Homepage Blank Mv 427 Penndot PDF Form
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The MV-427 form is a crucial document for individuals or businesses seeking to establish or modify an official vehicle inspection station in Pennsylvania. This form serves as an application for new inspection stations, reappointments after suspension, and changes in ownership or location. To ensure a successful submission, applicants must provide a comprehensive information packet that includes various documents and forms, such as the MV-427 itself, the MV-427A for emissions inspections, and a list of certified safety inspectors. Additionally, proof of liability insurance or a bond is required, along with documentation like utility bills, photos of the inspection area, and a valid Employer Identification Number (EIN) or Social Security Number (SSN). The application must be completed accurately, as any false or incomplete information can lead to automatic disqualification. Upon approval, the form will serve as the appointment certificate for the inspection station, allowing it to operate legally and safely. Applicants should pay close attention to the specific requirements and ensure all necessary items are included to avoid delays in processing.

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Safety Station Application Check List

Upon submission of the station information packet, all items below must be included. If information is incomplete, the packet will be rejected. A letter will be sent to the applicant, notifying them of the deficiency. Additionally, included in the packet is an instruction sheet detailing how to complete form MV-427.

MV-427 (If applying for a safety and emission inspection, station must complete one form for safety and a separate form for emission. (Do NOT check both safety and emissions on the same form. One form should only specify SAFETY and the other form, if necessary, should only specify EMISSIONS).

MV-427A (must complete two separate forms if applying for a safety and emission inspection station).

MV-443 list of certified safety inspectors (include inspector number).

If you have completed section E Letter of Authority on form MV-427 and the person listed in section E is not listed on the form MV-427 as owner or is not listed as an owner/corporate officer on form MV-427A, you must include a separate document to provide that person’s name and driver’s license number with the packet. (If you are providing an out-of-state driver’s license number, you must also provide date-of-birth with the information.)

MV-500

Certificate of liability insurance or bond: Attach proof of insurance or a bond, in the amount

of at least $10,000.00, providing compensation for any damage to a vehicle during an inspection. A

“ Garage Keeper’s Legal Liability Policy” is acceptable. This proof of insurance or bond MUST include station name, physical location, and amount of coverage and period of coverage.

Must have a valid insurance policy with PennDOT listed as the Certificate Holder, using the address below

Copy of lease or deed

Copies of utility bills (most recent electric and phone bill)

Photos of the interior and exterior of the inspection area, sticker security area, and office area.

Must have a valid Employer Identification Number (EIN) or Social Security Number (SSN)

Must have a valid State Sales Tax Number

The completed packet should be mailed/emailed to:

Pennsylvania Department of Transportation

Vehicle Inspection Division

P O Box 68696

Harrisburg, PA 17106-9003

ATTN: Troy Roadcap, Manager

EMAIL: [email protected]

MV- 4 2 7

I NSPECTI ON STATI ON APPLI CATI ON

I NSTRUCTI ONS

USE: This application should be completed when applying for a new inspection station, and when any changes occur to an existing station, such as; change of location, change of ownership, and reappointment after a suspension, etc.

COMPLETI ON OF FORM: When properly completed and approved, this application will serve as your appointment certificate. Please use black ink and print clearly or type. PROVI DI NG FALSE, I NACCURATE, OR I NCOMPLETE I NFORMATI ON WI THI N THE APPLI CATI ON AUTOMATI CALLY I NVALI DATES THI S CERTI FI CATE.

Section A: I ndicate the reason for this application.

New inspection station: A business which is not currently an inspection station.

Reappoint After Cancel: A previously cancelled station reopens. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) NOT APPLI CABLE FOR PREVI OUS ENHANCED EMI SSI ON STATI ONS.

Reappointment after Suspension: A business that had its inspection privileges suspended and wishes to reopen as an inspection station after the suspension has been served.

Change of Location: An existing inspection station that is moving to a new location or is remodeling the existing location to provide additional space.

Change of Ownership: When a new owner(s) takes over an existing inspection station or when a corporation changes President and the person was never listed as a Corporate Officer in the past. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” )

Change of Authority: When a person in charge of an inspection station changes, but the ownership of the company remains the same. ( Section E should be completed at this time.)

