Application for storage provider to cancel registration (MR15A)

Applicant details

Waka Kotahi NZ Transport Agency storage provider customer number

This transaction can't be processed unless you provide your NZ Transport Agency Waka Kotahi storage provider customer number.

If you don't have a storage provider customer number, please apply for a customer number. You must provide a copy of the letter from the police approving you to be a storage provider. You'll also need your company number (if a limited company) or a letter on letterhead paper explaining the nature of your business (if not a limited company).

Apply for a customer number

Last name/Company name

First name(s)

Physical address

Mailing address (if different to physical address)

Contact email address

Contact phone number

Vehicle details

Plate number

Make

Model

VIN/chassis number (if you know it)

Impoundment details

Impoundment reason

DLSO
Other

If the notice indicates the driver is subject to a driver licence stop order (DLSO), please tick the reason for impoundment as DLSO. For example, the police officer has ticked 'Your driver licence was for the time being suspended because you were subject to a driver licence stop order'. For all other reasons, please tick Other.

Impoundment notice number

Attach a copy of the Authority to dispose

Plates surrendered

How many plates were surrendered?

The vehicle's plates must be surrendered to a Waka Kotahi plate agent (such as AA, VINZ or VTNZ) for destruction.

Road user charges

Only complete if the vehicle is subject to road user charges.

A vehicle subject to road user charges (RUC) is any vehicle that's diesel powered, has a manufacturer’s gross vehicle mass (GVM) of more than 3.5 tonnes (3500kg) or is powered by a fuel not taxed at source. Where the manufacturer’s GVM is more than 3.5 tonnes (3500kg) an approved hubodometer must be fitted to a non-lifting axle on the left-hand side of the vehicle. If the vehicle is fitted with a hubodometer, state the end reading shown on the hubodometer. If a hubodometer isn't required, state the end reading shown on the vehicle’s odometer.

We may issue a refund equal to the amount of any unused distance recorded against the hubodometer/odometer. For the refund to be paid, the current distance reading of the hubodometer/odometer must be provided. Any refund is liable for audit and is at the discretion of Waka Kotahi. Claims should only be for licences purchased within the last two years.

Hubodometer/odometer current distance reading

Refund

If Waka Kotahi is satisfied that the motor vehicle has been permanently destroyed, then we may refund an amount equal to the unexpired licence fees paid and the reimbursement fee.

The registration plate(s) must be surrendered and a copy of documentation from the police approving the disposal of the vehicle must accompany this form. Any refund is liable for audit and is at the discretion of Waka Kotahi.

Declaration

I certify that all the particulars given are correct.

Your information

The information requested is required to maintain the Motor Vehicle Register and to process your application for a storage provider to cancel registration under sections 98 and 255 of the Land Transport Act 1998 and clause 6 of the Land Transport (Motor Vehicle Registration and Licensing) Regulations 2011. Corresponding information held under the Road User Charges Act 2012 may be amended.

Waka Kotahi, in its capacity as the Registrar of Motor Vehicles (and its agents), will hold, store, use and disclose any personal information collected as part of this application in accordance with the Land Transport Act 1998 and the Privacy Act 1993 (Part 11 in particular, which authorises the disclosure of this information in certain circumstances). Waka Kotahi (and its agents) may also use this information to communicate with you for the purposes of processing your application, sending you motor vehicle licensing reminders, notifications and information, or obtaining feedback on our services.

To assist in keeping the Electoral Roll up-to-date, the Electoral Enrolment Centre operates an authorised information matching programme with Waka Kotahi under s263B of the Electoral Act 1993.

To identify people who have sold more than six motor vehicles in a twelve month period and are not registered as motor vehicle traders, the Ministry of Business, Innovation and Employment also operates an authorised information matching programme with Waka Kotahi under s123 of the Motor Vehicle Sales Act 2003.
You are entitled to access, and request the correction of, any readily retrievable personal information held about you by Waka Kotahi. You can do so by writing to us at Private Bag 11777, Palmerston North 4442 or by emailing us at info@nzta.govt.nz

When a vehicle is destroyed, removed permanently from New Zealand, becomes permanently useless or is written off, the person registered in respect of the vehicle must surrender the registration plates and notify the cancellation immediately by completing and lodging the required form at an authorised agent of Waka Kotahi. Any person who supplies false or misleading information on a form commits an offence and is liable to a fine not exceeding $25,000.

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