Victorian Numbered Regulations

ACCIDENT TOWING SERVICES REGULATIONS 2019 (SR NO 139 OF 2019) - SCHEDULE 1

Schedule 1—Authority to tow

Regulation 42

AUTHORITY TO TOW

For the authorisation of towing accident damaged motor vehicles

Tow truck
Name of the licence holder of the tow truck:
Depot address:
Depot number:			Telephone number:
Tow truck licence number:
Name of the tow truck driver:			Driver accreditation number:
Vehicle to be towed
Name of vehicle owner:
Address of vehicle owner:
Make of the vehicle:			Registration number:
Allocated job number ( if applicable ):
Location ( street(s), suburb ) of the vehicle to be removed:
Address where vehicle is to be towed:
Did the vehicle require salvaging? o No o Yes ( Please complete the salvage section below )
Salvage ( Refer to information pamphlet for a description of what salvage means )
The location of the salvaged vehicle: o     Road o     Up or down an embankment o     Road related area (curb, nature strip,     footpath, traffic island) o     Other, please specify Photo evidence taken o			Where the vehicle was embedded in an object, what was the object? o     Building (house, shop front etc.) o     Pole, pillar, pylon, tree o     Fence, guardrail, safety barrier o     Motor vehicle o     Other, please specify Photo evidence taken o
The position of the salvaged vehicle:			The equipment used to salvage the vehicle:
o Upright o On its side o Upside down			o Tow truck winch     o Tow truck crane
o Other, please specify			o Mobile crane     o Heavy tow truck
Photo evidence taken o			o Other, please specify
Time taken to salvage the vehicle min/hrs
Applicable rate—Tax Invoice The applicable rates of towing, vehicle storage and other related services. Please mark "N/A" if an item is not applicable.			Information pamphlet For driver, owner only. Confirm receipt of VicRoads information pamphlet. ( Please tick box and sign )
Towing Service		Total Price, incl GST	o     Signature:
Towing fee	First 8 km		Person authorising the tow
	Additional km		o     Owner of the vehicle or agent of owner
After-hours towing surcharge			o     Driver of the vehicle
Salvage	Basic		o     Police officer/authorised officer
	Complex		Name:
Storage fee			Address:
Other charges ( Please specify )			Phone No. ( Optional ):
Total charge, incl. GST			Signature: Date:
Payment received by:     o Debit Card o Credit Card     o Cash			Person authorising storage Please ensure all personal belongings are removed from the vehicle before it is stored
Authority to tow form completed
Date:     Time:			Name:
Tow truck driver signature:			Address:
			Signature:     Date: