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The MV-427 PennDOT form plays a pivotal role in Pennsylvania's vehicle inspection and safety protocols, serving as the cornerstone document for businesses applying to become designated safety inspection stations. This comprehensive form requires applicants to provide detailed information regarding their business, including ownership details, business location, and proof of insurance, ensuring a robust framework for maintaining high standards of vehicle safety and emission control. Applicants must navigate an array of prerequisites, from completing separate MV-427 forms for safety and emissions certifications to including a roster of certified safety inspectors. The form meticulously outlines the necessity of a valid Employer Identification Number (EIN) or Social Security Number (SSN), a valid State Sales Tax Number, and substantial proof of insurance or bonding to cover any damages to vehicles during inspection. Furthermore, the inclusion of photographs of the inspection, sticker security, and office areas cements the form's role in affirming the physical capability of the station to uphold safety standards. Designed to streamline the application process for new stations, and to manage changes such as ownership transfer or relocation for existing stations, the MV-427 not only serves as the application itself but, once completed and approved, acts as the appointment certificate. This dual-purpose approach underlines Pennsylvania's commitment to ensuring that vehicle inspections are carried out by qualified, well-equipped entities, thereby enhancing road safety and environmental protection.

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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: 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.

Document Attributes

Fact Name Description
Form Purpose The MV-427 form is used for applying for a new inspection station or when making changes to an existing station, such as change of location, ownership, or reappointment after suspension.
Application Requirements This form requires detailed information regarding the inspection station, including business name, address, type of ownership, federal ID, and the types of inspections performed.
Insurance Requirements A certificate of liability insurance or bond in the amount of at least $10,000 is required, covering any damage to a vehicle during an inspection.
Documentation Included The submission packet must include form MV-427, MV-427A (if applicable), a list of certified safety inspectors, proof of insurance, copies of lease or deed, recent utility bills, photos of the inspection area, valid EIN/SSN, and a valid State Sales Tax Number.
Submission Method The completed packet should be mailed or emailed to the Pennsylvania Department of Transportation Vehicle Inspection Division.
Governing Law The application is governed by the provisions of the Vehicle Code, 75 Pa.C.S. Sections 4721, 4723, or 3368, Act of June 17, 1976, No. 81, as amended.
Special Instructions The application form must be completed with black ink and provide clear or typed information. Inaccurate or incomplete submissions will be rejected.
Letter of Authority If the person listed in section E is neither the owner nor a corporate officer, a separate document must be included providing that person’s name and driver’s license number.
Certification and Validation The form requires the signature of the owner/corporate officer, ensuring all operations comply with the Vehicle Code and inspection regulations. The certificate may be suspended or cancelled if compliance fails.

How to Fill Out Mv 427 Penndot

Filling out the MV-427 PennDOT form is a crucial step for businesses seeking to become a certified safety inspection station in Pennsylvania, or for those undergoing changes such as relocation, ownership transfer, or reinstatement following suspension. This form, when properly completed, not only formalizes the application process but also serves as the appointment certificate for the business to conduct vehicle safety inspections. Attention to detail is paramount to ensure accuracy and avoid delays in the application's approval. Below are the steps to fill out the form accurately.

  1. Section A: Clearly indicate the reason for this application. If applying as a new inspection station, check "New Inspection Station." For changes in an existing station like relocation or change of ownership, specify under "Other" and provide details.
  2. Section B: Fill in your business name and address, including a street address (no PO Boxes for this section) and telephone number. Provide the owner's full name and driver's license number, including the state abbreviation if outside Pennsylvania. If the mailing address differs, include this information as well.
  3. Section C: Specify your business structure (sole proprietorship, partnership, or corporation) and provide your Federal ID and State Sales Tax numbers. Describe the size of your inspection area and choose the category that best fits your business. Select the type(s) of station you wish to operate and the types of vehicles you'll be inspecting.
  4. Section D: If you own another inspection station, provide its station number(s). If changing the station due to relocation, change of ownership, or change of station type, provide the current station's identification details.
  5. Section E: Complete this section ONLY if someone other than an owner or corporate officer will be responsible for operation on behalf of the business. Print all the required parts except the signature of the owner/corporate officer, which should be done after printing.
  6. Section F: Do not write in this space as it is for department use only.
  7. Section G: The application must be signed by the station owner or a corporate officer at the time of submission. In cases where Section E is completed, the person authorized there must also sign the application.

