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The MV 436A form serves a vital function in the inspection process for vehicles in Pennsylvania. This form is primarily used for ordering inspection stickers and inserts, a necessary step for various types of vehicles, including passenger vehicles, trucks, and motorcycles. The form allows inspection stations to specify their orders, including quantities of standard and special inserts, as well as emissions and safety stickers. Safety stickers incur a charge, while inserts and emissions stickers can be ordered at no cost. Clear ordering requirements are outlined for each type of sticker and insert, ensuring that stations can comply with the regulations set forth by PennDOT. Additionally, the form requires stations to provide relevant contact information, including the station name, number, and address. To assist in processing, an authorized signature is necessary, and stations are reminded to verify their orders against the receipt and report discrepancies promptly. Through this structured approach, the MV 436A form helps maintain the integrity of vehicle inspections in Pennsylvania.

Mv 436A Example

MV-436A (7-21)

www.dmv.pa.gov

INSPECTION STICKER AND INSERT ORDER FORM

Please make check/money order payable to: Commonwealth of Pennsylvania

For Department Use Only

Bureau of Motor Vehicles • Sticker Processing Unit • P.O. Box 68697 • Harrisburg, PA 17106-8697

 

A

Station Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station Street Address (P.O. Box number may be used in addition to the actual address, but cannot be used as the only address.)

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

City

 

 

 

 

 

 

 

 

State

Zip Code

 

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

INSERTS - NO CHARGE - Inserts should be ordered in conjunction with sticker orders. Quantities may be adjusted at the discretion of PennDOT.

 

 

 

Type

 

 

 

 

 

 

Months Needed

 

 

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

Jan

Feb

Mar

 

Apr

May

June

July

Aug

 

Sept

Oct

 

Nov

Dec

 

 

 

 

 

 

 

 

 

 

 

 

 

Safety

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place number of packs

 

 

 

Inserts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

desired in spaces to left.

 

 

 

Emissions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Each pack contains 50

 

 

 

Inserts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

inserts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

SPECIAL INSERTS - NO CHARGE - Please order in conjunction with stickers.

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

Quantity

 

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

 

E/Exempt Inserts

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

W/Waiver Inserts

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T-Dot Inserts (TEMP)

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

D

 

REPLACEMENT OF ILLEGIBLE

REGISTRATION

PLATE CARDS - Please order in conjunction with stickers.

 

 

 

 

Type

 

Quantity

 

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

 

Form MV-46

 

 

 

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

EMISSIONS STICKERS - NO CHARGE - Shipping and handling charge applies.

 

 

 

 

 

 

Type

 

Quantity

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emissions Stickers (IM)

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

Minimum order of 10 stickers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F

SAFETY STICKERS - CHARGE - Shipping and handling charge applies.

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

Quantity

 

 

 

Ordering Requirements

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Annual Inside (AI)

 

 

 

 

Order in multiples of 10 ($9 each).

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Annual Inspection: Passenger vehicles, trucks,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

emergency vehicles, and certain vans.

 

 

 

 

 

 

Annual Outside (AO)

 

 

 

 

Order in multiples of 10 ($9 each).

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Motorcycles and all trailers.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Semi-Annual Inside (SI)

 

 

 

 

Order in multiples of 10 ($7 each).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Semi-Annual: School buses, certain vehicles

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

under contract with schools, mass transit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vehicles, and certain vans and farm vehicles.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G

SIGNATURE - As listed on the current Form MV-500.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized Signature

 

 

 

 

 

 

 

Operator’s #

 

 

 

 

 

State

Total Amount for

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stickers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Name as Above

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

Minus Credit

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTENTION - Sticker orders should be verified against the receipt. Discrepancies

Subtotal

 

$

 

 

 

should be reported immediately by calling PennDOT at 717-705-2182. Please allow

 

 

 

 

 

 

Shipping and

 

 

 

 

14 days for delivery.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$ 5.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Handling Charge

 

 

 

Please make check/money order payable to the Commonwealth of Pennsylvania and

 

 

 

 

 

Total Amount Due -

$

 

 

 

return to: PennDOT, Bureau of Motor Vehicles, Sticker Processing Unit, P.O. Box

Stickers/Postage

 

