Free Mv 427 Penndot PDF Form Prepare Document Here

Free Mv 427 Penndot PDF Form

The MV-427 PennDOT Form is designed as a comprehensive checklist and application for those seeking to operate a safety inspection station in Pennsylvania. Ensuring that all required documents and information are included with the submission, this form plays a pivotal role in the station application process, guiding applicants through necessary steps such as detailing specifics for safety and emission inspection applications, proof of insurance, and other critical station data. Click the button below to begin filling out your form and take the first step towards station certification.

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Content Overview

Embarking on the journey to become a recognized safety inspection station in Pennsylvania necessitates a thorough understanding and complete submission of the MV-427 Penndot form among other documents. This checklist is the linchpin for applicants aiming to offer safety and or emission inspections, requiring meticulous attention to detail across several mandatory components, such as the form's complete and proper completion, inspector qualifications, and insurance requirements, to name a few. The packet not only requires the MV-427 and MV-427A forms, differentiated by their specific focus on safety and emissions, but also a comprehensive suite of supporting documentation. These include proof of liability insurance or bond, a valid insurance policy with PennDOT as the certificate holder, evidence of site lease or ownership, utility bills, and photographs of the inspection site. Additionally, it mandates accurate personal and business information, including identification numbers and inspection area dimensions, underscoring the rigorous standards set by the Pennsylvania Department of Transportation. This structured approach aims to ensure that each station is adequately equipped and managed to uphold the state's vehicular safety standards, reflecting the form’s pivotal role in the application process and overall public safety framework.

Example - Mv 427 Penndot Form

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: stationappointments@pa.gov

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 Data

Fact Name Detail
Form Type and Purpose The MV-427 form is used for inspection station application in Pennsylvania. It's required when applying for a new station or making changes to an existing one.
Comprehensive Application Checklist Applicants must submit a complete packet including the MV-427 form, insurance proof, list of certified inspectors, and more. Incomplete submissions are rejected.
Insurance Requirements A minimum of $10,000 in liability insurance or bond is required, verifying coverage for damages during inspections. The insurance or bond must list the station's name, location, and coverage details.
Documentation for Authority If the person in charge of operations (listed in Section E) is not the owner or a corporate officer, additional documentation providing their name and driver’s license number is necessary.
Operational Parameters The form differentiates between safety and emission inspections, requiring separate submissions for each, should a station apply to conduct both types.
Governing Laws The application and operation of inspection stations are governed by the Vehicle Code, 75 Pa.C.S. Sections 4721, 4723, or 3368 and Act of June 17, 1976, No. 81, as amended.
Submission Information Completed applications, along with all required documentation, must be mailed or emailed to the Pennsylvania Department of Transportation (PennDOT) Vehicle Inspection Division.

How to Fill Out Mv 427 Penndot

Embarking on the journey to either establish a new inspection station or update the status of an existing one requires attention to detail and thoroughness. The Pennsylvania Department of Transportation (PennDOT) has laid out a specific procedure to streamline this process, primarily hinged on the accurate completion of form MV-427. This form serves not just as an application but a commitment to adhere to state regulations, ensuring the safety and environmental compliance of vehicles. It's necessary for applicants to understand that inaccuracies or omissions can lead to automatic rejection. Here, an outlined step-by-step guide facilitates the filling of this pivotal form, paving the way towards a legitimate operation.

  1. Begin with Section A: Clearly mark the reason for your application. Choose from the options such as new inspection station, reappointment, change of location, ownership, or any other specified adjustments.
  2. Proceed to Section B: Provide comprehensive details about your business including its name, physical and mailing address (if different), telephone number, the owner's name, and driver’s license number. Ensure the business address is a street address, as P.O. boxes are not accepted.
  3. Move to Section C: Describe your business structure (sole proprietor, partnership, or corporation) and specify your Federal ID and State Sales Tax numbers. If pending, write “APPLIED FOR” and submit the numbers once received. Define the size of the inspection area(s), the category that best describes your business, and select the type(s) of station you intend to operate along with the types of vehicles you'll inspect.
  4. Complete Section D: If applicable, supply the station number(s) for any other stations you own, or provide details for any station you're cancelling due to changes like relocation or ownership shifts.
  5. Fill out Section E if necessary: This is required only if an individual other than the owner or a corporate officer will be responsible for the station. Print all the information except the signature, which must be original.
  6. Skip Section F: This section is reserved for official use only and does not require your input.
  7. Sign and date Section G: The application must be endorsed by the owner or a corporate officer. If Section E has been completed, the authorized individual must also sign here.

