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DPI Home | Licensing Home | Forms and publications | Forms

Forms and publications Forms

The forms facility provides you, our customers with an on-line access to selected Licensing Services forms.

After filling out a form you may need to personally attend a Licensing centre or agent with the completed form. Some forms will require you to provide documentary proof of your identity (original documents only).

The majority of these forms can be filled in online but need to be printed once completed. 

Please note: If a form needs to be printed before it can be filled in, a note indicating this will be displayed beneath the form title.

Please click on one of the links below to download the form you require.

  • MDL forms - Drivers

  • MR forms - Vehicles

  • Concession application forms

  • Miscellaneous - Change of Address, Proof of Age Card applications, Statutory Declarations etc.

    How to fill in the forms

    1. Make sure you have no other applications open before you open the form.

    2. Open the form in Acrobat Reader 4 or above.

    3. Place the cursor in the first box where you will be required to enter details into. The cursor should turn to an I - beam pointer indicating that you can type in the box.

    4. To move to the next box that requires your details to be added, you can click on it or press the Tab key.

    5. After completing the form ensure that all details are correct.

    6. Print the form out.

    7. Use a blue or black pen to write your signature on the form.

    You need version 4 or greater of Adobe Acrobat Reader to view, complete and print this form.

    If you have problems with Acrobat Reader then please refer to the Adobe website. If you have any problems with our forms then please contact us.


    Download free software to open PDF documents
    .

    To download the document without waiting for it to open, do the following:
    For,

    PC - right click document title and choose an option.
    MAC - control-click document title and choose an option.

MDL Forms - Drivers 

Title Size
Statutory Declaration for driver licence
(MDL77)

pdf 625kb

Questions & Answers for MR, HR & HC Licences
(MDL5)

pdf 431kb

Application for Refund - Driver's Licence
(MDL78)

pdf 678kb

Letter of Consent
(E20)

pdf 527kb

Medical Assessment Certificate - Fitness to drive
(M107A)

pdf 525kb

Medical Assessment Certificate - Senior drivers licence renewal declaration
(M108)

pdf 169kb

Notification of Driving Impairment
(M109) 

doc 720kb

Please note: Please make sure you print this form on A4 paper. Your application will not be accepted if the photokit is in another paper size than A4.

Photo kit
(MDL61)

pdf 139kb

MR Forms - Vehicle

Title Size
Statutory declaration deceased estate
(MR172)
pdf 119kb
Application to licence a vehicle
(MR17)
 pdf 490kb
Application to licence an interstate vehicle without inspection
(MR20)
 pdf 894kb
Statutory declaration of vehicle ownership and questionnaire
(MR50)
pdf 682kb

Vehicle licence transfer
Notification of change of ownership

Purchaser's and Seller's Copy
(MR9)

pdf 681kb
Change in Heavy Vehicle Use
For a vehicle with gross mass over 4.5 tonnes
(MR184)
pdf 897kb
Proof of Identity
Nominated Owner/Vehicle licence holder
Vehicle registration
(MR186)
pdf 442kb
Change of Engine Number
(MR6)
pdf 591kb
Application for Refund - Vehicle Licence
(MR11)
pdf 732kb
Application to licence a farm tractor or farm tractor plant
(MR18)
pdf 339kb
Fitment of Immobiliser
(MR191)
pdf 538kb
Change in Nominated/Joint Owners
(MR192)
pdf 134kb
Application for Remake of Damaged State or District Plates
(MR54)
pdf 728kb
Transfer of Right to Display Special Plates
(MR176)
pdf 484kb
Personalised Plate Transfer
(MR182)
pdf 96kb
Lost / Stolen number plates statutory declaration
(MR14)
pdf 548kb
Vehicle modification application for production vehicles
Need to print out this form before completing
pdf 55kb
Application for Seasonal licence
(MR194)
pdf 544kb
LPG Scheme application  pdf 560kb 
Change of vehicle colour
(MR159) 
 pdf 459kb

Concession forms

If you are unable to present these forms below:

MR188 - Application for concessional trailer licence
MR189 - Application for occupational concessional licence
MR171 - Motor vehicle licence application for concession
Primary Producer Concession

at a licensing centre or agent personally, you can mail them to:

Department for Planning and Infrastructure
Concessions Section
GPO Box R1290
PERTH WA 6001

Title Size
Application for concessional trailer licence
(MR188)

pdf 130kb

Application for occupational concessional licence
(MR189)

pdf 165kb

Motor vehicle licence application for concession
(MR171)

pdf 818kb

Primary producer concession

pdf 655kb

Motor Drivers Licence Application for Concession
(MDL18)

pdf 390kb

Application for Farm Vehicle Concession
(MR39)
pdf 157kb

Application for Concession on a Volunteer Emergency Services Response Vehicle
(E21)

pdf
510kb

Miscellaneous

Change of Personal Details
(P64)

pdf 163kb

Blank Statutory Declaration

pdf 46kb

Proof of Age card
(POA1)

pdf 652kb

Vehicle Identification Number (VIN)
Online Form

Towed Implements Statutory Declaration

pdf 351kb

Market Value Statutory Declaration
(E6)

pdf 611kb

Delete/Reinstate Stock Transporter Concession
(E5)

pdf 537kb

 

 

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Department for Planning & Infrastructure