| Heading and notes: | No form number. ELECTRIC TELEGRAPH, VICTORIA in straight line under the crest. |
| Message area: | Blank. |
| Reverse side: | Regulations and Conditions (14 listed - see below). |
| Colours (text & form): | Red on dull blue paper. |
| Size of form overall: | 173 × 212 mm. |
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VC-TO-2.
Message from Mount Martha to Melbourne (?). Earliest recorded used Victorian transmission form. |
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Details of use and rarity.
| Form sub-number |
Schedule number | Earliest recorded date | Rarity rating |
| TO-2 | None | 26 December 1862 at Mount Martha. | RRRR |