Change of Mailing Address: When a business wants to update an existing mailing address that is different than the physical location.

Add Mailing Address: When a business wants its mail to be delivered to an address other than the physical location of the garage. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

Delete Mailing Address: when a business wants to delete an existing mailing address other than its physical location. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

Change of address by Post Office: When the business address of the station is being changed by the United States Post Office, or other agency.

Company to Corporation: A sole proprietorship or partnership incorporates. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

Change of Trade Name: An existing inspection station making a name change only. (See Company to Corporation above it the station is incorporating) .

Adding or changing a station type: When a general station adds motorcycle, a fleet station changes to a general station and vice versa. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

Add or Drop Partner: When a business adds or drops a partner(s) . (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

Section B: Complete this section with the following information.

Business name: I ndicate the name under which you will operate. (list both names is you trade under a

different name; ie. Smith’s Garage, inc. T/ A Mike Smith Automotive.

Business address: I ndicate the actual location of the business. Must be a street address, no post office boxes in this space. I f you want to use a PO Box, complete the mailing address box in this section.

Telephone number: Provide the business telephone number including area code.

• Ow ner’s name: List the owner of the business. I f business is a partnership list on partner. I f the business is a corporation, list a corporate officer. A regional or district manager is also acceptable.

Driver License# : Provide the owner’s driver’s license number. I f license is issued from a state other than

Pennsylvania, please list the correct state abbreviation after the operator number: e.g., 123038483949 NJ (for operator number from New Jersey) .

Mailing address ( if different from the business address) : May be indicated in the space provided. I f you wish to receive mail from the Department at your business address, the mailing address segment of Section B should remain blank.

Section C: This section provides additional information about your business.

I ndicate if you are the sole proprietor, a partnership, or a corporation. (Commonwealth stations should check corporation) .

I ndicate your Federal I D number and Sate Sales Tax number in the appropriate boxes. I f you have submitted applications to these agencies and have not received your identification numbers, you may write “ APPLI ED FOR” in the appropriate boxes, and then submit your number(s) to the Department when they are received.

I ndicate the size of the I nspection area where inspection are performed (ie. 22ft x 28 ft or if more than one bay, e.g., Bay 1 22ft x 28 ft Bay 2 22ft X 62 ft, etc.)

I ndicate the one category most appropriate for your business.

I ndicate the type(s) of station you wish to operate which should coincide with the type(s) of vehicles you will be inspecting. I f applying for a safety station and an emission station you must complete a separate application for each type. (Do not mark safety and emission on the same application) .

I ndicate the type(s) of station you wish to operate and check the appropriate box(es) for any type(s) of vehicles you will be inspecting at your business.

Section D: First section should be completed when you own another inspection station. Second section should be completed when you need to cancel a previous inspection station.

First Section – Provide the station number(s) of other station(s) you own.

Second Section – Provide the current station number and/ or name of station being cancelled due to change of location, change of ownership or change of station type, ie. Fleet to General.

Section E: This section should be completed by the owner or a corporate officer ONLY when a person OTHER THAN an owner or a corporate officer is responsible for operating the business in the owner/ corporate officer’s behalf.

I MPORTANT: PRI NT ALL PARTS OF SECTI ON E, EXCEPT for the signature of the owner/ corporate officer.

Section F: DO NOT WRI TE I N THI S SPACE.

Section G: The application must be signed by the owner/ corporate officer at the time of application submission. I N THOSE CASES WHERE SECTI ON E HAS BEEN COMPLETED, THE PERSON AUTHORI ZED BY THE OWNER/ CORPORATE OFFI CER MUST SI GN THE APPLI CATI ON.

 

MV-427 (2-08)

 

 

 

 

 

 

 

INSPECTION STATION

 

 

FORDEPARTMENTUSEONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE TYPE OR PRINT CLEARLY.