After completing the form, bundle it with other required documents such as the MV-427A (if applicable), a list of certified safety inspectors, proof of liability insurance or bond, valid identification numbers (EIN or SSN, State Sales Tax Number), and any additional items specified in the Safety Station Application Checklist. Ensuring each element is correct and included will streamline the submission process, avoiding delays or rejections. Once compiled, send the packet to the designated address, marking one step closer to operating within compliance.

FAQ

What is the MV-427 form used for?

The MV-427 form is used when applying for the initial appointment of a new inspection station in Pennsylvania, or when existing inspection stations undergo significant changes such as a change of location, ownership, or following a suspension. It's the formal application required to request authorization from the Pennsylvania Department of Transportation (PennDOT) to operate as an official vehicle inspection station.

How do I complete the MV-427 form for both safety and emission inspections?

If you're applying to become a station that conducts both safety and emission inspections, you need to complete two separate MV-427 forms. One form should specify "SAFETY" under types of inspection, and the other should specify "EMISSIONS." Do not check both options on a single form. Each type of inspection requires its own application to accurately process your request.

What additional documentation is needed alongside the MV-427 form?

Along with the MV-427 form, your station information packet must include the MV-427A form, a list of certified safety inspectors with their inspector numbers (MV-443), proof of liability insurance or bond of at least $10,000, a copy of the lease or deed, recent utility bills, photos of the inspection areas, proof of a valid Employer Identification Number (EIN) or Social Security Number (SSN), and a valid State Sales Tax Number. Incomplete submissions will be rejected.

Can I submit the MV-427 form and accompanying documents via email?

Yes, you can submit the MV-427 form and all required documentation through email to the Pennsylvania Department of Transportation's designated email address: stationappointments@pa.gov. This process facilitates a quicker submission, allowing PennDOT to review your application promptly.

What happens if my MV-427 application packet is incomplete?

If your application packet is incomplete, it will be rejected. PennDOT will notify you of the specific deficiencies in your packet by sending a letter that outlines what is missing or incorrect. It's important to review all documentation carefully before submission to ensure completeness and accuracy.

Is it necessary to include a separate document if the person responsible for the station is not listed as an owner or corporate officer?

Yes, if someone other than an owner or corporate officer listed on the MV-427 or MV-427A forms is responsible for the operation of the inspection station, you must include a separate document with that person's name and driver's license number, and if it's an out-of-state license, the date of birth as well.

What is the process for changing information after the MV-427 form has been submitted?

If any changes occur after your MV-427 form has been submitted — such as changes in ownership, location, or appointed representatives — you must notify PennDOT as soon as possible with updated information. Depending on the nature of the change, a new MV-427 form and additional documentation may be required to reflect these modifications accurately.

How do I know if my MV-427 application has been approved?

Once your MV-427 application and all required supplemental documentation have been reviewed and approved by PennDOT, you will be notified of your station's official appointment. The notice will include your designated inspection station number and other relevant details pertaining to your authorization to operate.

What should I do if my application is denied, or I do not receive a response?

If your application is denied, or if you have not received a response within a reasonable timeframe, it's advisable to contact the Vehicle Inspection Division at PennDOT directly. You can reach out using the contact information provided in your application packet or the confirmation email if you submitted your documents electronically. They can provide specific information about the status of your application and guidance on any necessary next steps.

Common mistakes

  1. Not completing separate MV-427 forms for safety and emissions inspections is a common misstep. Each application — one for safety and the other for emissions — must be filled out individually, rather than combining the two inspections on a singular form. Marking both "safety" and "emissions" on the same form will lead to rejection.

  2. Another error involves the MV-427A form. Applicants often overlook the requirement to complete two separate MV-427A forms if applying for both a safety and emission inspection station. This step is crucial for processing.

  3. Failing to include a list of certified safety inspectors along with their inspector numbers on the MV-443 form can result in application denial. This information is vital to ensure the station has the personnel qualified for the inspections.

  4. Omitting a Letter of Authority, or if included, not providing additional documentation for individuals not listed as an owner or corporate officer, is a frequent oversight. If someone other than an owner or corporate officer is operating the station, their name and driver's license number (along with their date of birth for out-of-state licenses) must be provided.

  5. Applicants sometimes forget to attach proof of insurance or a bond with a minimum coverage of $10,000.00. This document must clearly show the station's name, physical location, amount of coverage, and period of coverage to compensate for any damages during inspection.

  6. Another mistake is submitting the application without including copies of the lease or deed and the most recent utility bills. These documents are necessary to confirm the station's physical location and operational status.

  7. Last but not least, not providing photos of the interior and exterior of the inspection area, sticker security area, and office space is a slipup. These images are required to verify the suitability of the premises for conducting inspections.

Documents used along the form

Submitting the MV-427 form to become a recognized safety and emission inspection station in Pennsylvania is an important process for automotive service providers. Along with this form, several additional documents must be collected and presented to ensure a comprehensive application package. Here is a guide to other essential forms and documents often used in conjunction with the MV-427 Penndot form.