 

 

 

68697, Harrisburg, PA 17106-8697.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form Characteristics

Fact Name Description
Form Purpose The MV-436A form is used to order inspection stickers and associated inserts for vehicles in Pennsylvania.
Eligibility Only licensed inspection stations in Pennsylvania can submit the MV-436A form for sticker orders.
Cost Structure Safety stickers incur a charge of $9 each or $7 for semi-annual stickers, while emissions stickers are available at no charge, subject to shipping fees.
Regulating Authority The MV-436A form is governed by regulations from the Pennsylvania Department of Transportation (PennDOT).
Order Processing Processed orders are typically delivered within 14 days, and discrepancies should be reported immediately to PennDOT.

Guidelines on Utilizing Mv 436A

Filling out the MV-436A form is a straightforward process. The form facilitates the ordering of inspection stickers and related inserts from the Bureau of Motor Vehicles in Pennsylvania. Once completed, the form needs to be returned along with payment to the specified address.

  1. Station Information: In section A, fill in the station name, station number, street address (including city, state, and zip code), and telephone number. An email address is also required.
  2. Inserts: For section B, indicate the quantity of safety and emissions inserts needed. Ensure that you specify the number of packs desired, with each pack containing 50 inserts.
  3. Special Inserts: In section C, order any special inserts such as E/Exempt, W/Waiver, and T-Dot inserts in multiples of 10.
  4. Replacement Registration Plate Cards: Move to section D to request replacement cards for illegible registration plates, noting the quantity and ordering requirements for Form MV-46.
  5. Emissions Stickers: For section E, order emissions stickers, keeping in mind the minimum order of 10 stickers, which must also be in multiples of 10.
  6. Safety Stickers: In section F, specify the quantity of annual and semi-annual stickers needed. Remember to apply the appropriate charges based on the type of sticker ordered.
  7. Signature: Finally, sign the form in section G. Print your name as it appears on Form MV-500 and provide your operator number and total amount due.
  8. Payment: Include a check or money order made payable to the Commonwealth of Pennsylvania in the total amount indicated. Be sure to mail the completed form to the address provided for processing.

What You Should Know About This Form

What is the MV 436A form?

The MV 436A form is an order form used to request inspection stickers and inserts from the Pennsylvania Department of Transportation (PennDOT). This form facilitates the ordering process for various types of inspection stickers, including emissions and safety stickers, and includes options for replacement of illegible registration plate cards.

Who needs to use the MV 436A form?

This form is primarily intended for businesses or individuals conducting vehicle inspections in Pennsylvania. It serves auto shops, inspection stations, and other relevant entities that require inspection stickers and inserts as part of their operations. If you are a certified inspection station looking to replenish your supplies, this form is for you.

What types of inserts can be ordered with the MV 436A form?

There are various inserts available for order, including safety and emissions inserts. Safety inserts are provided at no charge and come in packs of 50. Emissions stickers and special inserts, such as exempt and waiver inserts, can also be ordered without a charge, provided they are requested alongside sticker orders in specified quantities.

Are there any charges associated with the stickers?

Yes, there are charges for safety stickers. The cost varies depending on the type of sticker ordered. For example, the annual inside and outside safety stickers cost $9 each, while semi-annual inside safety stickers cost $7 each. Note that shipping and handling charges may apply for these orders.

What should I do if my sticker order has discrepancies?

If you find discrepancies between your sticker order and the receipt, it is crucial to report them immediately. You can contact PennDOT at 717-705-2182 to address any issues. It’s advisable to verify your sticker orders against the receipt upon receipt of the shipment.

How long will it take to receive my order after submitting the MV 436A form?

After submitting the completed MV 436A form, you should allow approximately 14 days for delivery. It’s important to keep this timeframe in mind when planning your orders to ensure you have the necessary stickers on hand when needed.

Common mistakes

Filling out the MV-436A form can seem straightforward; however, many individuals make common mistakes that can lead to delays in processing their order. One frequent error occurs in the section for Station Information. People sometimes forget to include the complete street address or mistakenly use a P.O. Box as the only address, which is not acceptable according to the instructions. This omission can slow down the order processing time.

