VL18
Application for Agricultural Machinery or
Agricultural Special Purpose Vehicle Concession
(Farm Tractor/Plant)
Government of Western Australia
Department of Transport
Driver and Vehicle Services
Definitions:
Agricultural machine means a machine with its own motive power, built to perform agricultural tasks.
Agricultural special purpose vehicle means a special purpose vehicle that the Chief Executive Officer is satisfied will be used exclusively in a
farming business. This does not include a farm quad bike or farm utility vehicle.
APPLICANT DETAILS
STATUTORY DECLARATION
ORGANISATION/COMPANY (CORPORATION) IF APPLICABLE
FULL NAME
I,
AUSTRALIAN COMPANY NUMBER (ACN)
sincerely declare that I am carrying on farming activities and that I own or
lease the vehicle described herewith, which will be used exclusively in
the business of farming during the currency of the licence.
FAMILY NAME
I acknowledge that the described vehicle may be subject to licence
conditions (see overleaf) and that during the currency of the licence all
conditions will be adhered to.
OTHER NAME/S
This declaration is true and I know it is an offence to make a declaration
knowing that it is false in a material particular. This declaration is made
under the Oaths, Affidavits and Statutory Declarations Act 2005.
DRIVER’S LICENCE NUMBER
DATE
DATE OF BIRTH
/
PHONE NUMBER
/
/
/
DECLARED AT (LOCATION)
MOBILE NUMBER
SIGNATURE OF DECLARANT
EMAIL ADDRESS
DECLARED BEFORE ME
ADDRESS
FAMILY NAME
FIRST NAME
SUBURB
W A
STATE
POST CODE
OCCUPATION
AGRICULTURAL MACHINERY DETAILS
SIGNATURE
MAKE
MODEL
PREVIOUS OR CURRENT PLATE NUMBER
YEAR
BODY TYPE
VIN/ CHASSIS NUMBER
ENGINE NUMBER
MAIN COLOUR
SECONDARY COLOUR
NUMBER OF CYLINDERS
FUEL TYPE
TRANSMISSION
TARE WEIGHT
WIDTH OF MACHINERY (MANDATORY)
GVM
MASS - 1ST AXLE GROUP
NUMBER OF AXLES
MASS - 2ND AXLE GROUP
The declaration must be made before any of the following persons
• Lawyer
• Academic (post-secondary
institution)
• Local Government CEO or
• Accountant
Deputy CEO
• Architect
• Local Government Councillor
• Australian Consular Officer
• Loss Adjuster
• Australian Diplomatic Officer
• Marriage Celebrant
• Bailiff
• Member of Parliament (State or
• Bank Manager
Commonwealth)
• Chartered Secretary
• Minister of Religion
• Chemist
• Nurse
• Chiropractor
• Optometrist
• Company Auditor or Liquidator
• Patent Attorney
• Court Officer (Judge,
• Physiotherapist
Magistrate, Registrar or Clerk)
• Podiatrist
• Defence Force Officer
• Police Officer
(Commissioned, Warrant or
• Post Officer Manager
NCO with 5 years
• Psychologist
continuous service)
• Public Notary
• Dentist
• Public Servant (State or
• Doctor
Commonwealth)
• Electorate Officer of a member
• Real Estate Agent
of State Parliament
• Settlement Agent
• Engineer
• Sheriff or Deputy Sheriff
• Industrial Organisation
• Surveyor
Secretary
• Teacher
• Insurance Broker
• Tribunal Officer
• Justice of the Peace
• Veterinary Surgeon
• Landgate Officer
Or, any person before whom, under the Statutory Declarations Act 1959
(Cwlth), a statutory declaration may be made.
Last updated: 01.12.2016
IMPORTANT INFORMATION
Conc Code
Class
Conditions
Insurance Class
Duty
Payable
Inspection
150
B
Dependant on
width (see below)
7B or 7A (where the vehicle is fitted or
adapted for the purpose of fire fighting)
No
No
Agricultural
Machine
CONDITIONS
Agricultural Machines
Condition codes
Width up to 2.5 m
001
Width exceeds 2.5 m but not 3.1 m
001
Width exceeds 3.1 m but not 3.7 m
001
Width exceeds 3.7 m but not 4.5 m
024*
037
172
010
021
024*
037
153
003
010
021
024
037
153
001
003
010
021
024
037
153
Width exceeds 4.5 m but not 6.0 m
001
003
010
021
024
037
153
Width exceeds 6.0 m
Application to be made to DoT, Vehicle Safety Policy.
Email to [email protected]
011
012
172
* For agricultural machines up to 3.1 m wide: condition code 024 is required only if the axle mass exceeds the limits in the table below
MASS LIMITS PER AXLE
Number of tyres on an axle
Mass limit (t)
Axle fitted with 2 tyres - steer
6.0
Axle fitted with 2 tyres - non steer
tyre width < 375 mm
6.0
tyre width > 375 mm ≤ 450 mm
6.7
tyre width > 450 mm
7.0
Axle fitted with 4 or more tyres
9.0
If your vehicle exceeds the WA statutory mass limits above, on-road operation of the vehicle will be subject to the requirements of a Main
Roads permit or Notice and you must contact Main Roads Heavy Vehicles Services. (Eligible vehicles may be able to operate under Main
Roads Restricted Access Vehicle (Agricultural Machine) Exemption Notice, subject to all applicable operating conditions.) Further information is
available on the Agricultural page of the Main Roads Heavy Vehicle Services website at www.mainroads.wa.gov.au
CONDITIONS
001
Licence to be carried in vehicle at all times.
003
Daylight use only.
010
450 mm square red flags to be placed at 4 extremities.
011
To be preceded by a pilot vehicle bearing signs.
012
To be preceded & followed by pilot vehicles bearing signs.
021
Not to travel within 30 km of GPO Perth during peak hour periods. Mon-Fri 7.30 am-9.00 am, 4.30 pm-6.00 pm.
024
Movement in accordance with Main Roads WA permit or notice
037
Speed limit 35 km/h.
153
OVERSIZE sign displayed as required. Sign must be at least 1020 mm long x at least 250 mm high, black letters at least 180 mm high
(per A1744) on reflective yellow background (per AS/NZS1906).
172
Where the vehicle is used during hours of darkness it must be fitted with appropriate lighting.
PLEASE NOTE: If the vehicle is used on a road contrary to the conditions above, the vehicle licence will be deemed invalid under section 7(4) of the Road Traffic
(Vehicles) Act 2012. Motor Injury Insurance will not apply and penalties may be incurred.
OFFICE USE ONLY
PLATE NUMBER ISSUED
POI ATTACHED
CONDITION CODES LOADED
OPERATOR
OPERATOR SIGNATURE
BRANCH