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The MV-427 PennDOT form plays a crucial role in the application process for establishing or updating vehicle inspection stations in Pennsylvania. This form is essential for anyone looking to start a new inspection station, change the ownership of an existing one, or modify its location. The application process requires careful attention to detail, as incomplete submissions will lead to rejections. Applicants must provide a comprehensive information packet that includes various documents and forms, such as the MV-427 itself, which is specifically designated for safety inspections, and the MV-427A for emissions inspections. Each application must be accompanied by proof of insurance or a bond, along with other necessary documentation like utility bills, photographs of the inspection area, and a list of certified safety inspectors. It is vital to follow the instructions meticulously, as errors or omissions can invalidate the application. The completed packet must be submitted to the Pennsylvania Department of Transportation's Vehicle Inspection Division, ensuring all criteria are met to facilitate a smooth approval process.

Sample - Mv 427 Penndot Form

Safety Station Application Check List

Upon submission of the station information packet, all items below must be included. If information is incomplete, the packet will be rejected. A letter will be sent to the applicant, notifying them of the deficiency. Additionally, included in the packet is an instruction sheet detailing how to complete form MV-427.

MV-427 (If applying for a safety and emission inspection, station must complete one form for safety and a separate form for emission. (Do NOT check both safety and emissions on the same form. One form should only specify SAFETY and the other form, if necessary, should only specify EMISSIONS).

MV-427A (must complete two separate forms if applying for a safety and emission inspection station).

MV-443 list of certified safety inspectors (include inspector number).

If you have completed section E Letter of Authority on form MV-427 and the person listed in section E is not listed on the form MV-427 as owner or is not listed as an owner/corporate officer on form MV-427A, you must include a separate document to provide that person’s name and driver’s license number with the packet. (If you are providing an out-of-state driver’s license number, you must also provide date-of-birth with the information.)

MV-500

Certificate of liability insurance or bond: Attach proof of insurance or a bond, in the amount

of at least $10,000.00, providing compensation for any damage to a vehicle during an inspection. A

“ Garage Keeper’s Legal Liability Policy” is acceptable. This proof of insurance or bond MUST include station name, physical location, and amount of coverage and period of coverage.

Must have a valid insurance policy with PennDOT listed as the Certificate Holder, using the address below

Copy of lease or deed

Copies of utility bills (most recent electric and phone bill)

Photos of the interior and exterior of the inspection area, sticker security area, and office area.

Must have a valid Employer Identification Number (EIN) or Social Security Number (SSN)

Must have a valid State Sales Tax Number

The completed packet should be mailed/emailed to:

Pennsylvania Department of Transportation

Vehicle Inspection Division

P O Box 68696

Harrisburg, PA 17106-9003

ATTN: Troy Roadcap, Manager

EMAIL: [email protected]

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.

File Specs

Fact Name Fact Description
Application Purpose The MV-427 form is used to apply for a new inspection station or to make changes to an existing station, such as ownership or location changes.
Required Forms Applicants must submit multiple forms, including MV-427 for safety inspections and MV-427A for emissions inspections, each requiring separate submissions.
Insurance Requirement A certificate of liability insurance or bond of at least $10,000 is mandatory, protecting against damage to vehicles during inspections.
Supporting Documents Applicants must include proof of business ownership, such as a lease or deed, and utility bills to confirm the business address.
Governing Laws The application process is governed by the Vehicle Code, specifically 75 Pa.C.S. Sections 4721, 4723, and 3368.
Submission Method Completed packets should be mailed or emailed to the Pennsylvania Department of Transportation, specifically to the Vehicle Inspection Division.

Mv 427 Penndot - Usage Guidelines

Completing the MV-427 form is a crucial step for those applying for a safety inspection station in Pennsylvania. Ensure all required documents are included to avoid delays. If any information is missing, the submission may be rejected, and a notification will be sent regarding the deficiencies. Follow the steps below to fill out the form accurately.

  1. Gather all necessary documents listed in the safety station application checklist.
  2. Use black ink and print clearly or type throughout the form.
  3. In Section A, indicate the reason for your application by checking the appropriate box.
  4. Complete Section B with your business name, address, telephone number, owner's name, and driver's license number.
  5. Provide a mailing address if it differs from the business address in Section B.
  6. In Section C, identify your business structure (sole proprietorship, partnership, or corporation) and provide your Federal ID and State Sales Tax numbers.
  7. Specify the size of your inspection area and the category of your business.
  8. In Section D, list any other inspection stations you own and any stations you are canceling.
  9. Complete Section E only if someone other than the owner or corporate officer will operate the business.
  10. Sign Section G as the owner or corporate officer. Ensure the signature matches the name provided.
  11. Double-check all sections for accuracy and completeness before submission.
  12. Mail or email the completed packet to the Pennsylvania Department of Transportation, as specified.

Your Questions, Answered

What is the MV-427 form used for?

