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General vehicle certification and exemption forms

Updated April 2019

Operators must maintain the skid plate assembly on their vehicles in accordance with best practice. These forms are used by a heavy vehicle operator to confirm a vehicle’s skid plate structural condition is within safe tolerances and must be presented at CoF inspection.

The inspection described in the form must have been done less than 30 days and fewer than 15,000km before the CoF inspection in which it is used. A technician must do the inspection. The form can be form signed by either a technician or the operator.

4085D:Operator statement of compliance with maintenance requirements for parking brake assemblies

Version: November 2019

This form is used by a heavy vehicle operator to confirm a powered heavy vehicle’s parking brake assembly has been inspected/serviced by a technician in last two years and is in good working condition. If a vehicle inspector doubts the condition of a park brake assembly, they can request that the 4085D form be presented to provide proof of inspection/servicing in the last two years (once the vehicle exceeds two years from date of first registration in New Zealand, or every CoF from date of first registration if entry certified as a used vehicle).

CA01 VIN approval form (PDF)

Version: April 2018 Previously known as: VCUEF 01

To apply to affix or re-affix a VIN to an NZ registered vehicle.

CA02 Lost deregistration/export certificate (PDF)

Version: June 2018 Previously known as: VCUEF 02

This form is to be used when the original Japanese deregistration/export certificate has been lost.

CA03 Alternative documents form (PDF)

Version: June 2018 Previously known as: VCUEF 03

This form is to be used when the ownership trail is incomplete for vehicles undergoing used entry certification, there is no proof of previous New Zealand registration or there is no proof of previous overseas registration.

CA04 Request for an exemption to remove trim on an imported used and parallel imported new vehicle (PDF)

Version: April 2018 Previously known as: VCUEF 04

This form is to be used if requesting an exemption to remove trim on an imported used and parallel imported new vehicle.

CA09 Application for manufacturer prototype vehicle (PDF)

Version: June 2018 Previously known as: VCUEF 09

This form is to be used to apply for short and long term exemptions from warrant of fitness and standards compliance requirements.

CA11 Application for an exemption from Land Transport Rules (PDF)

Version: June 2018 Previously known as: VCUEF 11

This form is to be used when applying for an exemption from Land Transport vehicle Rules.

CA99 Request for an exemption from border check requirements (PDF)

Version: November 2019

This form is to be used when applying for an exemption to border check requirements.

DVCUAF06 Application for identification of an immigrants' vehicle (PDF)

Version: April 2020 Reference: DVCUAF 06

Previously known as: Application for recognition of an immigrant's vehicle

This form is used to apply for an exemption from frontal impact standard requirements under Land Transport Rule: Frontal Impact Amendment 2008 section 2.1(7)(e), vehicle exhaust emission standard requirements under Land Transport Rule: Vehicle Exhaust Emissions 2007 section 2.2(3)(a), and electronic stability control and advanced brake system requirements under Land Transport Rule: Light Vehicle Brakes 2002

LHDVP Application for category A left-hand drive vehicle permit (PDF)

Version: January 2016

This form is to be used to apply for Category A left-hand drive vehicle permit for a specified class MA vehicle that is less than 20 years old.

MVR-PS01 LANDATA correction request form

This form is to be used when incorrect vehicle inspection details have been submitted to the NZ Transport Agency. It is only able to be completed and submitted by an inspecting organisation and its staff.

Note: You must be using Internet Explorer to view this form online. If you are not using Internet Explorer you must download the PDF and save it to your computer before opening with Adobe Acrobat Reader.

To download the PDF and save it from this website:

  • Right-click on the link to the document.
  • Select “Save Target As” or “Save Link As.”
  • Save the document to your hard drive. You may want to make a note of where you saved it.
  • Open Adobe Acrobat Reader.
  • When Adobe Acrobat Reader is open, go to File, then to Open, then to where you saved the document.

Here's how to download Adobe Reader

These forms are to be used by a vehicle inspector if they determine that the vehicle does not exceed the threshold for requiring repair certification.

SIVVP Application for a special interest vehicle permit (PDF)

Published: January 2016 Previously known as: DVCUAF 11

Previously known as: Application for recognition of a special interest vehicle

This form is used to apply for an exemption from frontal impact standard requirements under Land Transport Rule: Frontal Impact Amendment 2008 section 2.1(7)(f) and vehicle exhaust emission standard requirements under Land Transport Rule: Vehicle Exhaust Emissions 2007 section 2.2(3)(b).

VCUEF10 Application for motorsport exemption (PDF)

Published: May 2009 Reference: VCUEF 10 Version: 1.3

This form is used to apply for a left-hand drive exemption for vehicles that have been approved for by MotorSport NZ being compliant with the eligibility criteria and exemption conditions as agreed to by the NZ Transport Agency and MotorSport NZ.

Vehicle certification complaint form (Transport Agency website)  

Reference: VCCPF01 Previously known as: DVCUCF01

The NZ Transport Agency is responsible for ensuring that vehicle inspection and certification is carried out in accordance with the Vehicle inspection requirements manual (VIRM) and Land Transport Rules. This form can be used if you wish to submit a complaint about an inspection not being conducted to those standards