  1. MV-427A: This is a supplemental form required specifically for applicants seeking both safety and emission inspection station status. It ensures that all relevant information for both types of inspections is thoroughly provided.
  2. MV-443: A comprehensive list of certified safety inspectors employed by the station, including their certification numbers. This document verifies that the station has qualified personnel to perform inspections.
  3. Letter of Authority: If someone other than the owner is operating the station, a Letter of Authority must be included. This document lists the operator’s name and driver's license number, establishing their authorization to run the station.
  4. MV-500: Necessary for stations involved in trailer inspections. It designates the type of trailers a station is authorized to inspect, ensuring regulatory compliance for specific vehicle classes.
  5. Certificate of Liability Insurance: Proof of insurance or bond that covers at least $10,000.00, aimed at compensating any damage to vehicles during the inspection. It must detail the coverage amount, period, and the inspection station’s details.
  6. Copy of Lease or Deed: Shows proof of the premises where the inspection station is or will be located, affirming the station's physical address and legitimizing its operational space.
  7. Utility Bills: Recent utility bills, such as those for electricity and phone services, confirm the operational status and location of the inspection station.
  8. Photos: Photographs of the interior and exterior of the inspection area, sticker security area, and office area are required as visual evidence of the station's capability to perform inspections in a designated and secure environment.

Each document plays a crucial role in creating a transparent, comprehensive application for inspection station authorization. By diligently collecting and submitting these forms and documents, applicants can ensure their application is processed smoothly, paving the way for offering critical vehicle safety and emission inspection services in Pennsylvania.

Similar forms

  • Form MV-4ST, "Vehicle Sales and Use Tax Return/Application for Registration" – This document is used for the title transfer and registration of vehicles in Pennsylvania. Similar to the MV-427, it is a crucial step in ensuring the legal operation of vehicles but focuses on the registration aspect rather than inspection compliance. Both forms require detailed information about the vehicle and owner to process changes in legal status.

  • Form MV-1, "Application for Certificate of Title" – This form is used to apply for a new title when buying a vehicle, moving to Pennsylvania, or in other situations where a new vehicle title is required. Like the MV-427, it necessitates comprehensive information regarding the vehicle and ownership. It ensures that all vehicle-related operations are recorded and sanctioned by the Department of Transportation.

  • Form MV-140, "Request for Registration" – Employed by vehicle owners in Pennsylvania to renew or request new registration materials, this form shares the characteristic with the MV-427 of being an essential document for maintaining the legal status of a vehicle's operational permissions in the state. Both documents play vital roles in the regulatory oversight of vehicles’ compliance with state laws.

  • Form MV-902, "Application for Duplicate Title" – Necessary when the original title of a vehicle has been lost, stolen, or damaged. The MV-902 and the MV-427 share the commonality of dealing with the administrative side of vehicle management, ensuring that all vehicles have the necessary documentation for legality and inspection compliance.

  • Form MV-375, "Application for Change of Address on Driver License, Photo ID and Vehicle Registration" – Used to officially record a change in a vehicle owner's address with the PennDOT. Both the MV-375 and MV-427 are fundamental in updating the department with current information to maintain accurate records on vehicle and owner details, catering to the administration of legal compliance and communication.

Dos and Don'ts

When you're filling out the MV-427 PennDOT form for safety station application, there are key points to remember to ensure your application is complete and acceptable. Here's a guide to help you get it right:

Things You Should Do:

  • Complete separate forms for safety and emission inspections. If you're applying to be both a safety and emission inspection station, you need to fill out one MV-427 form for safety and a separate form for emissions. Never check both boxes on the same form.
  • Include a copy of your Certificate of Liability Insurance or Bond. This document should cover at least $10,000.00 to compensate for any damages to vehicles during inspections, listing the station name, address, coverage amount, and period of coverage.
  • Ensure your application packet includes an MV-443 list of certified safety inspectors with their numbers. This helps verify the qualifications of personnel conducting the inspections.
  • Add your business and owner details accurately. Provide a clear and detailed address (no P.O. boxes for business location), contact information, and the owner’s or corporate officer's driver’s license number and state.
  • Provide a valid Employer Identification Number (EIN) or Social Security Number (SSN), along with a State Sales Tax Number. These are necessary for legal and tax purposes.
  • Attach photos of the inspection area, sticker security area, and office area. This visual evidence is essential for PennDOT to understand your station setup.
  • Sign the application as required. The form must be signed by the owner or a corporate officer; if Section E has been completed, the person authorized must also sign the application.

