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Registration Concession Application


- Pensioners, Seniors and Prescribed Service Persons
- Special Interest Vehicles
Transport Operations (Road Use Management) Act 1995
Transport Operations (Marine Safety) Act 1994
It is an offence to give false or misleading information under the 4. Do you authorise the department to remove this
Transport Operations (Road Use Management) Act. Maximum concession if applicable?
penalty may exceed $7000.
No This application cannot be processed.
1. Applicant details
Yes Note: The concession on that vehicle/ship may need to be
Applicant’s name (please print) withdrawn before this application can proceed. Concession is
allowable on one vehicle and ship at any one time.

Address
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

Note: Applications made by post or email must include a copy of the


front and back of the concession card or supporting letter.
3. Do you or your spouse receive a registration
concession on any other vehicle/recreational ship?
No Go to Certification
Yes What is the registration number of that vehicle/
recreational ship

Go to 4

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Registration Concession Application - Pensioners/Seniors/Prescribed Service Persons; - Special Interest Vehicles ...
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6. Certification • If a vehicle or ship is registered in joint names the following


I agree to inform the department of any change which may conditions apply:
affect my eligibility to retain the concession. I hereby certify that • For a married couple or defacto, where both are
the statement above is true and correct and I agree to use the eligible for a concession, either person may submit an
vehicle in accordance with the conditions of the concession. I application. If only one person is eligible, the application
understand that if a vehicle on concession is operated outside must be made by that person.
the conditions of the concession, a penalty infringement notice • For other relationships, both persons must be eligible
may be issued or I may be prosecuted by a court. I consent to for a concession and each must submit an application.
the department verifying the evidence of identity information • Sole parent concession card holders can only have
provided with the relevant issuing authority or other agencies. concessional registration if they are the sole registered
Registered operator signature/s operator.
• Pension card holders will need to provide proof of their
eligibility for concessional registration if they need to move the
concession to another vehicle. All other concession types will
only need to complete a Registration Concession Application
to withdraw and apply the concession to their new vehicle.
Date
Section B - Special Interest Vehicle Concession
/ /
Conditions of use for vehicles
The SIV Guide sets out the requirements for registering vehicles
Agency use only
under the scheme and explains the conditions under which the
Concession Card sighted: Physical card Digital wallet scheme operates. Registered operators must meet the specific
requirements in the guide to be eligible for the concession.
Concession code The registered operator must then continue to comply with the
conditions when using their vehicle. These conditions are:
Special Interest Vehicle requirements met:
Club membership: Evidence of current membership with a
Authorising person’s Qld incorporated vehicle club or association must be provided
name on club letterhead or official club documentation at the time
Authorising person’s of application for a concession. It must be signed by a club
signature official and include vehicle’s details. Where a genuine reason is
provided for not meeting this condition, it may be waived by the
Date department.
/ / Historic Dating and Vehicle Certificate (if applicable): A
dating certificate is only required if the date of manufacture
Concession Conditions cannot be verified by the department. If a dating certificate
Section A - Pensioner, Seniors and Prescribed Service is required, a club official must certify that the vehicle is
Persons Concession authentic and was manufactured at least 30 years ago. This
• Applicants must be residents of Qld and holders of: certificate, which must be on club letterhead or other official club
–– Pensioner Concession Card (Qld issued) documentation, will need to be presented when applying for a
–– Seniors Card (Qld issued) registration concession.
–– DVA letter (containing a Qld issued Ref. No.) stating that the Lighting: If the vehicle does not have permanent lighting,
applicant: then the registered operator must carry a removable lighting
–– is at least 70% incapacitated under the Veterans system with the vehicle at all times and use that system
Entitlement Act 1986 whenever lighting would normally be required. Carbide lights are
–– has been assessed as at least 50 impairment points under acceptable where that type of light was originally fitted.
the Military Rehabilitation and Compensation Act 2004. Use of vehicles registered with a Special Interest Vehicle
• Applications may be lodged at a customer service centre Concession is restricted to the following:
or, if you live in a rural area, a Queensland Government • Participating in rallies or events (including impromptu events)
Agency Program office or a local police station that provides as organised or authorised by an incorporated vehicle club or
vehicle registration services. Alternatively, applications can be sanctioned by the Australia Street Rod Federation.
submitted by mail: Note: All rallies and events must be listed in the incorporated club
PO Box 2211 newsletter or on their website or social media page.
BRISBANE QLD 4001 • Participating in processions for which a Special Event Permit
or email: customer.service.support@tmr.qld.gov.au. has been issued under the Transport Operations (Road Use
Note: Applications must include a copy of the front and back of the Management - Accreditation and Other Provisions) Regulation
concession card or supporting letter, refer above. 2015.
• The concession only applies to motor vehicles not over 4.5 • Exhibiting the vehicle in displays, fetes or similar functions
tonnes GVM, motorbikes, motorised caravans (no GVM limit) conducted for religious, charitable or educational purposes.
with a ‘private’ purpose of use and recreational ships. • Use for ceremonial purposes (such as, weddings, formals,
• The concession document must be in the same name as the funerals) involving immediate family members or as part of
registered operator of the vehicle or recreational ship and a sanctioned club event, provided this is not done for fee
must be mainly for the applicant’s own private use. or reward. Immediate and de facto family means parents,
• An eligible person may only receive one concession for their grandparents, sons, daughters, grandchildren, adopted
vehicle and one for their ship at any one time. children and adopted grandchildren but not extended family
• Only one concession per couple will apply. relationships such as aunts, uncles, nephews and nieces.
• Preparing for, proceeding to, and returning from the above
activities.

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Registration Concession Application - Pensioners/Seniors/Prescribed Service Persons; - Special Interest Vehicles ...
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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.

Page 3 of 3 TRB Forms Area F3937 CFD V01 Apr 2019

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