 

 

 

CERTIFICATE OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INCIDENT# ____________________________

 

THIS APPLICATION WILL SERVE AS

 

 

 

 

APPOINTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOUR CERTIFICATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

CHECK THE PROPER BLOCK:

 

 

New Inspection Station

 

 

Re-appointment after suspension

 

Change of Location

 

Change ofAuthority within a Company or a Corporation

 

Change of MailingAddress

Change ofAddress by Post Office

 

Change of Trade Name

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

NAME AND ADDRESS OF BUSINESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business StreetAddress

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone #

 

Owner’s Name

 

 

 

 

 

 

 

 

Driver’s License #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MailingAddress (if different than above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

BUSINESS INFORMATION

CHECK ✔ OWNERSHIP CLASS:

Sole Proprietorship (A)

Partnership (B) Corporation (C)

 

Federal ID #

 

 

 

 

State Sales Tax #

 

 

 

 

 

Size of InspectionArea

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category ✔ Check One:

Garage (A)

 

Manufacturer (E)

 

Gas Station (B)

 

New Dealer (C)

 

Used Dealer (D)

 

Station Type: Motorcycle (A)

 

 

 

 

Fleet (C)

 

 

 

 

General (E)

 

Enhanced Safety

 

Commonwealth (F)

 

 

 

 

Emission (X)

 

Trailer (D)

 

 

Inspection (J)

 

Type of vehicles you will be inspecting:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Passenger Cars

 

 

Light Trucks

 

Trailers 10,000 lbs or less

 

 

Trucks over 17,000 lbs.

 

Buses

 

 

Motorcycles

 

Trailers over 10,000 lbs.

 

 

Trucks 17,000 lbs. or less

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

Station number of other Station(s) presently owned:

 

 

 

Station number and/or name of current Inspection Station:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

LETTER OF AUTHORITY

 

 

 

F

 

 

 

CERTIFICATION

 

Thisletterauthorizes_______________________________________

 

 

Certificate ofAppointment as an Official Inspection Station

 

 

(Print Name of person signing the application)

 

 

 

 

Pursuant to the provisions of the Vehicle Code, 75 Pa.C.S. Sections 4721,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4723 or 3368,Act of June 17, 1976, No. 81, as amended.

 

________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Title)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

residing at _______________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(home street address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

________________________________________________________

 

 

 

(NOT VALID WITHOUT SEAL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(city/town)

 

(county)

 

 

 

(state)

(zip)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to be responsible for all inspection operations performed at the above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

station.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________________________________ _______________

 

 

This certificate may be suspended or cancelled at any time if the provisions

 

 

 

of the Vehicle Code or the inspection regulations are not being complied

 

(Signature of owner or officer)

 

 

 

 

 

 

 

 

(Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

with or if the business is being improperly conducted.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________________________________

 

 

 

 

 

Any change at a designated Official Inspection Station automatically

 

(Title)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

invalidates this Certificate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G

Application Date:

 

 

 

 

 

 

 

Appointment Date:

 

 

 

 

Inspection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Iverifythatthefactssetforthonthisapplicationwerecheckedafterthecompletionoftheformandaretrueandcorrect.Thisverificationismadesubject

 

to the penalties of Section 4904 of the Crimes Code (18 Pa.C.S. § 4904) relating to Unsworn falsification to authorities.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department Investigator:

 

 

 

 

 

 

 

 

 

 

Troop/Station

 

 

 

 

 

 

Badge #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WHITE - Business Copy

YELLOW - Bureau of Motor Vehicles Copy

PINK - Investigator Copy

MV-427A (4-12)

Station Application

Supplemental Information

For Department Use Only

ATTACHMENT 1

PLEASE TYPE OR PRINT CLEARLY

A.STATION NAME: _____________________________________________________________________________________

B.INSURANCE ACKNOWLEDGEMENT:

I understand that a bond or certificate of insurance in the amount of $10,000 is required for each inspection station. I also understand that failure to maintain this bond or insurance will result in cancellation of my inspection station.

Yes ______ No ______

C.ADDITIONAL INFORMATION:

1.LIST ALL OWNERS, PARTNERS OR CORPORATE OFFICERS (NOTE: Individuals should list thier PA Driverʼs License (PA DL) or Photo ID# in the space provided. Business should list their Business ID# (Bus.ID) where indicated (i.e. E.I.N.)

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

2.Has this business or the owners, partners or officers thereof ever been a dealer, miscellaneous motor vehicles business, messenger service, inspection station or issuing agent in this or any other state?

