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The MV-427 form, commonly used in Pennsylvania, is essential for those seeking to establish or modify inspection stations for motor vehicles. This application, overseen by the Pennsylvania Department of Transportation (PennDOT), ensures compliance with state regulations governing vehicle safety and emissions inspections. Included in the package, alongside the MV-427, is a checklist outlining the necessary documentation required for approval. Applicants must prepare both the MV-427 and the MV-427A if seeking certification for safety and emissions inspections, as these cannot be combined into a single submission. Furthermore, proof of liability insurance, a valid business license, and identification for all owners or corporate officers are critical components for a complete application. The form allows for various requests, including establishing a new inspection station, changing ownership, or altering locations. Incomplete submissions lead to rejection, prompting notifications of any deficiencies. Adhering to the detailed instructions ensures that applicants navigate the process efficiently, securing their appointment certificates once their forms are accurately completed and approved.

Mv 427 Penndot Example

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 Characteristics

Fact Name Fact Description
Purpose of MV-427 This form is used to apply for a new inspection station or update an existing one.
Safety and Emission Applications Separate forms are required for safety and emission inspections—do not combine them on the same form.
Certificate Holder Requirement A valid insurance policy must list PennDOT as the Certificate Holder.
Mandatory Documents Necessary documents include proof of insurance, utility bills, and photos of the inspection area.
Legal Foundation This application follows the provisions of the Vehicle Code, specifically 75 Pa.C.S. Sections 4721, 4723, and 3368.
Inspection Area Size The applicant must indicate the size of the inspection area being used.
Owner Information The application requires the owner's name, driver’s license number, and business address.
Application Submission Packets should be submitted via mail or email to the Pennsylvania Department of Transportation.
Verification of Facts Applicants must verify the accuracy of information provided to avoid potential penalties under the Crimes Code.

Guidelines on Utilizing Mv 427 Penndot

Completing the MV-427 form is an essential step for anyone looking to establish or modify an inspection station in Pennsylvania. Gather the necessary documents and follow these instructions closely to ensure your application is accepted without delays. Incomplete applications can lead to rejection, so attention to detail is crucial.

  1. Begin by marking the appropriate reason for the application in Section A. Options include new inspection station, change of ownership, change of location, and others as listed.
  2. In Section B, enter the business name, address, and telephone number. Also, provide the owner's name and driver’s license number.
  3. Complete Section C by identifying the type of ownership (sole proprietorship, partnership, or corporation) and listing your Federal ID and State Sales Tax numbers.
  4. Indicate the size of your inspection area and the specific types of vehicles you will be inspecting.
  5. Fill out Section D if applicable. List the station numbers of any other inspection stations you own and provide details on any stations being canceled.
  6. Only complete Section E if someone other than the owner or corporate officer operates the inspection station. Make sure to print clearly.
  7. No entries are required in Section F; leave this section blank as instructed.
  8. Sign and date Section G to certify that the information is true and correct. Ensure the signature is from the owner or corporate officer.
  9. Gather all necessary documents to submit with the form, including proof of insurance, rental agreements, utility bills, and photographs of the inspection area.
  10. Finally, mail or email the completed packet to the Pennsylvania Department of Transportation, Vehicle Inspection Division, ensuring to direct it to the correct attention (Troy Roadcap, Manager).

What You Should Know About This Form

What is the MV-427 form used for?

The MV-427 form is an application used by businesses in Pennsylvania to apply for a vehicle inspection station. This form is necessary when establishing a new station or when there is a change in an existing station's status, such as a change of ownership or location. It is essential for compliance with state regulations governing vehicle safety inspections.

What items must be included when submitting the MV-427 application?

When submitting the MV-427 application, ensure you include several key documents and forms: a completed MV-427 form, an MV-427A form if applying for both safety and emission inspections, a list of certified safety inspectors (MV-443), proof of insurance or bond at least $10,000, a copy of the lease or deed, utility bills, and photos of the inspection area. Missing any of these items will result in rejection of your application.

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

No, you cannot apply for both safety and emission inspections on the same MV-427 form. Separate forms must be completed for each type of inspection. Clearly indicate your application type on each respective form to avoid confusion and potential delays in processing.

What is the process if my MV-427 application is rejected?

If your application is rejected due to missing information or other deficiencies, you will receive a letter explaining what is lacking. It’s crucial to address these deficiencies promptly and resubmit your application to keep the process moving forward.

