Registration Concession Application - Primary Producer Concession - Restricted Area Concession - Farm Plate Concession Transport Operations (Road Use Management) Act 1995 Office use only Farm Plate number You can lodge your application at a Department of Transport and Main Roads Customer Service Centre, or if you live in a rural area, a Queensland Government Agency Program office, Magistrates Court or local police station that provides vehicle registration services. Please visit www.qld.gov.au for a full list of services and locations. 1. Vehicle details Registration number Vehicles eligible for Primary Producer concession: The vehicle being registered with this concession has a gross vehicle mass (GVM) of 6t or more or The trailer being registered with concession has an aggregate trailer mass (ATM) of more than 4.5t 5. Restricted Area concession I state that the vehicle will be used solely in one of the Restricted Areas as follows: Aurukun Shire Council Make/type of vehicle (e.g. Ford sedan) Doomadgee Shire Council Kowanyama Shire Council 2. Applicant details Pormpuraaw Shire Council Full name (please print) Yarrabah Shire Council a coastal island that is not joined to the mainland by a bridge Address the area north of Archer River from the western side to the eastern end of the river Postcode the area north of a straight line from the eastern end of the Archer River to Friendly Point (Friendly Point is on the east cost of Queensland, north of Cooktown). Email address or Mobile/Telephone number I am the sole/joint property owner and the sole/joint registered operator of the vehicle. I state that the vehicle will be used solely to: Your departmental Customer Reference Number (CRN) (The CRN is your Queensland licence number, Adult Proof of Age card number, or reference number issued by the department) cross roads within an agricultural property (in order to operate the property) or travel between two agricultural or two mining properties (the two properties are across the road from one another and a part of or all of the first frontage is directly opposite part or all of the second frontage) 3. What concession are you applying for? Primary Producer concession Go to 4 Restricted Area concession Go to 5 Farm Plate concession Go to 6 or I am a Primary Producer and the sole/joint operator of a property used for carrying on my business as a Primary Producer. I state that the vehicle will be on a road solely to travel on roads within the property or onto which the property has a frontage, to build, maintain or remove the property’s fences. 4. Primary Producer concession Co-operative Associations may only carry produce that is produced by that co-operative. The vehicle can only be used for the carriage of produce between the point of primary production and the first point of processing or other transport (e.g. rail head). Primary Producer means a person engaged mainly in the production of raw material for clothing or food, derived from agriculture, dairying, fishing, raising of livestock or viticulture. I am a Co-operative Association applying for a Primary Producer concession or I am a Primary Producer seeking a concession I am engaged mainly in the production of raw material for clothing or food derived from: Agriculture Fishing Viticulture Dairying Raising livestock Note: The vehicle is used solely on a road for no more than 2 km to travel between the two properties. 6. Farm Plate concession Farm Plates are issued for vehicles used only by Primary Producers in their business as a Primary Producer and restricts the vehicle to travel between different parcels of land managed by the Primary Producer. The travelling distance is restricted to the maximum distance allowable as in the Conditional Registration Scheme Zone Access category. For more information refer to the Zone Map as outlined in the Guideline for Conditionally Registered Vehicles in Queensland, form Number 17 (the guideline). A copy of the guideline is available at www.qld.gov.au/transport. Note: 1. Vehicles with Farm Plate concessions are excluded from built-up areas. 2. Motorbikes and farm tractors are not eligible for Farm Plate concession. continued page 2... Page 1 of 2 TRB Forms Area F4517 CFD V01 Feb 2016 Registration Concession Application (Primary Producer, Restricted Area, Farm Plate) continued... page 2 of 2 I am a Primary Producer and I am applying for a Farm Plate concession. The vehicle registered with a Farm Plate concession is restricted to travel the following distances. Please select the zone you are in: Zone 1 - Coastal (20 km) Zone 2 - Western (40 km) Zone 3 - Far Western (80 km) 7. Certification I agree to inform the department of any changes that may affect my eligibility to retain the concession and will pay any pro-rata registration fees if I wish to use this vehicle for any other purpose than that allowed under the concession. I acknowledge that the concession I am applying for is subject to conditions, including restricted use of the vehicle, and agree to only use the vehicle in accordance with the conditions of the concession. I understand that if a vehicle on a concession is operated outside the conditions of the concession, a penalty infringement notice may be issued or I may be prosecuted by a court. I consent to the department verifying my evidence of identity documents or information with the issuing authority or their agencies. Registered operator’s signature/s Date / / Registered operator’s signature/s Date / / It is an offence to give false or misleading information under the Transport Operations (Road Use Management) Act. Maximum penalty may exceed $7000. Privacy statement: The department is collecting the information on this form for the purposs of maintaining the department’s vehicle/vessel 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 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 other third party without your consent, unless authorised or required to do so by law. Page 2 of 2 TRB Forms Area F4517 CFD V01 Feb 2016
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