Yes _____ No _____

If yes, list name(s), location(s), and identification number(s).

_________________________________________________________________________________________________

_________________________________________________________________________________________________

3.Is this application for a change of ownership or was this location previously an inspection station?

Yes _____ No _____

If yes, list previous station name(s), address(s) and identification number(s).

_________________________________________________________________________________________________

_________________________________________________________________________________________________

4.Is this inspection station being sold, transferred or leased while the station is suspended or restored pending appeal?

Yes _____ No _____

If yes, were you ever affiliated with this station or are you related in any way to the owner(s)? Yes _____ No _____

5.Have any owners, partners or corporate officers of this business been affiliated with a dealership, miscellaneous motor vehicle business, messenger service, inspection station or issuing agent whose privilege to conduct business as such was suspended, cancelled or revoked or is currently under investigation or received notice to attend a Departmental or court hearing or is awaiting a decision by a hearing officer or a Court?

Yes _____ No _____

If yes, list name, location, and identification number and explain situation.

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

6.Does any owner, partner, corporate officer or any business with which they were previously affiliated, have any outstanding liabilities which are due and owing to the Commonwealth, including but not limited to, taxes, fees, monetary penalties or outstanding paperwork?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

7.Have any owners, partners or corporate officers of this business ever been convicted or administratively sanctioned for violations of Department regulations Chapter 175 or 177 or Chapter 47 of the Vehicle Code?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

8.Have any owners, partners or corporate officers of this business ever remitted uncollectible checks payable to the Department of Transportation or the Commonwealth of Pennsylvania?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

9.Are all owners, partners, officers and management/supervisory employees aware of their responsibilities and obligations relating to the operation of an official inspection station, including but not limited to, record keeping, supervision of employees and customer relations?

Yes _____ No _____

If no, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

I hereby verify that the information set forth above is true and correct to the best of my knowledge, information and belief. This verification is made subject to the penalties of 18 PA. C.C.§4904, relating to unsworn falsification of authorities.

Signature: _________________________________________________________________________________________

Print Name as it Appears Above: _______________________________________________________________________

Title: ________________________________________________________________________________________________

Date: _______________________________________________________________________________________________

MV-443 (3-06)

Commonwealth of Pennsylvania

DEPARTMENT OF TRANSPORTATION

OFFICIAL INSPECTION STATION NUMBER _____________________________

CURRENT LIST OF CERTIFIED

SAFETY INSPECTION MECHANICS

 

OPERATOR’S

MECHANIC

 

NAME

LICENSE

CERTIFICATION

CLASS

 

 

 

EXPIRATION

EXPIRATION

 

 

DATE

DATE

 

1.____________________________________________________________________________________

2.____________________________________________________________________________________

3.____________________________________________________________________________________

4.____________________________________________________________________________________

5.____________________________________________________________________________________

6.____________________________________________________________________________________

7.____________________________________________________________________________________

8.____________________________________________________________________________________

9.____________________________________________________________________________________

10.___________________________________________________________________________________

11.___________________________________________________________________________________

12.___________________________________________________________________________________

13.___________________________________________________________________________________

14.___________________________________________________________________________________

15.___________________________________________________________________________________

16.___________________________________________________________________________________

17.___________________________________________________________________________________

MV-500 (11-10)

www.dot.state.pa.us

Bureau of Motor Vehicles

Vehicle Inspection Division

P.O. 68697 • Harrisburg, PA 17106-8697

Pennsylvania Department of Transportation Authorized Agents for Purchasing Stickers

r NEW

r REVISED (PLEASE CHECK ONE)

 

PRINT NAME AS LISTED ON ID

 

OPERATOR NUMBER

 

SOCIAL SECURITY#

 

OR DRIVER’S LICENSE

 

 

 

(IF NON-PA DRIVER’S LICENSE)

 

 

 

 

 

1.

_____________________________

1.

_____________________________

1.

_____________________________

2.

_____________________________

2.

_____________________________

2.

_____________________________

3.

_____________________________

3.

_____________________________

3.

_____________________________

4.

_____________________________

4.

_____________________________

4.

_____________________________

5.

_____________________________

5.