What qualifications do I need to become a certified safety inspector?

To become a certified safety inspector in Pennsylvania, you must meet specific requirements set by the Department of Transportation, which may include obtaining the appropriate training and certification. A list of certified safety inspectors must also be included with your MV-427 application, which includes the inspector's identification number.

How do I submit my completed MV-427 application?

Your completed MV-427 application should be mailed or emailed to the Pennsylvania Department of Transportation, specifically to the Vehicle Inspection Division. Address the packet to: Pennsylvania Department of Transportation, Vehicle Inspection Division, P.O. Box 68696, Harrisburg, PA 17106-9003. For email submissions, use stationappointments@pa.gov.

Is there a fee associated with applying for the inspection station?

While the instructions provided do not specify a direct fee associated with the submission of the MV-427 application itself, you should ensure that your proof of insurance meets the required coverage. Additional costs may arise depending on your business setup, such as bonding or insurance expenses.

What happens if I do not list PennDOT as the Certificate Holder on my insurance policy?

If PennDOT is not listed as the Certificate Holder on your insurance policy, your application may be deemed incomplete. Ensure that your insurance documentation includes the station name, physical location, and coverage details as required, including that PennDOT is clearly identified as the Certificate Holder.

What should I do if my business location changes after submitting the MV-427?

If your business location changes after submitting the MV-427 application, you must submit a new application to update your information. Changes in location are important for compliance and may affect your licensing and operational status, so address them promptly.

What is required in the Letter of Authority section of the form?

The Letter of Authority should be completed when someone other than the owner or corporate officer is responsible for operating the business. This section must include the name of the authorized individual and their signature, confirming their responsibility for all inspection operations at the station. Including accurate details ensures compliance with state inspection regulations.

Common mistakes

Filling out the MV-427 PennDOT form requires careful attention to detail. One common mistake applicants make is combining safety and emissions inspections on a single form. It’s important to understand that each application needs to be separate. When applying for both, check only the box for safety on one form, and then use a different form for emissions. This division ensures that your application is processed correctly and without delays.

Another mistake often seen is the disregard for the requirement of a valid Certificate of Liability Insurance or Bond. Applicants sometimes overlook the details that must be included in the proof of insurance. The insurance not only needs to meet the minimum amount specified ($10,000) but must also specifically list the station’s name, physical location, and cover the period of coverage. Missing or incorrect information in this area can lead straight to rejection of the application.

Furthermore, many individuals do not realize the importance of providing accurate ownership and authority details. If the person listed as responsible for the inspection station is not marked as the owner or a corporate officer, a separate document must accompany the application. This document should include their name and driver’s license number, and if applicable, the date of birth. Failing to include this can cause unnecessary delays in processing, leaving applicants in a frustrating limbo.

Lastly, a frequent error involves submission of incomplete packets. The checklist accompanying the MV-427 form outlines specific items, such as utility bills or photos of the inspection area, that must be submitted. Omitting even one item can lead to a rejection notice, which extends the timeframe for the application process. Ensure all required documents are included before submission to avoid these pitfalls and ensure smooth processing of your application.

Documents used along the form

The MV-427 form is crucial for anyone looking to apply for an inspection station in Pennsylvania. However, several other documents complement this form in the application process. Below is a list of additional forms and documents typically required.

  • MV-427A: This supplemental form must be completed alongside the MV-427 if the applicant is also seeking certification for an emission inspection station. Each type requires its own form to ensure clarity and compliance.
  • MV-443: This document is a list of certified safety inspectors. It must include the inspector numbers of personnel who will be responsible for conducting inspections at the station.
  • MV-500: This form provides essential information regarding specific operational details and past performance, particularly with regard to compliance history and previous station operations.
  • Certificate of Liability Insurance: Applicants must include proof of insurance or a bond, providing at least $10,000 in coverage. This document protects against damage to vehicles during inspections and must specify the station's name and coverage details.
  • Lease or Deed: A copy of the lease agreement or deed for the property where the inspection station will operate is necessary to verify the physical location of the business.
  • Utility Bills: Most recent utility bills, such as electric and phone bills, help establish occupancy and operational stability at the inspection location.

These documents work together to create a complete application package for an inspection station. Failing to include any of them can lead to delays or rejection of the application. Thorough preparation is key to ensuring a smooth process.

