Type Approval Specification (PSVA 12)
The Public Service Vehicles Accessibility Regulations 2000
PLEASE NOTE : This form is only for use where vehicles have a form of Type Approval and is also approved to either 2001/85EC Annex VII or Regulation 107.02 Annex VIII.
APPLICANT DETAILS
Name of Applicant :
Address :
Postcode : / Tel. Number :
Email Address :
VEHICLE DETAILS
Chassis Model :
Chassis (VIN) Number of Representative Vehicle :
Body Make :
Body Type (single / double deck) :
Body Model :
Body Number (if applicable) :
Post Code : / Tel. Number :
COMPLIANCE DETAILS
Please indicate by selecting the box, the level of compliance to be shown on the conformity certificate :
Wheelchair Accessibility Only (Schedule 1)
General Accessibility Only (Bus Schedule 2)
General Accessibility Only (Coach Schedule 3)
Wheelchair & General Accessibility Bus (Schedules 1 & 2)
Wheelchair & General Accessibility Coach (Schedules 1 & 3)
Does the vehicle have ECWVTA / NSSTA? / YES / NO
Full Approval Number :
Is the vehicle compliant with Directive 2001/85EC Annex VII? / YES / NO
and / or Regulation 107 Annex VIII? / YES / NO
If ‘YES’ please provide full approval number :
Do you require DDA approval for Destination and route display only? / YES / NO
ROUTES AND DESTINATION DISPLAYS
Description and location :
Details of any variations sought under this approval :
NOTE : Copies of the following documents must be supplied (PDF’s) with this document :
1. ECWVTA / NSSTA.
2. 2001/85EC with Annex VII or Regulation 107.02 (minimum) with Annex VIII.
3. Copy of CoC for first vehicle being applied for under these regulations.
4. If destination equipment has been checked by VCA, a copy of the report for this equipment.
DATA PROTECTION AND SIGNATURE DETAILS
DATA PROTECTION
The personal information you provide on this form will be used for the purposes of VOSA’s statutory functions. It will not be disclosed to other organisations unless required or permitted by law. For further information, visit our Information Charter available from VOSA’s
website: www.dft.gov.uk/vosa.
Signed :
Print Name : / Date : /
/ /
PSVA 12 (VOSA 888) 2 v1.0 Jan 2013