QUEENSLAND POLICE SERVICE TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT

 ROLLINGSTOCK SALE AGREEMENT QUEENSLAND RAIL LIMITED [INSERT NAME
SUPREMEDISTRICT COURT OF QUEENSLAND REGISTRY NUMBER PLAINTIFF (INSERT NAME)
SUPREMEDISTRICTMAGISTRATE COURT OF QUEENSLAND REGISTRY NUMBER PLAINTIFFI (INSERT NAME)

SUPREMEDISTRICTMAGISTRATES COURT OF QUEENSLAND REGISTRY NUMBER PLAINTIFF (INSERT NAME)
SUPREMEDISTRICTMAGISTRATESCOURT OF QUEENSLAND REGISTRY NUMBER PLAINTIFF1 (INSERT NAME) AND
SUPREMEDISTRICTMAGISTRATESCOURT OF QUEENSLAND REGISTRY NUMBER PLAINTIFFI (INSERT NAME) AND

APPLICATION

QUEENSLAND POLICE SERVICE TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT

QUEENSLAND POLICE SERVICE

Transport Operations (Road Use Management) Act 1995 and Regulation there under

APPLICATION FOR WIDE LOAD MOVEMENT

COVERSHEET

To: Superintendent of Traffic

HEAVY VEHICLE ROAD OPERATION PROGRAM OFFICE

Level 9, 40 Tank Street, Brisbane QLD 4000

Telephone: 1300 077 020

TMR/NHVR Permit No./s

     


I,

     

On behalf of


Name of Company

     

Address of Company

     


Telephone No

     

Fax No:

     

Mobile No:

     


Hereby apply for a permit to transport

     , in the following combination:


Single load:

Multiple-loads:

Convoy formation:


From

     

To

     


From Date

     

From Time

     

To Date

     

To Time

     


Via the following roads

     

     

     

     

     


Length

     

Width

     

Height

     

Total Mass

     


Prime Mover Reg. Nos

     

     

     

     

     

Work

Plan

     

Date

     

Time

     



Driver Details

     

Mobile

     

I Declare That: (i) The route shown on the application has been inspected and found to be safe and suitable for the movement of the above shown vehicle and loading. (ii) The Information And Particulars Set Out Herein, Are True and Correct

Signature of Applicant


Date

     


Privacy Collection Statement

The collection of this information is authorised by the Police Service Administration Act 1990 and the Transport Operations (Road Use Management) Act 1995.The information may be used to assist in performing the statutory functions and responsibilities of the Queensland Police Service (QPS). The QPS may disclose some or all of this information to other State and Federal Government agencies as provided for by legislation or in accordance with the Queensland Government’s Privacy Policy.


SUPREMEDISTRICTMAGISTRATES COURT  OF QUEENSLAND REGISTRY NUMBER PLAINTIFF (INSERT
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Tags: (road use, operations (road, operations, transport, queensland, (road, police, service, management)