Commonwealth Numbered Regulations

1986 No. 291 INTERSTATE ROAD TRANSPORT REGULATIONS - SCHEDULE 3

SCHEDULE 3
Sub-regulation 47 (2)
FORM
COMMONWEALTH OF AUSTRALIA
Interstate Road Transport Regulations STATEMENT UNDER SUB-REGULATION 47 (2) IN
RESPECT OF INFORMATION RECORDED BY A
CHARGE MONITORING DEVICE FITTED TO A VEHICLE Notes
1. This statement is to be prepared on the cancellation, expiry or surrender
of the registration of a vehicle to which a charge monitoring device is fitted
if, in the application for registration of the vehicle, the owner of the
vehicle nominated, in accordance with sub-section 15 (1) of the Act, the
actual distance amount as the amount of charge to be payable in respect of the
registration of the vehicle.
2. A reference in this form to a reading taken from a charge monitoring device
fitted to a vehicle is a reference to the number of units recorded on a
document-

   (a)  that has been removed from the charge monitoring device fitted to the
        vehicle; or

   (b)  to which information recorded in the electronic memory circuit located
        in the charge monitoring device fitted to the vehicle has been
        transferred by electronic or mechanical means.
---------- Section 1 Name and address of owner of vehicle: Class of vehicle:
Registration number of vehicle: Designation or type number and serial number
of charge monitoring device:
Registration period: From        to        .
Was the charge monitoring device fitted to your vehicle replaced with another
device during the period of registration? (Circle the appropriate answer)
NO-GO TO REGON 2             YES-GO TO SECTION 3

(You may also be required to produce additional
records to the Registration Authority where a
device has malfunctioned) Section 2 1. Insert in the blank spaces the readings
taken in respect of the registration period from the charge monitoring device
fitted to your vehicle and the dates on which they were taken. 1st reading
--------------------------------(A)
Date --------------------------------------------- (Taken on the first day of
registration or on the last day of the immediately preceding registration
period) 2nd reading -----------------------------------
Date --------------------------------------------- 3rd reading
-----------------------------------
Date --------------------------------------------- 4th reading
-----------------------------------
Date --------------------------------------------- Final reading
--------------------------------(B)
Date --------------------------------------------- (Taken on the last day of
the registration period) 2. Calculate the difference between (B) and (A) and
insert at (C). ---------------------------------------(C) 3. Insert at (D) the
conversion factor to be used to convert into kilometres the units recorded by
the charge monitoring device. ---------------------------------------(D) 4.
Calculate the kilometres travelled by multiplying (C) by (D) and insert at
(E). ---------------------------------------(E) Section 3 5. Insert in the
blank spaces the readings taken in respect of the registration period from the
charge monitoring devices fitted to your vehicle during the registration
period and the dates on which they were taken.
               First Device         Second Device        Third Device
1st reading
Date           -------- (A)

               --------             -------- (C)

                                    --------             -------- (E)

-------- (Taken, in the case of the first device, on-

   (a)  the last day of the immediately preceding registration period; or

   (b)  the first day of the current registration period, and, in the case of
        the other devices, on the day on which the device was fitted to your
        vehicle) 2nd reading
 Date          --------

               --------             --------

                                    --------             --------

-------- 3rd reading
 Date          --------

               --------             --------

                                    --------             --------

-------- 4th reading
 Date          --------

               --------             --------

                                    --------             --------

-------- Final reading
 Date          -------- (B)

               --------             -------- (D)

                                    --------             -------- (F)

-------- (Taken on-
  (a)   the last day of registration; or


   (b)  the day on which the device was removed and replaced by another) 6.
        Calculate the differences between the 1st and final readings for each
        device used on the vehicle.
               First Device         Second Device        Third Device

               -------- (B)         -------- (D)         -------- (F)

minus
               -------- (A)   minus -------- (C)   minus -------- (E)

               -------- (G)         -------- (H)         -------- (I)
7. Insert the conversion factor to be used to convert into kilometres the
units recorded by the device in the relevant spaces.
               First Device         Second Device        Third Device

               -------- (J)         -------- (K)         -------- (L)
8. Calculate the kilometres measured by each device.
             First Device              Second Device             Third Device

             ------ (G)                ------ (H)                ------ (I)
multiplied by
------ (J) multiplied by
------ (K) multiplied by
------ (L)
equals
             ------ (M)km       equals

                                      ------ (N)km       equals

------ (P) km 9. Add the kilometres measured to obtain total kilometres
travelled by the vehicle.
-------- (Q)
plus
-------- (R)
plus
-------- (S)
equals
-------- (T)
-------------------------------------
I, (insert name),                       of   (insert address),


*(the agent of) the owner of the above-mentioned vehicle certify that the
above information is correct. ......................................
Signature

*Delete words within brackets if inapplicable.