Things You Shouldn't Do:

  • Do not submit incomplete or inaccurate information. This can automatically invalidate your certificate and lead to application rejection.
  • Avoid using P.O. Boxes for your business location. You must provide a physical street address for the location of the business.
  • Do not leave Section E blank if it applies to your business. If someone other than the owner or a corporate officer is responsible for operations, this section must be completed.
  • Never mix the types of inspections on a single form. Remember, safety and emissions require separate MV-427 forms.
  • Do not omit the business identification details. The lack of an EIN, SSN, or State Sales Tax Number can delay processing.
  • Avoid neglecting the inclusion of required additional documents. Missing documents such as the list of certified inspectors, proof of insurance, and photos can cause your application to be rejected.
  • Do not forget to check all the items in the checklist before submission. Ensuring all requirements are met and included in the packet avoids rejection.

By carefully following these guidelines when preparing your MV-427 PennDOT application, you'll improve the chances of a smooth and successful application process for your inspection station.

Misconceptions

Many misconceptions exist about the MV-427 Penndot form involved in Pennsylvania inspection station application processes. Here are ten common ones debunked:

  1. It's unnecessary to fill out separate forms for safety and emissions.

    This is incorrect. If applying for both a safety and an emission inspection station, two separate forms, MV-427 for safety and another, often MV-427A, for emissions, must be completed.

  2. The form is only for new stations.

    False. The MV-427 form is used not only for applying as a new inspection station but also for changes to an existing station, such as a change of location, ownership, and reinstatement after suspension.

  3. Electronic submissions are preferred.

    While the form mentions that the completed packet can be mailed or emailed, it's essential to follow the most current submission guidelines from PennDOT, which can prefer one method over the other depending on their current processing capabilities.

  4. A letter of authority is not necessary if the owner is the operator.

    If the person operating the business is different from the listed owner or not a corporate officer, Section E of form MV-427 necessitates a letter of authority, including the operator's information.

  5. Any type of insurance coverage is acceptable.

    Insurance or bond provided must specifically cover liability for vehicle damage during inspections, with a minimum coverage amount of $10,000, and list the station name, physical location, and coverage details.

  6. The SSN or EIN is optional.

    Incorrect. A valid Employer Identification Number (EIN) or Social Security Number (SSN) is mandatory for the application process.

  7. A PO Box address is sufficient for the business address.

    Not true. The business must provide a physical street address; a PO Box can only be used for the mailing address if it is different from the business location.

  8. All utilities bills are required for the application.

    Only the most recent electric and phone bills are needed, not all utility bills.

  9. Photos of the business premises are not necessary.

    This is a misunderstanding. Photos showing the interior and exterior of the inspection area, sticker security area, and office area are required for the application packet.

  10. It doesn't matter if the contact details are outdated.

    Up-to-date contact information, including a valid telephone number and, if applicable, a different mailing address, are critical for the application. Inaccuracies can lead to communication issues and even application denial.

Understanding the actual requirements and avoiding these misconceptions can streamline the process of applying for or updating a Pennsylvania inspection station's status.

Key takeaways

Filling out and using the MV-427 PennDOT form requires attention to detail and adherence to specific instructions to ensure the application process for an inspection station is completed correctly. Here are seven key takeaways that applicants should consider:

  • Ensure you complete both the MV-427 form for safety inspection applications and the separate MV-427A form if applying for both safety and emission inspection station designations. Incorrectly combining safety and emission inspections on a single form will lead to rejection.
  • The packet submitted must include a comprehensive list of certified safety inspectors along with their inspector numbers by including form MV-443, highlighting the importance of certified personnel in station operations.
  • Applicants must provide a Letter of Authority if declaring a representative who is not listed as an owner or corporate officer on forms MV-427 or MV-427A, necessitating additional documentation of the representative’s name and driver’s license number.
  • Proof of financial responsibility is non-negotiable, requiring either a certificate of liability insurance or a bond in the amount of at least $10,000. This proof must specifically include the station name, location, coverage amount, and coverage period to be considered valid.
  • Applicants must possess a valid Employer Identification Number (EIN) or Social Security Number (SSN) and a State Sales Tax Number, underlining the need for recognized business legitimacy and tax compliance.
  • The necessity of physical documentation, such as a copy of the lease or deed for the business property and recent utility bills, emphasizes the relevance of established business premises.
  • Photographic evidence of the inspection area, sticker security area, and office space offers auditory verification of the business’s operational capacity and adherence to PennDOT standards.

Keeping these key points in mind will streamline the application process for those seeking to establish or maintain inspection station designations through PennDOT. It’s crucial to fill out the application forms accurately, provide all required documentation, and understand PennDOT’s requirements to avoid delays or rejections in station approval. Each step outlined in the checklist plays a vital role in ensuring compliance with state regulations, helping to establish a safe and reputable inspection station.

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