Vehicle Movement Request Form

General Information Company Name:
Contact Name:
Telephone Number :
Email:
Collection Address :
Collection Postcode :
Delivery Address :
Delivery Postcode :
Date from: (dd/mm/yyyy)
Date to: (dd/mm/yyyy)

Vehicle Details : Vehicle Type :
Chassis Make :
Body Make :
Vehicle Registration :

Is the vehicle automatic or manual:

Does the vehicle have a current MOT?

Yes
No

Does the vehicle have a tachograph ?

Yes
No

Does the vehicle have a digital tachograph ?

Yes
No
Additional Information

Please note that it is your responsibility to ensure that the vehicle is legally roadworthy at the time of collection.

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