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The MV-402 form is an essential document for Pennsylvania residents seeking a certificate of exemption for aftermarket sun screening on their vehicles. This application, managed by the Pennsylvania Department of Transportation's Vehicle Inspection Division, serves to ensure compliance with state regulations while addressing the needs of individuals with specific medical conditions. Applicants are required to provide personal information, including their name, driver's license number, and contact details, as well as information about the vehicle in question, such as the make, year, and VIN. Additionally, the form prompts the applicant to specify which windows have sun screening installed and to confirm the installation dates. For those applying for a medical exemption, a licensed physician or optometrist must complete a section detailing the patient's condition and recommended treatments. The process emphasizes accuracy, as applicants must certify the truthfulness of their responses under penalty of law. Overall, the MV-402 form plays a crucial role in balancing safety regulations with individual needs, ensuring that drivers can enjoy the benefits of sun screening while adhering to Pennsylvania's vehicle laws.

Sample - Mv 402 Form

MV-402 (2-08)

Commonwealth of Pennsylvania

Department of Transportation

Vehicle Inspection Division

P.O. Box 68697

Harrisburg, PA 17106-8697

APPLICATION FOR SUN SCREENING CERTIFICATE OF EXEMPTION

FOR DEPARTMENT USE ONLY

THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY THE APPLICANT

1. Full Name

PA DL/Photo ID # or Bus. ID#

Date of Birth

Daytime Telephone #

NOTE: Individuals should list their PA Driver’s License (PA DL) or Photo ID # in the space provided. Businesses should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N).

2.

Street Address __________________________________________________________________________

 

City

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Vehicle for which application is being made. Make

 

 

 

 

 

 

Year

 

VIN

 

 

 

 

Registration Plate

 

 

 

Title Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Windows with after market sun screening for which a certificate of exemption is requested:

“PLACE X WHERE NEEDED”

Windshield

 

 

 

Driver Side: Left Front ______________

Left Rear ______________

Passenger Side: Right Front _____________

Right Rear _____________

On vans, station wagons and buses list the number of additional rear side windows:

 

Number of additional passenger side right-rear windows: __________________

 

 

 

Number of additional driver side left-rear windows: _______________________

 

 

5.

When did you purchase this vehicle?

Date _______________/________/____________

 

 

Month

Day

Year

6.

When was the sun screening installed?

Date _______________/________/____________

 

NOTE: To be approved for window darkening

Month

Day

Year

 

products, installation must have been prior to

 

 

 

 

September 8, 1984.

 

 

 

6a.If unknown, was sun screening installed prior to

 

 

 

 

your ownership of the vehicle?

Yes _____________

No _______________

7. When was this vehicle first registered by you

 

 

 

 

in Pennsylvania?

Date _______________/________/____________

 

 

Month

Day

Year

8. What is the serial number of the current inspection

 

 

 

 

sticker displayed on this vehicle?

Number __________________________________

I certify under penalty of law that the above facts are true and correct to the best of my knowledge and that the vehicle is equipped with the after market sun screening as indicated.

Vehicle Owner’s Signature ________________________________________________ Date _______________

(When vehicle is registered in more than one name, all signatures must appear above.)

REQUEST FOR MEDICAL EXEMPTION

This portion must be completed by a licensed physician or optometrist when a certificate of exemption is requested due to a physical condition. NOTE: The exemption is valid only for colorless sun screening products that filter ultraviolet rays.

(Please type or print)

PATIENT INFORMATION

Patient Name ___________________________________________ Daytime Telephone # _________________

Street Address _____________________________________________________________________________

City ___________________________________________________ State __________ Zip Code ___________

Brief Description of patients condition: ___________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Suggested Treatment(s): _____________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

PHYSICIAN/OPTOMETRIST INFORMATION

Physician/Optometrist Name ___________________________________________________

Business Affiliation (if any) _____________________________________________________

Business Address ____________________________________________________________

City ___________________________________________ State _____ Zip Code _________

Physician Telephone Number __________________________________________________

I certify under penalty of law that the above facts are true and correct to the best of my knowledge:

Signature _______________________________________ Date _____________________

THE REVERSE SIDE MUST BE COMPLETED BY THE VEHICLE OWNER

File Specs

Fact Name Fact Details
Form Purpose The MV-402 form is used to apply for a sun screening certificate of exemption in Pennsylvania.
Governing Law This form is governed by Pennsylvania Vehicle Code, Title 75, Chapter 4524 regarding sun screening devices.
Applicant Information Applicants must provide their full name, Pennsylvania Driver’s License or Business ID, and contact details.
Vehicle Details Information about the vehicle, including make, year, VIN, and registration plate, must be included.
Window Screening Applicants need to specify which windows have aftermarket sun screening applied.
Installation Date The form requires the date the sun screening was installed, which must be before September 8, 1984, for approval.
Medical Exemption A section for medical exemption is included, requiring a licensed physician or optometrist's information and signature.
Signature Requirement The vehicle owner's signature is mandatory, and if registered in multiple names, all must sign.
Submission Address The completed form should be sent to the Pennsylvania Department of Transportation, Vehicle Inspection Division, Harrisburg, PA.

Mv 402 - Usage Guidelines

Filling out the MV-402 form requires careful attention to detail. This form is essential for obtaining a sun screening certificate of exemption in Pennsylvania. After completing the form, you will submit it to the appropriate department for processing. Below are the steps to guide you through filling out the MV-402 form.

  1. Provide your personal information: Write your full name, Pennsylvania Driver’s License (PA DL) or Photo ID number, date of birth, and daytime telephone number.
  2. Enter your address: Fill in your street address, city, state, and zip code.
  3. Describe your vehicle: Indicate the make, year, VIN (Vehicle Identification Number), registration plate, and title number of the vehicle for which you are applying.
  4. List windows with sun screening: Mark an “X” next to the appropriate windows on your vehicle that have after-market sun screening. Include details for additional rear side windows if applicable.
  5. Purchase date: State the date you purchased the vehicle.
  6. Installation date: Indicate when the sun screening was installed. Remember, it must have been installed before September 8, 1984, for approval.
  7. Ownership registration date: Provide the date when the vehicle was first registered by you in Pennsylvania.
  8. Inspection sticker number: Write the serial number of the current inspection sticker displayed on your vehicle.
  9. Sign the form: Certify that the information provided is true by signing and dating the form. If the vehicle is registered in multiple names, all owners must sign.
  10. Medical exemption section: If applicable, have a licensed physician or optometrist complete the medical exemption section, providing patient information, a brief description of the condition, suggested treatments, and their contact details. The physician must also sign and date this section.

Once you have completed the form, double-check all entries for accuracy. Ensure that all required signatures are present. After verifying everything, submit the form to the Department of Transportation for processing.

Your Questions, Answered

What is the MV-402 form?

The MV-402 form is an application for a sun screening certificate of exemption issued by the Pennsylvania Department of Transportation. This form allows individuals or businesses to request an exemption for aftermarket sun screening products installed on their vehicles, particularly when these products may not comply with standard regulations. The exemption is particularly relevant for those with medical conditions that necessitate the use of colorless sun screening products that filter ultraviolet rays.

Who needs to fill out the MV-402 form?

Anyone who has installed aftermarket sun screening on their vehicle and wishes to seek an exemption must complete the MV-402 form. This includes both individual vehicle owners and businesses. If the sun screening was installed due to a medical condition, a licensed physician or optometrist must also provide information and sign the form to validate the request.

What information is required on the MV-402 form?

The form requires several pieces of information from the applicant, including their full name, Pennsylvania Driver's License or Business ID number, date of birth, and daytime telephone number. Additionally, details about the vehicle, such as its make, year, VIN, and registration plate, must be provided. The applicant must also indicate which windows have aftermarket sun screening and provide dates related to the vehicle's purchase and registration.

How do I know if I qualify for the exemption?

To qualify for the exemption, the aftermarket sun screening must have been installed prior to September 8, 1984, or it must be necessary due to a medical condition verified by a licensed physician or optometrist. The form includes a section where medical professionals can outline the patient's condition and suggest treatments, which can support the exemption request.

What happens after I submit the MV-402 form?

Once the MV-402 form is submitted, the Pennsylvania Department of Transportation will review the application. If approved, a certificate of exemption will be issued, allowing the vehicle to legally retain its aftermarket sun screening. It is essential to keep a copy of the certificate in the vehicle to avoid potential legal issues during inspections or traffic stops.

Is there a fee associated with the MV-402 form?

No, there is no fee required for submitting the MV-402 form. However, applicants should ensure that all required information is accurately completed to avoid delays in processing their request. Missing or incorrect information may result in the need to resubmit the form.

