Test form SK File Drop files here or Select files Max. file size: 32 MB. OwnerHiddenDate MM slash DD slash YYYY Unique IDHiddenExaminer NameNessPalenServiceMichaudBelzevickHiddenCompleted Date MM slash DD slash YYYY HiddenNot Assigned, for just cause Not Assigned, for just cause HiddenNew VIN Number HiddenControl Number Company Name - OR -Last Name of Owner* First Name of Owner* Middle Name of Owner Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Driver's License Number Home Phone Number*Additional Phone NumberEmail* Vehicle / Trailer InformationYear* Make* Model* Colour*BeigeBlackBlueBronzeBrownBurgundyCopperCreamDark BlueDark GreenGoldGreenGreyLight BlueLight GreenMaroonNot AvailableOrangeOtherPinkPurpleRedSilverTanTurquoiseWhiteYellowVehicle Style*Choose Your Vehicle StyleSingle Axle Trailers ($175 + GST & PST)All motor vehicles and Tandem Axle Trailers ($500 + GST & PST)Mileage Licence Plate Number (if available) Original VIN (if available) Is this a Home Built Trailer? Yes No Vehicle / Trailer LocationWhere is the vehicle located? Same as Mailing Address Vehicle Location Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Reasons for the Assigned VIN ApplicationPlease check the reason(s) for the Assigned VIN Application VIN Lost Door Replaced Dashboard Replaced Theft Recovery VIN Illegible VIN Removed Modified Amalgamated Home-built / Ubilt Kit Car Cab swap or cab replacement Glider Kit Other Other Specify ComponentsIs the vehicle home-built, ubilt, amalgamated, rebuilt, or containing major components that are not from the original vehicle?* Yes No Only complete this section if the vehicle is home-built, ubilt, amalgamated, rebuilt, or contains major components that are not from the original vehicle. Present the original invoices to VVS at the time of the vehicle / trailer examination. VVS will make copies or take digital pictures of the invoices for retention.EngineEngine Supplier Engine Purchase Date MM slash DD slash YYYY Engine Source Vehicle VIN TransmissionTransmission Supplier Transmission Purchase Date MM slash DD slash YYYY Transmission Source Vehicle VIN Cab (Truck)Cab Supplier Cab Purchase Date MM slash DD slash YYYY Cab Source Vehicle VIN Dash BoardDashboard Supplier Dashboard Purchase Date MM slash DD slash YYYY Dashboard Source Vehicle VIN Chassis FrameChassis Frame Supplier Chassis Frame Purchase Date MM slash DD slash YYYY Chassis Frame Source Vehicle VIN PaymentTotal Cost Price: Total Cost Price: HiddenGST (single)HiddenPST (single)HiddenGST (all vehicles)HiddenPST (all vehicles)Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Acknowledgement* I acknowledge that the information collected by VVS will be disclosed to SGI for the purpose of the administration of Saskatchewan's VIN assignment program. Invoice Total$194.25$555.00Include invoice total here for non-payment form.
