Customer authorisation
Workshop consent form
Required for any modification, performance work, or emissions-affecting work.
- Form no.
- OFM-CSF-26-1098
- Prepared
- ADR ref
- ADR 83/00 · NSW VSI 6 in-service exhaust
- Phone
- +61 412 884 901
- jared.whittaker@example.com
- Licence
- NSW · 4892 5512
- Rego
- CCV-12K
- VIN
- 6H8VFK8KW1L420881
Fitment of a Manta MK4M3 3.0in stainless catback exhaust assembly. OEM resonator deleted. Manta MM01 chrome muffler installed in OEM tip location. No further engine management or fuelling changes performed.
Modifications to the exhaust system may alter emissions output, noise output, and ADR compliance status. The customer accepts that ongoing road registration is contingent on compliance with NSW in-service vehicle standards and ADR 83/00. Workshop holds no liability for subsequent registration or insurance outcomes resulting from the modifications.
- I confirm the vehicle is mine, or I am authorised by the owner to commission this work.
- I understand the modification may affect the vehicle's compliance with ADR 83/00 emissions standards.
- I will notify my insurer of the modification within 7 days of fitment.
- I have been provided a copy of the workshop's modification disclosure pamphlet.
- I accept that workshop warranty covers fabrication and welds only — not subsequent tuning or emissions outcomes.
Customer signatureJared Whittaker · Date
Workshop witnessName · Role · Date