_____________________________

5.

_____________________________

I hereby authorize the above listed person(s) to sign sticker requisitions and receive Certificates of Inspection for the following Official Inspection Station:

__________________

__________________________________

________________________

(Station Number)

(Station Name)

 

(Telephone #)

______________________________________________________________

____________________

(Signature of Station Owner or Authority) - Station Owner or Authority must be listed in one of the five lines above.

(Title)

______________________________________________________________

____________________

(Print Name As It Appears Above)

 

 

(Date)

REVIEW INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING.

THIS FORM MAY NOT BE COPIED OR FAXED

Official Inspection Stations must use this form to authorize purchaser(s) to sign Form MV-436A, "Inspection Sticker and Insert Order Form."

You may submit up to five names to be placed in a computerized signature file for your station. (NO MORE THAN FIVE (5) NAMES ARE PERMITTED). Each name submitted must include, driver’s license number (or government issued photo identification card number) and Social Security number (if non-PA driver’s license).

If the station owner or authority (as listed in sections B or E of the certificate of appointment Form MV-427) or corporate officer, partner, etc. (listed on Form MV-427A) intends to sign Form MV-436A to purchase inspection stickers, his/her name, operator number, and Social Security Number

(if applicable) must also be listed on one of the five (5) designated spaces.

If the REVISED box is checked, you will need to list all persons whom you have previously authorized and wish to remain authorized. Any names that are not on this form will be deleted from the computerized signature file.

Stations which are appointed to perform both safety and emission inspections may submit only one (1) authorization form. The authorized purchasers for these stations will be able to sign Form MV-436A for both safety and emission stickers.

Bonded messengers and members of the Legislature cannot be listed on this form as authorized purchasers.

Return this form to: Bureau of Motor Vehicles, Vehicle Inspection Division, P.O. Box 68697, Harrisburg, PA 17106-8697. If you have questions please call (717) 787-2895.

Form Specifications

Fact Name Details
Application Purpose The MV-427 form is used to apply for a new inspection station or to report changes to an existing station, such as changes in ownership or location.
Required Documents Applicants must submit various documents including proof of liability insurance, a list of certified safety inspectors, and utility bills, among others.
Governing Law This form is governed by the Pennsylvania Vehicle Code, specifically 75 Pa.C.S. Sections 4721, 4723, and 3368.
Submission Guidelines Incomplete applications will be rejected. Applicants will receive a notification letter detailing any deficiencies in their submission.

Mv 427 Penndot: Usage Guidelines

Filling out the MV-427 form is an important step in applying for a new inspection station or making changes to an existing one. Ensure all required information is complete and accurate to avoid delays in processing. Below are the steps to properly fill out the form.

  1. Obtain the MV-427 form from the Pennsylvania Department of Transportation (PennDOT) website or office.
  2. Use black ink to fill out the form, and print clearly or type the information.
  3. In Section A, indicate the reason for your application by checking the appropriate box. Choose only one reason.
  4. Complete Section B with your business name, address, telephone number, owner's name, and driver's license number. If the mailing address is different, fill that in as well.
  5. In Section C, provide additional information about your business. Indicate your ownership class (sole proprietorship, partnership, or corporation), Federal ID number, and State Sales Tax number. Describe the size of your inspection area and the type of station you wish to operate.
  6. If you own other inspection stations, complete Section D with the station numbers. If canceling a previous station, provide its name and number.
  7. Section E should only be filled out if someone other than the owner or corporate officer is responsible for operations. Make sure to print all parts clearly.
  8. Leave Section F blank, as instructed.
  9. Sign and date the application in Section G. Ensure the signature is from the owner or corporate officer.
  10. Gather all required documents and additional forms, such as MV-427A, proof of insurance, and utility bills.
  11. Mail or email the completed packet to the Pennsylvania Department of Transportation, Vehicle Inspection Division, as indicated in the instructions.

Your Questions, Answered

What is the MV-427 form used for?

The MV-427 form is an application used to establish a new inspection station or to make changes to an existing station. This includes changes such as location, ownership, or reappointment after a suspension. Completing this form accurately is crucial, as it serves as your appointment certificate once approved.

