Application for Order for Access Information

QUEENSLAND POLICE SERVICEVEHICLE TOW NOTIFICATION FORM QUEENSLANDTow Truck Act 1973QP 108703/181Date and time towedDate: FORMTEXT ?????Time: FORMTEXT ?????Location vehicle was towed from (Provide the address/location the vehicle was towed from)Street no.: FORMTEXT ?????Street name: FORMTEXT ?????Suburb: FORMTEXT ?????State: FORMTEXT ?????Postcode: FORMTEXT ?????Location vehicle towed to (Provide the address/location of the holding yard)Street no.: FORMTEXT ?????Street name: FORMTEXT ?????Suburb: FORMTEXT ?????State: FORMTEXT ?????Postcode: FORMTEXT ?????Towed vehicle details (Provide the reason and the details of the vehicle e.g. Rego/VIN number, Make, Model, Colour, State) FORMCHECKBOX Clearway FORMCHECKBOX Loading zone FORMCHECKBOX No stopping zone FORMCHECKBOX Private property FORMCHECKBOX OtherOther, provide information: FORMTEXT ????? FORMTEXT ?????Registration/Plate number: FORMTEXT ?????Make, model and body shape: FORMTEXT ?????Vehicle Identification Number (VIN): FORMTEXT ?????Provide any additional identification details for the vehicle: (e.g. Police aware sticker #123456) FORMTEXT ????? FORMTEXT ?????Towing Company (Provide the business name and contact telephone number of the towing company responsible)Name: FORMTEXT ?????Contact number to provide to the member of the public for retrieval: FORMTEXT ?????Nominate the email address you want your reference number sent to: FORMTEXT ?????Complete the below if the vehicle was towed from private propertyLegal obligations (As outlined in Tow Truck Act 1973 select the applicable option below)Has towing consent between the occupier of the private property and the holder of the towing licence been obtained? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, provide the name of the occupier who provided consent: FORMTEXT ?????I confirm: (Select the applicable option below) FORMCHECKBOX I have taken reasonable steps and cannot find the owner. FORMCHECKBOX I have found the owner of the vehicle but the owner refuses to move the vehicle. FORMCHECKBOX I have found the owner of the vehicle but I reasonably believe the owner cannot move the vehicle from the private property in a reasonable time. FORMCHECKBOX I have found the owner of the vehicle but I reasonably believe the owner will not move the vehicle from the private property in a reasonable time.I declare: FORMCHECKBOX The information provided on this form is true and correct. FORMTEXT ????? FORMTEXT ?????(Signature)(Name)(Date)Action:After completion, please forward to Policelink—policelinktows@police..au ................
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