Another mistake often seen is providing an incomplete or incorrect Telephone Number. It is vital to ensure that the area code and the number are accurate since this information may be used to clarify any issues with the order. A wrong number could lead to missed communications.

When ordering inserts, individuals sometimes overlook the specific requirements for quantity. For example, Emergency/Exempt Inserts must be ordered in multiples of ten, but some might not comply with this rule. Not adhering to this guideline can result in the order being partially filled or not filled at all.

Many people also fail to order the correct type of stickers for their vehicles. It is important to review the categories such as Annual Inside or Semi-Annual Inside. Each type corresponds to specific vehicle classifications, and selecting the wrong type may necessitate a revised order, ultimately causing delays.

Another prevalent mistake is not accurately calculating the total amount due for the stickers. Individuals may forget to include the Shipping and Handling Charge, leading to discrepancies in payment. Always double-check the subtotal and ensure that all applicable charges are included in the total amount.

Some applicants fail to sign the form entirely or use a signature that does not match the one on their current form MV-500. This inconsistency can create confusion and may halt the order’s processing. It is crucial to ensure that the signature is clear and verifies your identity appropriately.

Furthermore, failing to provide an E-Mail Address can impede communication about the order status. Including an email can facilitate quicker resolutions if any issues arise, as PennDOT may attempt to reach out via email first.

Sometimes, individuals neglect to check for any specific requirements associated with shipping and handling charges. These obligations can vary, and failing to comply with them might lead to additional costs or delays.

It is also common for people to forget to verify sticker orders against their receipts. Discrepancies should be reported immediately, as instructed. Ignoring this step can result in prolonged wait times should any issues arise later.

Lastly, disregarding the recommended delivery time of 14 days can lead to frustration. It is important to plan ahead and not expect immediate fulfillment, as processing times can vary based on multiple factors.

Documents used along the form

The MV-436A form serves as an essential tool for ordering inspection stickers and related items. When engaging with this process, individuals may also need to interact with several other forms and documents. Below is a brief description of documents often used alongside the MV-436A form.

  • Form MV-46: This form is used to request the replacement of illegible registration plate cards. Order these cards in multiples of 10 when needed.
  • MV-500: This is the signature authorization form. It must be signed by the authorized individual placing sticker orders. The current version of this form must be utilized.
  • Emissions Sticker Request Form: Used for ordering emissions stickers. Stickers are provided at no charge, though shipping and handling fees may apply.
  • Safety Sticker Order Form: This document is necessary for requesting safety stickers. Different fees apply depending on the type and quantity of stickers ordered.
  • Shipping and Handling Fee Form: This accompanies sticker orders that incur shipping fees. Ensure the correct amount is included with the total payment.
  • Document Verification Receipt: A receipt confirming the order of stickers, used for verifying discrepancies. Keep this document for reference.
  • Credit Balance Form: This form details any credits or balances that may affect future sticker orders. It assists in tracking payments and adjustments.
  • Monthly Sticker Order Form: A form used for scheduling the monthly order of inspection inserts. It may be adjusted based on inventory needs.

Each of these documents plays a critical role in maintaining compliance with vehicle inspection regulations. Understanding their purpose helps streamline the ordering process and ensures proper documentation with the Department of Motor Vehicles.

Similar forms

The MV-436A form is an important document used for ordering inspection stickers and inserts in Pennsylvania. Its purpose aligns with several other forms that serve similar functions in various regulatory contexts. Below is a list of nine documents that are similar to the MV-436A form, along with a brief explanation of how they are alike.

  • Form MV-46: This document is used for ordering replacement registration plate cards, much like the MV-436A is used for inspection stickers. Both require quantities to be ordered in multiples and are submitted to the same authority.
  • Form MV-331: Used to apply for a new title or registration, this form also requires specific details about the vehicle and owner, serving a regulatory purpose similar to the MV-436A.
  • Form MV-120: This is the application for a Pennsylvania driver's license renewal. Much like the MV-436A, it involves verifying information and submitting fees.
  • Form MV-823: This document is employed for requesting a special plate or sticker, sharing the same overall goal of vehicle and registration identification as the MV-436A.
  • Form MV-1: Similar to the MV-436A, this is the application for title and registration for newly purchased vehicles and requires various details and signatures.
  • Form MV-215: This form is used for disability parking placards, similarly requiring specific information about the applicant and aligning with vehicle compliance and regulation.
  • Form MV-311: This is the application for a personalized license plate, pertinent to vehicle registration and closely related in process to the MV-436A.
  • Form MV-484: Used for declaring vehicle taxes paid, this document requires acknowledgment of fees and compliance, as does the MV-436A for sticker orders.
  • Form MV-40: This is the application for a title certificate, paralleling the MV-436A in terms of vehicular documentation and adherence to state regulations.