What documents must be included when submitting the MV-427 form?

When submitting the MV-427 form, you must include several documents. These include the MV-427 itself, the MV-427A form if applying for both safety and emissions inspections, a list of certified safety inspectors, proof of liability insurance or bond, a copy of the lease or deed, utility bills, and photos of the inspection area. Incomplete submissions will be rejected, and you will be notified of any deficiencies.

Can I apply for both safety and emissions inspections on the same MV-427 form?

No, you cannot apply for both safety and emissions inspections on the same MV-427 form. You must complete one form for safety inspections and a separate form for emissions inspections. This is important to ensure that each application is processed correctly.

What is the minimum amount of liability insurance required?

You must provide proof of liability insurance or a bond in the amount of at least $10,000. This insurance should cover any damage to a vehicle during an inspection. A “Garage Keeper’s Legal Liability Policy” is acceptable, but it must specifically list your station name, physical location, and the coverage amount and period.

What happens if my application is incomplete?

If your application is incomplete, it will be rejected. The Pennsylvania Department of Transportation will send you a letter notifying you of the deficiencies. It’s essential to carefully review the checklist provided with the application to ensure all required documents are included before submission.

How do I submit the completed MV-427 form?

You can submit the completed MV-427 form either by mail or email. If mailing, send it to the Pennsylvania Department of Transportation, Vehicle Inspection Division, at the address provided in the instructions. If you choose to email, send it to [email protected]. Ensure that all documents are included to avoid any delays.

Is there a specific format for filling out the MV-427 form?

Yes, you should complete the MV-427 form using black ink, and it should be printed clearly or typed. Accuracy is vital, as providing false or incomplete information can invalidate your application. Make sure to follow the instructions carefully to avoid any issues.

Common mistakes

  1. Incomplete Forms: One of the most common mistakes is submitting the MV-427 form without filling in all required sections. Every part of the application must be completed thoroughly. If any section is left blank or unclear, the application may be rejected.

  2. Incorrect Form Usage: Many applicants mistakenly check both safety and emissions on the same MV-427 form. It is essential to complete separate forms for each type of inspection. Failing to do so will lead to delays or rejection of the application.

  3. Missing Supporting Documents: Applicants often forget to include necessary documents such as proof of insurance or a bond. Ensure that all required documents, like the MV-443 list of certified safety inspectors, are included in the submission to avoid any issues.

  4. Incorrect Information: Providing inaccurate or outdated information, such as an incorrect driver’s license number or business address, can invalidate the application. Double-check all entries to ensure accuracy before submission.

Documents used along the form

When applying for a safety inspection station in Pennsylvania, several forms and documents accompany the MV-427 form. Each of these documents serves a specific purpose, ensuring that the application process is thorough and compliant with state regulations. Below is a list of commonly required forms and documents.

  • MV-427A: This form must be completed in addition to the MV-427 when applying for both safety and emissions inspections. It provides supplemental information about the station and its personnel.
  • MV-443: This document lists certified safety inspectors associated with the inspection station. It must include the inspector's identification number to verify their credentials.
  • Letter of Authority: If a person other than the owner or corporate officer is responsible for the station's operations, this letter must accompany the application. It should include the individual's name and driver's license number.
  • MV-500: This form is often required to provide additional information about the business structure and operation, including details on ownership and management.
  • Certificate of Liability Insurance or Bond: Proof of insurance or a bond of at least $10,000 is necessary to cover potential damages during vehicle inspections. This document must specify the station's name, location, and coverage details.
  • Lease or Deed: A copy of the lease agreement or property deed is required to confirm the physical location of the inspection station.

Ensuring that all necessary forms and documents are included in the application packet is crucial. Incomplete submissions can lead to delays or rejection of the application. Therefore, applicants should carefully review their submissions to comply with all requirements set forth by the Pennsylvania Department of Transportation.