Once all sections are completed, ensure that all required supplementary documents and certificates, as outlined in the checklist, are included with your submission. These documents include the MV-427A form, MV-443 list of certified inspectors, proof of insurance or bond, lease or deed copies, recent utility bills, photos of the inspection facilities, a valid EIN or SSN, and a State Sales Tax Number. Finally, mail or email the complete packet to the address provided, ensuring that everything is clear and legible to avoid any processing delays. This thorough preparation will facilitate a smoother verification process, bringing your station closer to approval.

More About Mv 427 Penndot

  1. What is the purpose of the MV-427 form from PennDOT?

The MV-427 form serves as an integral document for businesses aspiring to operate as vehicle inspection stations in Pennsylvania. This detailed application form is designed to gather comprehensive information about the inspection station, including the reasons for the application—such as establishing a new station, reappointment after suspension, change of location, or ownership, amongst others. Accurately completed and approved, the MV-427 form ultimately acts as the appointment certificate for the inspection station, affirming its legitimacy and compliance with state regulations.

  1. How should the MV-427 form be completed if applying for both safety and emission inspections?

For businesses intending to conduct both safety and emission inspections, it's crucial to note that two separate MV-427 forms must be completed—one specifying "SAFETY" and the other "EMISSIONS." This distinction is essential to avoid confusion and ensure that the application accurately reflects the services provided by the station. Integrating this step correctly is vital for meeting Pennsylvania Department of Transportation's (PennDOT) requirements and facilitating the processing of the application.

  1. What additional documents are required when submitting the MV-427 application packet?

Beyond completing the MV-427 form, applicants must compile a comprehensive packet of supporting documents to fulfill PennDOT's requirements. This includes, but is not limited to, the MV-427A form if applying for both safety and emission inspection statuses, a list of certified safety inspectors with their numbers (MV-443), proof of liability insurance or bond, and evidence of a valid insurance policy with PennDOT as the Certificate Holder. Additional necessities encompass a lease or deed copy, recent utility bills, photos of various station areas, a valid Employer Identification Number (EIN) or Social Security Number (SSN), and a valid State Sales Tax Number. Failure to include any required elements can result in the rejection of the application, underscoring the importance of thoroughness and accuracy in the submission process.

  1. Where should the completed MV-427 packet be sent?

The fully assembled packet, inclusive of the MV-427 form and all requisite accompanying documentation, must be directed to the Pennsylvania Department of Transportation Vehicle Inspection Division. Applicants have the option to mail or email the packet for processing. For mail submissions, the destination is P O Box 68696, Harrisburg, PA 17106-9003, ATTN: Troy Roadcap, Manager. Alternatively, for email submissions, the provided address is stationappointments@pa.gov. Adhering to these directions ensures that the application is reviewed by the appropriate division within PennDOT, setting the groundwork for an efficient evaluation process.

Common mistakes

    Here are seven common mistakes people often make when filling out the MV-427 PennDOT form:

  1. Failing to submit two separate MV-427 forms for safety and emission inspections. Applicants overlook that they must complete one form for safety and another for emissions, not both on the same form.
  2. Omitting the MV-427A form when applying for both safety and emission inspection stations, not realizing two forms are required.
  3. Forgetting to include the MV-443 list of certified safety inspectors along with their inspector numbers, which is crucial for verifying the qualifications of inspectors at the station.
  4. Incorrectly filling out section E, or excluding a separate document for a person listed in section E who is not the owner or a corporate officer, without providing their name and driver’s license number.
  5. Not attaching proof of liability insurance or bond in the specified amount, which must include the station's name, location, coverage amount, and period of coverage to meet the requirements.
  6. Leaving the EIN (Employer Identification Number) or SSN (Social Security Number) space blank, or failing to provide a valid State Sales Tax Number, both of which are mandatory for a complete submission.
  7. Ignoring instructions regarding the physical and mailing address requirements, such as not using a PO Box for the business address or failing to update or correctly specify a separate mailing address if different from the business address.

Documents used along the form

When applying for a safety and emission inspection station or making changes to an existing one through the MV-427 form with PennDOT, a handful of other essential documents and forms are often required as part of the application process. These aren’t just paperwork; they’re keys to unlock the next steps in ensuring compliance and getting your inspection station up and running or keeping it on the right track. Understanding each document will simplify the process.