The MV-427 form is an application used to apply for a new inspection station or to make changes to an existing inspection station. This includes changes in location, ownership, or reappointment after a suspension. Proper completion of this form is essential for obtaining an appointment certificate from the Pennsylvania Department of Transportation (PennDOT).

What items must be included with the MV-427 submission?

When submitting the MV-427, applicants must include a complete station information packet. This includes the MV-427 form itself, a list of certified safety inspectors, proof of insurance or bond, a copy of the lease or deed, utility bills, photos of the inspection area, and other relevant documents. Incomplete packets will be rejected, and a letter will be sent to notify the applicant of any deficiencies.

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

No, you cannot apply for both safety and emissions inspections on the same form. You must complete one MV-427 for safety inspections and a separate MV-427 for emissions inspections. Each form should specify only one type of inspection.

What should I do if I need to change the owner of my inspection station?

If there is a change of ownership for your inspection station, you must complete the MV-427 form and indicate this change in the appropriate section. You may also need to provide documentation that supports the change, such as a new lease or proof of ownership transfer.

Is insurance required for inspection stations?

Yes, a certificate of liability insurance or bond is required. The coverage must be at least $10,000 and provide compensation for any damage to a vehicle during an inspection. This proof must include the station name, physical location, and the amount and period of coverage. PennDOT must also be listed as the Certificate Holder.

How do I submit the MV-427 form?

The completed MV-427 form and the associated documents can be mailed or emailed to the Pennsylvania Department of Transportation, Vehicle Inspection Division. Ensure that you address it to Troy Roadcap, Manager, and use the provided email for submissions.

What happens if I provide false information on the MV-427 form?

Providing false, inaccurate, or incomplete information on the MV-427 form will automatically invalidate your application. It is crucial to ensure that all information is accurate and complete to avoid delays or rejections.

What is the purpose of Section E on the MV-427 form?

Section E is for the owner or a corporate officer to authorize another individual to operate the inspection station on their behalf. This section must be completed if someone other than the owner or corporate officer is responsible for the business operations.

What if I have not received my Federal ID or State Sales Tax number?

If you have applied for your Federal ID or State Sales Tax number but have not yet received it, you can write "APPLIED FOR" in the appropriate boxes on the MV-427 form. You must submit these numbers to the Department once you receive them.

How long does the application process take?

The length of the application process can vary. After submission, PennDOT will review your application and notify you of any deficiencies. Once all requirements are met, processing times can differ based on the volume of applications received. It is advisable to check with PennDOT for specific timelines.

Common mistakes

  1. Incomplete Forms: Failing to fill out all required sections can lead to immediate rejection. Each part of the MV-427 form must be completed accurately.

  2. Mixing Safety and Emissions: Applicants often mistakenly check both safety and emissions on the same form. Each type requires a separate form.

  3. Missing Supporting Documents: Forgetting to include necessary documents, such as proof of insurance or a list of certified safety inspectors, can cause delays or rejection.

  4. Incorrect Owner Information: If the person listed in Section E is not the owner or a corporate officer, a separate document must be provided. Omitting this can invalidate the application.

  5. Wrong Business Address: Applicants sometimes provide a P.O. Box instead of a physical address. The business address must be a street address.

  6. Missing Signatures: The application must be signed by the owner or corporate officer. Failing to do so can lead to rejection.

  7. Neglecting to Verify Information: Not double-checking the information after completion can result in inaccuracies that might invalidate the application.

Documents used along the form

When applying for a safety inspection station in Pennsylvania, several additional forms and documents may be required alongside the MV-427 form. Each document serves a specific purpose to ensure compliance with state regulations.

  • MV-427A: This form is necessary if you are applying for both safety and emission inspection stations. You must complete two separate forms—one for safety and another for emissions.
  • MV-443: This document is a list of certified safety inspectors. It must include the inspector numbers of all individuals authorized to perform inspections at your station.
  • Letter of Authority: If someone other than the owner or corporate officer will operate the inspection station, include a letter with that person's name and driver’s license number. If the license is from out of state, provide the date of birth as well.
  • MV-500: This form is often needed for additional information regarding the inspection station or its operations.
  • Certificate of Liability Insurance or Bond: Proof of insurance or a bond for at least $10,000 is required. This must cover any damage to vehicles during inspections and include specific details about the station.
  • Lease or Deed: A copy of the lease agreement or property deed is necessary to confirm the physical location of the inspection station.
  • Utility Bills: Recent copies of utility bills, such as electric and phone bills, help verify the station's address and operational status.
  • Photos: Include photographs of the inspection area, sticker security area, and office space to provide a visual representation of the facility.

Gathering these documents is crucial for a smooth application process. Ensure that all information is complete and accurate to avoid any delays or rejections in your application.