Similar forms

  • MV-427A: This form is similar to MV-427 as it is also used for applying to become an inspection station. It specifically requires separate submissions for safety and emissions inspections, just like the MV-427.
  • MV-443: The MV-443 is a list of certified safety inspectors. It complements the MV-427 by ensuring that the inspection station has qualified personnel, similar to how the MV-427 requires specific documentation for station operation.
  • MV-500: This document is used for reporting vehicle inspection results. It is related to the MV-427 in that both are essential for the operation of an inspection station, ensuring compliance with regulations.
  • Certificate of Liability Insurance or Bond: This document provides proof of financial responsibility for damages during inspections. Like the MV-427, it is a prerequisite for operating an inspection station, ensuring safety and accountability.
  • Lease or Deed: A copy of the lease or deed is required to confirm the station's physical location. This is similar to the MV-427's requirement for accurate business address information.
  • Utility Bills: Recent utility bills serve as proof of the station's operational address. This requirement aligns with the MV-427's emphasis on verifying the inspection station's location.
  • Photos of Inspection Areas: These photos document the station's facilities and are necessary for compliance. They are similar to the MV-427's requirement to provide detailed information about the station's setup.
  • Employer Identification Number (EIN) or Social Security Number (SSN): This identification is necessary for tax purposes. It parallels the MV-427's need for proper business identification to ensure legal compliance.
  • State Sales Tax Number: This number is required for tax collection and compliance. It is similar to the MV-427 in that both documents ensure that the inspection station operates within legal financial frameworks.

Dos and Don'ts

When filling out the MV-427 PennDOT form, it is crucial to ensure accuracy and completeness. Here’s a list of six important do's and don'ts to guide you through the process:

  • Do complete separate forms for safety and emissions inspections. Do not check both on one form.
  • Do include a valid Certificate of Liability Insurance or bond, with coverage of at least $10,000.
  • Do print clearly using black ink or type the application to avoid any misunderstandings.
  • Do ensure that all required documents, such as utility bills and photos of the inspection area, are included in your submission.
  • Don't provide false or incomplete information, as this will invalidate your application automatically.
  • Don't forget to sign the application; it must be signed by the owner or a corporate officer at the time of submission.

Misconceptions

There are several misconceptions surrounding the MV-427 form used for applying to become an official inspection station in Pennsylvania. Understanding these misconceptions can help applicants navigate the process more effectively.

  • One form can cover both safety and emissions inspections. Many applicants believe they can apply for both safety and emissions inspections using a single MV-427 form. However, it is essential to complete separate forms for each type of inspection. Each form must specify only one type: either safety or emissions.
  • All required documents can be submitted later. Some individuals think they can send in the MV-427 form and provide supporting documents at a later date. In reality, all required items must be included in the initial submission. Incomplete applications will be rejected, and applicants will receive a notification detailing the deficiencies.
  • Insurance requirements are flexible. There is a common belief that the insurance requirements for inspection stations can vary. However, applicants must provide proof of liability insurance or a bond in the amount of at least $10,000. This proof must include specific details such as the station name, physical location, and coverage period.
  • Changes in ownership do not require a new application. Some applicants assume that simply changing ownership of an existing inspection station does not necessitate a new MV-427 application. This is incorrect. A new application is required whenever there is a change of ownership, location, or any other significant change to the inspection station.

Key takeaways

Here are some key takeaways regarding the completion and use of the MV-427 PennDOT form:

  • Complete all required items: Ensure that every item on the checklist is included in your application packet. Incomplete submissions will be rejected.
  • Separate forms for inspections: If applying for both safety and emissions inspections, complete separate MV-427 forms for each. Do not check both options on one form.
  • Provide proof of insurance: Attach a certificate of liability insurance or bond of at least $10,000. This should cover any damages during inspections and must include specific details about the station.
  • Include utility bills: Recent copies of utility bills, such as electric and phone, must be included to verify the station's operational status.
  • Complete the correct sections: Each section of the form has specific requirements. Pay attention to what information is needed for ownership type, business details, and inspection area size.
  • Signatures are crucial: The application must be signed by the owner or a corporate officer. If someone else is responsible for operations, they must also sign.
  • Mail the completed packet: Send the application and all required documents to the Pennsylvania Department of Transportation at the specified address.
  • Keep copies: Retain copies of all submitted documents for your records. This includes the completed MV-427 and any supporting documents.
  • Be aware of deadlines: Check for any application deadlines to ensure your submission is timely and does not affect your station's operations.