  • MV-427A: This is a supplementary form required when applying for a safety and emission inspection station. It asks for additional information on owners, partners, or corporate officers and the insurance acknowledgment necessary for the application.
  • MV-443: A critical document that lists all certified safety inspectors along with their inspector numbers. This ensures that only qualified individuals are conducting inspections at your station.
  • Certificate of Liability Insurance or Bond: Proof of insurance or a bond in the minimum amount of $10,000.00, safeguarding against damage to vehicles during inspection. This certificate must detail the station name, location, coverage amount, and coverage period.
  • Copy of Lease or Deed: This document verifies the legal possession or ownership of the property where the inspection station operates, confirming the station’s physical stability and permanence.
  • Copies of Most Recent Utility Bills: Providing the most recent electric and phone bill validates the operational status and physical location of the inspection station.
  • Photos of the Inspection Area: This includes images of the interior and exterior of the inspection area, sticker security area, and office area, providing a visual confirmation that the station meets the necessary facilities requirements.

In addition to the forms and documents listed above, ensuring that every detail is accurate and complete is crucial for a smooth application process with PennDOT. These documents not only establish your station’s legitimacy but also its readiness to serve the public safely and efficiently. Keeping organized and thorough records will aid in navigating through the application process, making it a less daunting task.

Similar forms

  • Business License Application forms: Similar to the MV-427, these documents are used to register or apply for the authority to operate a specific type of business. Both types of forms collect detailed information about the business, its owners, and its operational premises, ensuring compliance with regulatory requirements.

  • Vehicle Registration Forms: Like the MV-427 Penndot form, vehicle registration documents require specific information about the vehicle and its owners. They serve to identify and authorize vehicles for use within a jurisdiction, focusing on details pertinent to regulatory compliance and safety.

  • Insurance Bond Forms: These documents, similar to parts of the MV-427 packet, require proof of financial responsibility, such as a bond or insurance. They assure that the entity is covered for specific types of liabilities, outlining coverage amounts and validity period, mirroring the insurance or bond attachment requirement in the MV-427 form.

  • Certificate of Liability Insurance Forms: These are similar to the MV-427 in that they require entities to provide evidence of insurance coverage. Both types of documents ensure that the business has adequate coverage for liabilities, specifying insurance amounts, policy numbers, and coverage periods.

  • Employer Identification Number (EIN) Application: Just like the MV-427 form necessitates a valid EIN or SSN, EIN application forms are necessary for businesses to legally operate and are responsible for tax reporting, reflecting the MV-427’s requirement for legal and financial identification numbers.

  • Commercial Property Lease or Deed Forms: These documents share similarities with the MV-427 regarding the requirement to present a copy of the lease or deed for the business premises. Both ensure the business operation has a verified physical location compliant with legal standards.

  • Utility Bills: The requirement on the MV-427 form to include copies of the most recent electric and phone bills is a method to verify the operational status and physical location of the business, a common practice in various other legal documentation processes validating the authenticity of a business’s operational site.

  • Photographic Evidence of Business Premises: Similar to certain permit or business application processes, the MV-427’s requirement for photos validates the suitability and preparedness of the physical location for the intended service, ensuring the facilities meet specified criteria.

  • State Sales Tax Number Registration: The MV-427 requirement mirrors other state-specific forms where a valid State Sales Tax Number is necessary, representing a business's obligation towards state tax systems and its readiness to conduct sales transactions legally.

  • Safety Inspection Forms: Specific to inspection stations and akin to the MV-427, these forms are used industry-wide to certify that vehicles meet safety and emission standards. They collect details on inspection results, inspector qualifications, and station certification status, focusing on public safety and environmental protection.

