). Please complete all sections accurately and ensure all required confirmations are provided.
Applicant Details
Company Name
*
ABN
*
Business Address
*
Depot Address (where EV will be located for the Trial)
*
Primary Contact Person
*
Position Title
*
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Trial Commitment
Preferred trial duration
*
Please Select
1 Month
2 Months
3 Months
4 Months
5 Months +
*
We confirm we are prepared to commit operationally to the full nominated trial period.
Operational Interest
Typical load type
*
Typical daily distance (km)
*
Operating hours
*
Please Select
Day Shift Only
Night Shift Only
24/7 Operation
Where will the vehicle mainly operating in the Melbourne Metropolitan area?
*
Please Select
Northern Suburbs
Western Suburbs
Eastern Suburbs
South-Eastern Suburbs
Preliminary Site Declaration
Secure off-street parking is available for the vehicle during the trial.
*
Yes
No
We are prepared to undergo a site suitability inspection as part of the trial assessment process.
*
Yes
No
We will comply with all insurance and safety requirements as set out by the trial organizers.
*
Yes
No
We can commit a nominated driver for the trial.
*
Yes
No
We will complete and provide all required data collection for the duration of the trial.
*
Yes
No
Declaration
I declare that the information provided is true and correct and that our organization agrees to comply with the VEHVT Trial Program requirements.
*
Yes
Name of authorised representative
*
Position of authorised representative
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Expression of Interest
Submit Expression of Interest
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