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Standard Number Plate/s


Replacement Application
Transport Operations (Road Use Management) Act 1995 (TORUM)

• Standard plate/s being replaced must be surrendered when lodging this application.
• You cannot apply for replacement plates if the vehicle is under a Queensland Police Number Plate Confiscation Notice.
• Evidence of identity (EOI) such as a Queensland Driver Licence, must be provided at time of lodgement for one registered
operator. For more information, go to qld.gov.au/EvidenceOfIdentity.
• For more information about replacing standard number plates go to qld.gov.au/transport/.

1. Vehicle details Office Use Only


Plate number Make and Model New registration number plate/s

2. Registered operator details


Note: The Customer Reference Number (CRN) is your Queensland Driver Licence, Photo Identity Card, or your reference number issued by the
Department of Transport and Main Roads (TMR).
CRN Full name (please print)

Residential/business address
Postcode
Postal address (if same write ‘as above’)
Postcode
Email address Mobile/telephone number

Would you like to receive emailed notifications and reminders for notices such as licence and registration renewals? For a full
list of emailed notifications and reminders visit qld.gov.au/transport/enotice (individuals only).
Yes No

3. Is the vehicle the plates are attached to currently under a Number Plate Confiscation Notice issued by the
Queensland Police Service?
No
Yes This application cannot be processed during the confiscation period.

4. Why are you replacing your plate/s?


Lost/Stolen/Destroyed/
The old plates were: Poor quality Damaged Not received Provide details below:
Copied (cloned)

5. Is someone lodging this application on your behalf?


No
Yes I authorise this person to lodge this application on my behalf (your representative will need to bring their identification
as well as proof of your identity; for example, your Queensland Driver Licence).
Representative’s name Representative’s signature Date

6. Registered operator declaration


I declare that the information provided is true and correct. I consent to TMR verifying my EOI documents or information with the
issuing authority or their agencies.
Signature Date

It is an offence to give false or misleading information under the TORUM. Maximum penalty may exceed $8000.
Privacy statement: TMR collects the information on this form for the purposes of maintaining the TMR vehicle registration register as required under the TORUM. TMR or
its agents/contractors may use your information in its communications with you and 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 other third parties without your
consent, unless authorised or required by law
LTSR Forms Area Form F3540 CFD V01 Sep 2023

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