Dos and Don'ts

When filling out the MV-427 PennDOT form for a safety station application, attention to detail and thoroughness are crucial. Here are some do's and don'ts to guide you through the process:

  • Do complete separate MV-427 forms for safety and emission inspections if you're applying for both. Checking both on the same form is a common mistake to avoid.
  • Do include a completed MV-427A form, if applicable, to ensure your application package is comprehensive.
  • Do attach a list of certified safety inspectors including their inspector numbers with the MV-443 form. This validates the credentials of your personnel.
  • Don’t forget to include proof of liability insurance or bond with at least $10,000 coverage. This document must detail the station name, location, coverage amount, and period.
  • Do ensure that your application packet includes a valid insurance policy with PennDOT listed as the Certificate Holder. This is a crucial requirement for the processing of your application.
  • Don’t submit incomplete information. An incomplete packet can significantly delay your application process or lead to rejection. Check all sections thoroughly, including personal and business information.

Submitting a well-prepared and complete application not only expedites the review process but also reflects on your attention to compliance and detail, essential qualities for running an inspection station.

Misconceptions

When discussing the MV-427 Penndot form, used for Pennsylvania Department of Transportation vehicle inspection station applications, there are several misconceptions that need clarification. Understanding these aspects ensures compliance and streamlines the application process.

  • Misconception 1: One form for both safety and emission inspections. Each inspection type—safety and emissions—requires a separate MV-427 form. Combining both on a single form results in rejection.
  • Misconception 2: MV-427A is an optional document. If applying for both safety and emission inspection stations, completing two separate MV-427A forms is mandatory, reflecting the distinct applications for each inspection type.
  • Misconception 3: Listing of certified safety inspectors is optional. The MV-443 list, detailing all certified safety inspectors along with their inspector number, is a required part of the application packet.
  • Misconception 4: Any form of insurance coverage is acceptable. The required certificate of liability insurance or bond must be at least $10,000, specifying coverage details like station name, location, and coverage period. A Garage Keeper’s Legal Liability Policy is acceptable, ensuring protection against vehicle damage during inspections.
  • Misconception 5: Personal insurance policy information suffices. The insurance policy must list PennDOT as the Certificate Holder, emphasizing a direct relationship with the department and outlining the specific address for correspondence.
  • Misconception 6: Photos of the facility are not necessary. Photos documenting the interior and exterior of the inspection area, sticker security area, and office are crucial for verifying compliance with the physical requirements.
  • Misconception 7: A valid State Sales Tax Number is not mandatory. Possessing a valid State Sales Tax Number is essential, corroborating the legal operation of the business in Pennsylvania.
  • Misconception 8: Misrepresenting information on the form has no repercussions. Providing false, inaccurate, or incomplete information invalidates the application and may lead to legal consequences.
  • Misconception 9: The form serves no further purpose once submitted. The properly completed and approved MV-427 form also acts as the appointment certificate, holding legal significance in maintaining the station’s operational status.

Clarifying these misconceptions ensures that applicants can accurately complete and submit their MV-427 and associated forms, facilitating a smoother application process for Pennsylvania vehicle inspection stations.

Key takeaways

Filling out the MV-427 PennDOT form correctly is crucial for inspection stations in Pennsylvania, whether applying for a new inspection station certification or updating details for an existing one. Here are four key takeaways to ensure the process is smooth and successful:

  • Accurate Completion is Key: When applying for either a safety inspection or an emission inspection station, it's imperative to fill out one form strictly for safety and another separate form for emissions - never check both on the same form. This ensures clarity and prevents the application from being rejected due to incorrect or incomplete information.
  • Documentation is Essential: Along with the MV-427 form, the submission packet requires several additional documents, including the MV-427A form if applying for both safety and emission inspections, a list of certified safety inspectors (MV-443), proof of insurance or bond, and more. This comprehensive documentation supports the application and helps in establishing the legitimacy and readiness of the inspection station.
  • Ownership and Authority Details Matter: If the person listed in Section E (Letter of Authority) of the MV-427 form is not already listed as an owner or corporate officer on the MV-427 or MV-427A, additional documentation providing this person's name and driver’s license number must be included. This ensures that all parties responsible for the operation of the inspection station are properly identified and authorized.
  • Submission Instructions: The completed application packet, including all forms and required documentation, should be mailed or emailed to the address or email provided by the PennDOT Vehicle Inspection Division. This final step is critical, as it officially submits your application for consideration and further action by PennDOT. Ensuring all provided instructions are followed closely can expedite the review process.

By paying careful attention to these key points, applicants can enhance the likelihood of their MV-427 form and subsequent station information packet being accepted without delays, moving one step closer to operating an officially recognized vehicle inspection station in Pennsylvania.

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