Can I apply for multiple vehicles using one MV-402 form?

No, each vehicle requires a separate MV-402 form. This ensures that each application is reviewed individually, taking into account the specific details and circumstances surrounding each vehicle's sun screening installation. It is important to fill out a new form for each vehicle you wish to apply for an exemption.

What should I do if my application is denied?

If your application for the MV-402 exemption is denied, you will receive a notification explaining the reasons for the denial. You may have the option to appeal the decision, depending on the circumstances. It is advisable to review the denial notice carefully and consider consulting with a legal advisor to understand your options moving forward.

Where can I obtain the MV-402 form?

The MV-402 form can be obtained directly from the Pennsylvania Department of Transportation's website or at local PennDOT offices. It is also advisable to check for any updates or changes to the form or application process before submission to ensure compliance with current regulations.

Common mistakes

  1. Incomplete Personal Information: Applicants often forget to provide all necessary personal details, such as their full name, date of birth, and contact information. Each section must be filled out completely to avoid delays in processing.

  2. Incorrect Vehicle Information: It is crucial to ensure that the vehicle's make, year, VIN, and registration plate are accurately listed. Mistakes in this section can lead to the application being rejected.

  3. Missing Sun Screening Details: Applicants frequently neglect to indicate which windows have after-market sun screening. Properly marking the relevant sections is essential for the approval of the exemption.

  4. Improper Date Entries: Many individuals make errors when entering dates, particularly regarding the purchase of the vehicle or the installation of sun screening. These dates must be accurate and should follow the specified format.

  5. Signature Issues: Some applicants forget to sign the form or fail to include signatures from all vehicle owners when applicable. This oversight can result in a denial of the application.

  6. Neglecting the Medical Exemption Section: If applying for a medical exemption, the section must be filled out by a licensed physician or optometrist. Incomplete or incorrect information here can invalidate the request.

Documents used along the form

When applying for a Certificate of Exemption related to sun screening on vehicle windows, several other forms and documents may be necessary to ensure a smooth process. These documents provide additional information or support the application in various ways. Below are a few commonly used forms alongside the MV-402 form.

  • MV-1 Application for Certificate of Title: This form is used to apply for a title for a vehicle in Pennsylvania. It includes details about the vehicle, such as the Vehicle Identification Number (VIN), and is essential for establishing ownership.
  • MV-4ST Vehicle Sales and Use Tax Return/Application for Registration: This document is required when registering a vehicle and paying any applicable sales tax. It helps the Department of Transportation track vehicle sales and ensure tax compliance.
  • MV-426 Application for Duplicate Title: If the original title for the vehicle is lost or damaged, this form is used to request a duplicate. It requires information about the vehicle and the reason for the request.
  • MV-120 Application for a Non-Commercial Driver's License: For individuals who need to obtain or renew their driver’s license, this form is necessary. It ensures that the applicant meets all requirements for driving legally in Pennsylvania.

Understanding these forms and their purposes can help streamline your application process. Each document plays a vital role in ensuring compliance with state regulations and protecting your rights as a vehicle owner.

Similar forms

The MV-401 form is similar to the MV-402 in that it serves as an application for a specific exemption related to vehicle modifications. While the MV-402 focuses on sun screening exemptions, the MV-401 is used to request a certificate of exemption for emissions-related modifications. Both forms require personal information from the applicant, including name, address, and vehicle details. Each form also mandates a signature certifying the accuracy of the information provided, ensuring accountability in the application process.

The MV-426 form is another document that parallels the MV-402, as it pertains to the registration of modified vehicles. This form is specifically designed for individuals who have made alterations to their vehicles that may affect their compliance with state regulations. Similar to the MV-402, the MV-426 requires detailed information about the vehicle and the modifications made. Both forms emphasize the importance of accurate reporting and include sections for the applicant's signature to confirm the truthfulness of the information submitted.

The MV-1 form shares similarities with the MV-402 in that it is utilized for vehicle registration purposes. When a vehicle is purchased, the MV-1 is required to register it with the state. Like the MV-402, this form collects essential details such as the vehicle's make, model, and identification number. Both forms are critical in ensuring that vehicles meet state requirements and that owners provide accurate information to facilitate the registration process.

