Request A Replacement MPTP Smart Card | Safe Transport Victoria

Name(Required)

First Middle Last

Date of birth(Required)

Phone(Required)

Email(Required)

Driver Certificate Number (DC Number)(Required)

Current residential address(Required)

This is the address we will post your card to

Address Line 1 Address Line 2 City State / Territory Postcode Country

Please indicate the reason you are requesting a new card(Required)

I have lost my current card

My current card is damaged

My current card has been stolen

Please indicate the date your card was lost(Required)

Please indicate the date your card was stolen(Required)

I certify that the information provided is true and correct(Required)

Yes

I authorise Safe Transport Victoria to process my request(Required)

Yes