Similar forms

The MV-427A form is closely related to the MV-427 form as it serves as a supplemental application for inspection stations applying for both safety and emission inspections. When a business intends to operate as both a safety and emission inspection station, it must submit two separate forms: one for safety and another for emissions. The MV-427A specifically gathers additional information about the owners, partners, or corporate officers involved in the inspection station, ensuring that all parties are properly documented. This requirement helps streamline the application process and ensures compliance with regulations governing inspection stations.

The MV-443 form is another document that complements the MV-427 form by providing a list of certified safety inspectors associated with the inspection station. This form must include the inspector numbers of each certified individual, ensuring that the inspection station is staffed with qualified personnel. By requiring this information, the Pennsylvania Department of Transportation (PennDOT) can verify that the inspection station meets safety standards and employs individuals who have undergone the necessary training and certification.

The MV-500 form is similar in that it is also a required document for inspection station applications. This form is used to provide proof of the station's physical location and ownership status. When submitting the MV-427 form, applicants must include the MV-500 to confirm that the business operates at a legitimate address and is compliant with local zoning laws. This verification helps maintain the integrity of the inspection process and ensures that all stations are operating within the legal framework established by PennDOT.

Lastly, the Certificate of Liability Insurance or Bond serves as a crucial document similar to the MV-427 form. This certificate must be attached to the application packet to prove that the inspection station has adequate insurance coverage or a bond in place. The required amount is at least $10,000, which provides compensation for any damages that may occur during inspections. By mandating this documentation, PennDOT ensures that inspection stations are financially responsible and can cover potential liabilities, thus protecting both consumers and the integrity of the inspection process.

Dos and Don'ts

When filling out the MV-427 PennDOT form, consider the following guidelines to ensure a smooth application process:

  • Do provide complete and accurate information. Incomplete applications will be rejected.
  • Do submit separate forms for safety and emissions. Do not check both on the same form.
  • Do include all required documentation. This includes proof of insurance, utility bills, and photos of the inspection area.
  • Do not use a post office box for your business address. A street address is mandatory.

Following these guidelines will help prevent delays and complications with your application. Be thorough and attentive to detail.

Misconceptions

  • Misconception 1: You can submit one MV-427 form for both safety and emissions inspections.
  • This is incorrect. You must complete separate forms for safety and emissions inspections. Each form should specify only one type of inspection.

  • Misconception 2: If my application packet is incomplete, I will be notified immediately.
  • While you will receive a notification regarding any deficiencies, it is crucial to ensure that your packet is complete before submission to avoid delays.

  • Misconception 3: A letter of authority is not necessary if the person in charge is not listed as an owner.
  • This is false. If the person responsible for operating the business is not listed as an owner or corporate officer, you must include a separate document with their name and driver's license number.

  • Misconception 4: Proof of insurance or bond is optional for the application.
  • In fact, proof of insurance or a bond in the amount of at least $10,000 is mandatory. This coverage protects against damages during inspections.

  • Misconception 5: You can use a post office box as the business address.
  • This is not allowed. The business address must be a physical street address. A PO Box can be provided in the mailing address section only.

  • Misconception 6: You don’t need to provide utility bills if your business is new.
  • Utility bills are required regardless of whether the business is new or existing. Recent electric and phone bills must be included in the application packet.

  • Misconception 7: You can submit your application without a valid Employer Identification Number (EIN) or Social Security Number (SSN).
  • This is incorrect. A valid EIN or SSN is necessary for the application to be processed. Ensure this information is included.

  • Misconception 8: The application does not need to be signed if it is submitted electronically.
  • Regardless of the submission method, the application must be signed by the owner or corporate officer. This signature is essential for validation.

Key takeaways

Filling out the MV-427 form for a safety station application is a crucial step in establishing or maintaining your inspection station. Here are some key takeaways to ensure your application is complete and submitted correctly:

  • Complete All Required Forms: Ensure you submit the MV-427 for safety inspections and MV-427A for emissions inspections separately. Do not check both options on a single form.
  • Provide Accurate Information: Fill out the form using black ink, and print clearly or type. Inaccurate or incomplete information can lead to automatic rejection.
  • Include Proof of Insurance: Attach a certificate of liability insurance or bond of at least $10,000, covering damages during inspections. Ensure it lists the station name, location, and coverage details.
  • List Certified Inspectors: Include a list of certified safety inspectors with their inspector numbers. This is essential for compliance.
  • Submit All Supporting Documents: Along with the forms, include a copy of your lease or deed, utility bills, and photos of the inspection area to avoid rejection.
  • Identify Your Business Structure: Clearly indicate whether your business is a sole proprietorship, partnership, or corporation in the application.
  • Mail Your Application Promptly: Send the completed packet to the Pennsylvania Department of Transportation's Vehicle Inspection Division without delay to avoid processing issues.
  • Keep Copies for Your Records: Retain copies of all submitted documents for your records. This can help in case of any follow-up or discrepancies.

Completing the MV-427 form correctly is essential for your inspection station’s approval. Ensure you follow these guidelines closely to facilitate a smooth application process.