These documents, like the MV-436A, play vital roles in ensuring compliance, maintaining vehicle records, and allowing the state to regulate various vehicle-related activities effectively. Timely and accurate completion of these forms is crucial to avoid disruptions or delays in compliance.

Dos and Don'ts

When filling out the MV-436A form, it is crucial to ensure accuracy and completeness. Here are some important dos and don’ts to help you navigate this process smoothly.

  • Do provide complete information, including the station name, number, and address. This helps avoid delays.
  • Do check the quantities of inserts you need. Be mindful that they should be ordered in increments specified on the form.
  • Do verify your email address and telephone number for any necessary communication regarding your order.
  • Don’t forget to include your authorized signature. This ensures your order is legitimate and can be processed.
  • Don’t use a P.O. Box as your only address. Always include a physical address to prevent any confusion.
  • Don’t submit your payment without checking the total amount due again. Mistakes can lead to delays in processing.
  • Do allow sufficient time for your order to be processed and delivered. Use the recommended 14 days as a guideline.

By adhering to these guidelines, you can facilitate an efficient and trouble-free application process. If issues arise, remember that help is available, and contacting PennDOT immediately is advisable for any discrepancies you might notice on your order.

Misconceptions

Understanding the MV-436A form can be challenging, and many misconceptions surround it. Here are nine common misunderstandings clarified:

  • All inserts are automatically included with sticker orders. This is not true. Inserts should be ordered specifically in conjunction with sticker requests. They do not come automatically.
  • There’s no cost associated with safety stickers. This is misleading. While emissions stickers may not carry a charge, safety stickers do have a fee. Annual safety stickers cost $9 each, while semi-annual ones cost $7 each.
  • You can order any quantity of inserts. There are restrictions. For example, emissions stickers must be ordered in multiples of ten. Understanding the ordering requirements is crucial.
  • All registration plate cards can be replaced easily. Replacement requests must specifically utilize Form MV-46. This is essential for illegible registration plate cards and must also follow quantity restrictions.
  • Payment options are flexible. Only checks or money orders made out to the Commonwealth of Pennsylvania are accepted. Credit cards or other forms of payment are not an option.
  • There is no shipping charge for orders. Misconception! Shipping and handling charges apply for safety stickers, which need to be factored into the total amount due.
  • It’s possible to use a P.O. Box as the sole address. This is incorrect. While a P.O. Box can be included, it cannot be used exclusively. A physical address is required.
  • Sticker orders can take as long as necessary. That is a misconception. The form notes a specific delivery timeframe. Orders should typically allow up to 14 days for delivery.
  • Any discrepancies can be resolved later. False. Any discrepancies with sticker orders should be reported immediately. It's advisable to verify sticker orders against receipts to avoid misunderstandings.

Key takeaways

1. Accurate Information is Essential: Filling out the MV-436A form requires exact details regarding your station name, address, and contact information. Inaccurate information can lead to delays in processing your sticker order.

2. No Charge for Inserts: Inserts for safety and emissions can be ordered at no charge, but they must be requested in conjunction with sticker orders. Each pack contains 50 inserts, making it efficient to manage your supply.

3. Understand Ordering Quantities: Be mindful of the quantities you order. Regular stickers should be ordered in multiples of 10, while special inserts also need to be ordered in increments of 10. This ensures your order is fulfilled without issues.

4. Signature and Payment Details: Ensure that the form is signed by an authorized individual listed on the current Form MV-500. Include accurate payment information to avoid complications during processing.

5. Reporting Discrepancies: After placing your order, verify against the receipt. If you notice any discrepancies, report them immediately by contacting PennDOT at 717-705-2182 to ensure timely correction.