The MV-4ST form, which is used for requesting a title for a vehicle, also resembles the MV-402 in its function of documenting vehicle information. The MV-4ST collects similar data regarding the vehicle's specifications and ownership history. Both forms require the applicant to provide their personal details and verify the information with a signature, reinforcing the need for accuracy and honesty in vehicle-related transactions.

The MV-120 form is akin to the MV-402 as it addresses exemptions related to vehicle modifications, specifically for individuals with disabilities. This form allows applicants to request special license plates or parking privileges. Like the MV-402, the MV-120 requires personal information and details about the vehicle. Both forms serve to ensure that individuals who qualify for exemptions can properly document their needs and comply with state regulations.

Lastly, the MV-78 form is comparable to the MV-402 in that it is used for reporting vehicle accidents or damage. This form collects information regarding the circumstances of the incident and the vehicle involved. Similar to the MV-402, the MV-78 requires the vehicle owner's details and includes a section for the owner's signature to certify the accuracy of the information provided. Both forms play a vital role in maintaining accurate records within the state's vehicle registration system.

Dos and Don'ts

When filling out the MV-402 form, it's important to follow specific guidelines to ensure a smooth application process. Here are some key do's and don'ts to keep in mind:

  • Do provide your full name as it appears on your identification.
  • Do include your Pennsylvania Driver’s License or Photo ID number, or your Business ID number if applicable.
  • Do accurately fill in your vehicle information, including make, year, VIN, and registration plate.
  • Do indicate the specific windows that have aftermarket sun screening by placing an "X" in the correct boxes.
  • Do ensure that the dates you provide for vehicle purchase and sun screening installation are correct.
  • Don't leave any fields blank; fill out every section completely.
  • Don't forget to sign and date the application, as your signature is required for processing.
  • Don't provide false information; doing so can lead to penalties.
  • Don't submit the form without reviewing it for accuracy.

By following these guidelines, you can help ensure that your application for the sun screening certificate of exemption is processed efficiently and without unnecessary delays.

Misconceptions

Misconceptions about the MV-402 form can lead to confusion and mistakes in the application process. Understanding these misconceptions is crucial for applicants seeking a certificate of exemption for sun screening. Below are five common misconceptions:

  • Misconception 1: The MV-402 form is only for personal vehicles.
  • This form can be used for both personal and business vehicles. Applicants should provide the appropriate identification number, whether it is a personal driver's license or a business ID.

  • Misconception 2: Any type of sun screening product is eligible for exemption.
  • The exemption applies only to colorless sun screening products that filter ultraviolet rays. Applicants must ensure that the products they seek to use meet these criteria.

  • Misconception 3: The installation date of the sun screening is irrelevant.
  • The installation date is significant. To qualify for the exemption, the sun screening must have been installed before September 8, 1984. Applicants must provide accurate dates to avoid denial of their request.

  • Misconception 4: A medical exemption can be obtained without a physician's involvement.
  • A medical exemption requires the completion of a section by a licensed physician or optometrist. This ensures that the request is based on a legitimate medical need.

  • Misconception 5: All vehicle owners must sign the form, regardless of ownership structure.
  • If a vehicle is registered in more than one name, all owners must sign the form. However, if the vehicle is solely owned, only one signature is required.

Clarifying these misconceptions can streamline the application process and help applicants secure the exemptions they need.

Key takeaways

Here are key takeaways for filling out and using the MV-402 form:

  • Understand the Purpose: The MV-402 form is used to apply for a sun screening certificate of exemption in Pennsylvania.
  • Provide Accurate Information: Fill in your full name, PA DL/Photo ID, or Business ID accurately to avoid processing delays.
  • Complete Vehicle Details: Include the make, year, VIN, registration plate, and title number of the vehicle.
  • Specify Windows: Indicate which windows have aftermarket sun screening by placing an "X" in the appropriate boxes.
  • Purchase and Installation Dates: Clearly state when you purchased the vehicle and when the sun screening was installed.
  • Medical Exemption: If applying for a medical exemption, ensure a licensed physician or optometrist completes the required section.
  • Signature Requirement: The vehicle owner's signature is mandatory, especially if the vehicle is registered in multiple names.
  • Review Before Submission: Double-check all entries for accuracy before sending the form to avoid delays.
  • Keep a Copy: Retain a copy of the completed form for your records after submission.
  • Follow Up: If you do not receive confirmation or a response, consider following up with the Department of Transportation.