Test Workshop Date *Select Vehicle Type *Description of vehicleTruckExcavatorLoaderSkidsteerSteel RollersMultiPaverProfilerVans/UtesDoes this truck have a trailer?YesIf yes, please choose trailer rego below.Truck RegoSelect Rego046XPK326YDI794XWN983XSFXQ30FQXQ31FQXQ61JUXQ62JUXQ63JUXB09RVXB21FHXB91BEXB61MFXB71FZXB59DJNo RegoTrailer RegoSelect Rego874UGMYQ11PAYQ12APYQ13APYQ14APYQ16APYQ21BZYQ39POYQ42XLYQ44UANo RegoExcavator RegoPlease select an option0159C2No RegoLoader RegoSelect Rego63516C8431C2No RegoSkidSteer RegoSelect Rego3882CO5816C262689C66228C7496C0No RegoSteel Roller RegoSelect Rego28323C5814C230759C40585C50027C71642CNo RegoMulti Roller RegoSelect Rego29157C29158C5815C25931C35817C2No RegoPaver RegoSelect Rego69221C69222C69223C69224C69225C71637CNo RegoProfiler RegoSelect Rego26182CNo RegoVan/Ute RegoSelect Rego544WAE713HXG750TUR001VOM366WOU386XLE387XLE119HI2118HI2No RegoOdometer *Type of serviceFilters - Ad BlueFilters - Air DryerFilters - DieselFilters - FuelFilters - GearboxFilters - HydraulicFilters - OilFilters - WaterOil changeOil - DiffOtherDescriptionPlease provide description.Select type of repairAir DryersAugersBatteryBrakesChainsHeating ElementsHydraulicsTeethTeeth holdersTyresBelt RepairBelt ReplacementOtherDescriptionPlease provide description.Digital SignatureSelect mechanic *Mechanic's SignatureGintsThilinaTobiasDonal GaynorThomasConsent *By ticking this consent I agree that is will be used as my digital signature. Submit
