Heavy Vehicle Accreditation Notification of Retirement

Operator number

Accredited operator name

Contact email address

Contact phone number

Name of authorised contact person

Position/title

Do you want to be removed from MOVES?

Yes

No

Provide a brief reason for your retirement from Accreditation

Declaration

I have read and understand the requirements described in this form and acknowledge that all information provided within, forming part of this application, is true and correct.
I hereby declare that I wish to retire from the WA Heavy Vehicle Accreditation Scheme and I am the authorised contact person for the accredited company / individual specified in this form
I understand that retiring from the WA Heavy Vehicle Accreditation Scheme will result in the cancellation of any permits attached to this accreditation, including the permits of any sub-contractor also approved to operate under this accreditation.
As the authorised contact person, I agree to receive a verification telephone call from Main Roads to confirm my retirement from Accreditation

Declaration

I have read and understand the requirements described in this form and acknowledge that all information provided within, forming part of this application, is true and correct.
I hereby declare that I wish to retire from the WA Heavy Vehicle Accreditation Scheme and I am the authorised contact person for the accredited company / individual specified in this form
I understand that retiring from the WA Heavy Vehicle Accreditation Scheme will result in the cancellation of any permits attached to this accreditation, including the permits of any sub-contractor also approved to operate under this accreditation.
As the authorised contact person, I agree to receive a verification telephone call from Main Roads to confirm my retirement from Accreditation

Full name

Do you agree with the above statements?

Yes

Main Roads Western Australia collects personal information provided through forms and digital services to assess, process and administer heavy vehicle regulatory functions. These include the WA Heavy Vehicle Accreditation (WAHVA) Scheme, WAHVA Auditor Certification, Heavy Vehicle Pilot License, listing or updating vehicles and trailers, heavy vehicle permits and access approvals, and heavy vehicle incident reporting.

This information is collected under the authority of the:

Road Traffic (Vehicles) Act 2012
Road Traffic (Administration) Act 2008
Road Traffic (Vehicles) Regulations 2014
Road Traffic (Authorisation to Drive) Regulations 2014
Road Traffic (Repeals and Amendments) Regulations 2014
Road Traffic Code 2000
Main Roads Act 1930
Cocos (Keeling) Islands Act 1955 (Cth)

The information is used for regulatory assessment, compliance monitoring, safety assurance, operational decision-making and enforcement activities related to heavy vehicle operations in Western Australia.

If you do not provide the requested information, Main Roads may be unable to process your application, assess eligibility, or fulfil statutory obligations.

Your information may be disclosed to other State and Commonwealth government agencies, law enforcement bodies, and contracted service providers where required for regulatory, safety, compliance or service delivery purposes.

You can find more information about how we handle personal information in our Privacy Policy on our website. To request access to your personal information, or to lodge a privacy complaint, please contact us at privacy@mainroads.wa.gov.au.