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Section B - Special Interest Vehicle Concession
I have a vehicle that is one of the following: (tick a box)
At least 30 years old (includes tractors)
Postcode
Historic ambulance or fire-fighting equipment vehicle (no
Email address age limit)
Historic bus at least 25 years old
Mobile/Telephone number Street Rod (Hot Rod) vehicle with an original body and
frame built before 1949, or a replica that has been modified
for safe road use and is fitted with a modification plate (code
LH9 or LH10).
Your Department of Transport and Main Roads Customer
Reference Number (CRN). The CRN is your Queensland I hereby provide the following documents:
(Qld) Driver Licence number, Adult Proof of Age or Photo Evidence of current club membership with a Qld
Identification Card number or your reference number issued by incorporated vehicle club (if applicable)
the department.
Certificate of Incorporation as an historical society with a
recognised interest in vehicle heritage (if applicable)
2. Vehicle details Certification from a dating officer of the vehicle’s
Registration number (if allocated) authenticity and year of manufacture (if applicable).
For specific information about the eligibility requirements
applicable to you, refer to the Special Interest Vehicle (SIV)
Make and type of vehicle/recreational ship (e.g. Ford sedan) Scheme Guide located at www.qld.gov.au.
Note: Conditions of a vehicle’s use registered under the SIV scheme are
listed overleaf.
This application is for several types of concessions. Please only 5. Are there standard green on white, Historic or
complete the section that is relevant to the type of concession Special Interest Vehicle plates attached to the
that you are eligible for. The list of Concession Conditions is vehicle?
overleaf.
Yes Quote the plate number in the registration number box
Section A - Pensioners, Seniors and Prescribed Service Persons located in Question 2.
Section B - Special Interest Vehicle
No A Special Interest Vehicle plate will be issued unless
Section A - Pensioners, Seniors and Prescribed you wish to attach personalised plates or customised
Service Persons Concession green on white plates.
Please enter one of the following: Personalised/customised green on white number plate
Pensioner Concession Card (Qld issued) Date of issue (if applicable)
/ /
Note: Please complete form F2964 Remove and/or Attach
or
Personalised/Customised Number Plate/s Application.
Seniors Card number (Qld issued) Name of spouse
or
DVA letter reference number
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• Direct travel to and from an Approved Inspection Station for
the purposes of obtaining a safety certificate before the vehicle
is for sale.
• Travel in order to have the vehicle repaired. There is no
distance restriction in these circumstances however such
travel must be reasonable and justified by the vehicle owner.
• Heavy vehicles are permitted to carry a load provided the
loaded GVM or GCM does not exceed 50% of the maximum
permitted mass for the vehicle configuration. This mass is
determined based on the lesser of the following:
• individual axle ratings
• tyre manufacturer’s limits
• manufacturer’s GVM or GCM
• regulation mass limits.
The load must be in relation to or part of the reason for, the
vehicle’s use under the scheme and must not be done for any
fee or reward.
• Buses are permitted to carry non-paying passengers for
journeys (joy rides) from an event (e.g. at a fete) and return
provided the length of the journey does not exceed five
kilometres. Payment of any kind cannot be made for these
journeys.
• Road testing within a 15 kilometre radius from the place where
the vehicle is garaged or is being repaired. The purpose of
the travel must be to road test the vehicle following repair or
restoration or for general vehicle maintenance and not for any
other purpose.
Privacy Statement: The department is collecting the information on this form
for the purpose of maintaining the department’s vehicle registration register
as required under the Transport Operations (Road Use Management) Act.
The department or its agents/contractors may use your information in its
communications with you and where relevant, may give some of the information
to vehicle insurers, statutory entities, insolvency entities, lawyers, persons
involved in vehicle incidents/accidents, vehicle manufacturers, third parties
who are involved in or intend to commence legal proceedings, tolling entities,
law enforcement agencies and interstate registering authorities. Your personal
information will not be disclosed to any third party without your consent, unless
authorised or required to do so by law.