Similar forms

  • MV-427A: This form is required when applying for both a safety inspection and an emissions inspection. Similar to MV-427, it ensures that the applicant provides specific information related to inspection stations. Each type of inspection requires a separate submission to avoid confusion.
  • MV-443: This document lists certified safety inspectors and includes their identification numbers. Like the MV-427, it is necessary for validating that qualified personnel will conduct inspections, ensuring compliance with safety standards.
  • MV-500: Just as MV-427 seeks a comprehensive application for inspection stations, MV-500 pertains to other necessary certifications. It confirms the entity's eligibility to conduct inspections and operates within standards set by the authorities.
  • Certificate of Liability Insurance or Bond: This proof of financial responsibility is essential for inspection stations, similar to what is required in MV-427. It protects against potential damages during inspections, reaffirming the commitment to safety.
  • Lease or Deed Copy: Just as MV-427 requires documentation that shows a legitimate business premise, this document verifies ownership or rental of the inspection space. It is critical for establishing a registered business location.
  • Utility Bills: Recent utility bills serve as evidence of the operational site, akin to MV-427’s demand for proof of the physical location of the inspection station. This assures that the location is active and legitimate.
  • Photos of Inspection Area: Just as MV-427 requires visual documentation of the inspection space, these photos confirm that the facility meets set standards. They help in assessing the operational readiness of the inspection station.

Dos and Don'ts

Things to Do:

  • Complete separate MV-427 forms for safety and emission inspections.
  • Include MV-427A when applying for both safety and emission inspection stations.
  • Provide a list of certified safety inspectors (MV-443) with inspector numbers.
  • Attach proof of insurance or bond amounting to at least $10,000.
  • Ensure your insurance policy lists PennDOT as the Certificate Holder.

Things Not to Do:

  • Do not check both safety and emissions on the same MV-427 form.
  • Avoid using a PO Box as the business address.
  • Do not submit incomplete applications; it will lead to rejection.
  • Refrain from providing false or inaccurate information.

Misconceptions

Misconceptions about the MV-427 PennDOT form can lead to confusion and delays in the application process. Here are nine common misconceptions:

  • One form is sufficient for both safety and emissions inspections. In reality, applicants must complete two separate forms: one for safety and another for emissions. Do not check both on the same form.
  • Only the MV-427 form is required. Applicants must include additional documents such as form MV-427A, proof of liability insurance, certified inspector lists, and more.
  • As long as the application is sent, it will be processed. Incomplete packets will be rejected. It's essential to ensure all required items are included to avoid rejection.
  • Photographs do not need to be submitted with the application. Including current photos of the inspection area and other relevant spaces is mandatory.
  • Past infractions will not affect my application. Any previous issues with compliance can impact the acceptance of the application. You must meet all regulatory requirements.
  • It's okay to use a P.O. Box for the business address. The application must include a physical street address. P.O. Boxes can be provided in the mailing address section only.
  • Submitting an application automatically grants inspection authority. Approval is required, and the form serves as a request, not an automatic certificate.
  • The insurance policy does not need to specify the inspection station's name. The policy must clearly mention the station name, physical location, and coverage details.
  • You can use someone else's drivers' license number for the application. It is crucial to provide accurate information. All listed individuals must have their own valid ID information submitted with the packet.

Understanding these misconceptions can aid in successfully navigating the application process for an inspection station. Make sure to read the instructions carefully and include all necessary documentation.

Key takeaways

Completing the MV-427 form requires careful attention to detail. Here are some key takeaways to make the process smoother:

  • Separate Forms for Different Inspections: If you are applying for both safety and emission inspections, you must complete one MV-427 form for each type. Do not mark both on the same form.
  • Include All Required Documents: Ensure that your submission packet contains an MV-427, MV-427A, list of certified inspectors, and proof of liability insurance—among other items. Omitting any documents will lead to rejection.
  • Individual Information Matters: If someone other than the owner is operating the inspection station, that individual must be listed properly in section E, along with their credentials.
  • Proof of Insurance is Essential: Attach a certificate of liability insurance or bond with a minimum of $10,000 coverage. This document must detail your station's name and location.
  • Complete Sections Accurately: Pay attention to each section, particularly Section B and C, to correctly identify ownership structure and inspection area dimensions, as inaccuracies can invalidate your application.
  • Submission Guidelines: Mail or email your completed packet to the designated Pennsylvania Department of Transportation address. Be sure to double-check recipient details for timely processing.