Vehicle Off-Road Declaration Form
Use this form to declare a vehicle’s off-road use. Please provide accurate information for record purposes.
Driver's Full Name
*
First Name
Last Name
Contact Email
*
example@example.com
Vehicle Registration Number
*
Vehicle Make and Model
*
Off-Road Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Off-Road End Date (if known)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Off-Road Declaration
*
Please Select
Maintenance/Repair
Storage
Seasonal Non-Use
Other
Additional Details (optional)
Declaration: I confirm that the information provided above is true and that the vehicle will not be used on public roads during the declared off-road period.
*
I Agree
Submit Declaration
Should be Empty: