Heavy Vehicle Delivery Registry Form

Heavy vehicles may use a restricted road when necessary to make a delivery or pickup at a property that cannot be reached by another route. The vehicle may only travel on the restricted road for as long as needed to complete the delivery or pickup, and the activity must comply with all other Township by-laws.

Company Name *

Address *

Address Line 1

Address Line 2

City

— Select state —AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Do you know the Licence Plate number? *

• Yes
• No

If the licence plate number is not known at this time, it must be provided to avoid the issuance of a Penalty Notice.

Licence Plate Number *

Vehicle Type *

Company Number Licence

Delivery Paperwork *

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Submit

Freedom of Information Disclaimer

Personal information collected on this form is collected under the authority of the Municipal Act and will be used only for the purpose of sending correspondence relating to matters before Council or the Committee and for creating a record that is available to the general public in a hard copy format and on the internet in an electronic format in accordance with the Municipal Freedom of Information and Protection of Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office.

The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.