Mv 427 Penndot Template Access Mv 427 Penndot Editor Now

Mv 427 Penndot Template

The MV-427 PennDOT form is vital for businesses seeking approval as designated inspection stations in Pennsylvania, ensuring they comply with safety and emission inspection requirements. This comprehensive checklist and guide ensure applicants submit a complete information packet, including detailed instructions for both the safety and emission inspection applications. Ready to get started with your application? Click the button below to fill out your MV-427 form accurately and efficiently.

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Table of Contents

The journey to establishing a certified safety inspection station in Pennsylvania requires careful attention to detail, as highlighted by the intricacies of forms MV-427 and MV-427A from the Pennsylvania Department of Transportation (PennDOT). The forms serve as a crucial step for businesses aiming to earn the designation of a safety inspection station, mandating thorough documentation to ensure all prerequisites are met effectively. From specifying the type of inspections stations intend to perform—distinguishing between safety and emissions inspections—to providing detailed business information including ownership, insurance, and operational credentials, these forms are the cornerstone of the application process. They necessitate a meticulous compilation of supporting documents such as certified safety inspector lists, proof of liability coverage, and visual proof of the inspection facilities' readiness, demanding a comprehensive understanding to fulfill regulatory compliance. Moreover, this process is not only for first-time applicants but also caters to stations undergoing changes in location, ownership, or rectifying a suspension, underscoring the pivotal role accurate, and complete application submission plays in fostering road safety through qualified vehicle inspections.

Form Preview

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 Breakdown

Fact Number Fact Name Description
1 Form Identification The form for application is identified as MV-427.
2 Application Purpose Used for applying for a new inspection station or changes to an existing station.
3 Completion Requirements Must be completed using black ink and information should be clearly printed or typed.
4 Accuracy of Information Providing false, inaccurate, or incomplete information invalidates the certificate automatically.
5 Supplementary Forms If applying for both safety and emissions inspections, separate forms MV-427 and MV-427A are required.
6 Insurance Requirement A certificate of liability insurance or bond of at least $10,000.00 is required, providing compensation for any vehicle damage during inspection.
7 Submission Checklist Packet submission must include completed forms, list of inspectors, proof of insurance, and photos of the facility, among other requirements.
8 Governing Law Subject 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.
9 Official Documentation Upon approval, this application serves as the appointment certificate for the inspection station.

Guidelines on Filling in Mv 427 Penndot

After gathering the required documentation and ensuring readiness for submission, the completion of the MV-427 PENNDOT form is a crucial step for facilities intending to become an authorized safety station or make changes to an existing authorization. This process involves providing detailed information about the station, its operation, and the ownership. It's important to proceed carefully, filling out each section with accurate and current details to avoid delays or rejection. Below are steps to guide through this process efficiently.

  1. Start by identifying the application's purpose in Section A. Mark the appropriate box to indicate whether it's a new application, reappointment, change of ownership, location, etc. This section helps clarify the form's intention.
  2. In Section B, furnish the business details:
    • Provide the full name of the business and its physical address. Note that P.O. Boxes are not accepted for the business address.
    • List the telephone number, including the area code.
    • Include the owner's name and driver's license number. If the owner's license is from outside Pennsylvania, add the state abbreviation and the driver's date of birth.
    • If applicable, fill in a different mailing address for receiving correspondence from the Department.
  3. Move to Section C to give additional information about the business structure and operational specifics:
    • Indicate the business type (sole proprietorship, partnership, or corporation).
    • Enter the Federal ID number and State Sales Tax number.
    • Describe the size of the inspection area in feet.
    • Select the category that best describes your business and specify the types of stations you’re applying for, ensuring you do not mix safety and emissions on the same form.
  4. If applicable, Section D asks for details about any other inspection stations you own or are closing a station in favor of the new one. Fill this out as relevant to your situation.
  5. In Section E, if someone other than the owner or corporate officer is responsible for the station's operations, provide that individual's details. Otherwise, leave this section if it does not apply.
  6. Section F should be left blank, as it is for departmental use only.
  7. Finally, in Section G, the application must be signed by the owner or a designated corporate officer to validate the application. If section E was filled out, the designated individual must also sign the application.

Upon completion, review the form to ensure all information is correct and legible, then include it with the other required documentation in your station information packet for submission to the specified address or email. Proper submission initiates the review process, and the applicant will be notified of any deficiencies or the outcome.

Learn More on Mv 427 Penndot

What is the purpose of the MV-427 form?

The MV-427 form is used for various purposes related to the operation and recognition of vehicle inspection stations in Pennsylvania. These include applying for a new inspection station, undergoing changes of location, ownership, or authority within a company, reappointments after suspensions, and updates on mailing or business addresses. It ensures that all inspection stations meet the required standards and are officially registered with the Pennsylvania Department of Transportation (PennDOT).

Can the same MV-427 form be used for applying for both safety and emission inspection stations?

No, if you are applying to become both a safety and an emission inspection station, you must complete two separate MV-427 forms. One form should only specify SAFETY, and the other strictly EMISSIONS. Using the same form for both applications is not permitted.

What documents are required to be submitted along with the MV-427 form?

Several documents must accompany the MV-427 form submission, including:

  • MV-427A form for additional station information.
  • MV-443 list of certified safety inspectors, including their inspector number.
  • Certificate of liability insurance or bond with a minimum coverage of $10,000.00.
  • Copy of lease or deed for the station's physical location.
  • Copies of the most recent utility bills (electric and phone).
  • Photographs of the interior and exterior of the inspection area, sticker security area, and office area.
  • Proof of a valid Employer Identification Number (EIN) or Social Security Number (SSN), and State Sales Tax Number.

What happens if the packet submitted is incomplete?

If the packet submitted with the MV-427 form is incomplete, it will be rejected. The applicant will be notified of the deficiency through a letter, detailing the missing components that need to be addressed and resubmitted for the application to be processed further.

What information is needed if someone other than the owner or corporate officer is responsible for the station?

If an individual other than the owner or corporate officer is responsible for operating the inspection station, Section E of the MV-427 form must be completed. This section requires a separate document providing the designated person's name and driver's license number. If an out-of-state driver's license number is provided, the date of birth must also be included.

Is there a specific type of insurance required for the inspection station?

Yes, the inspection station must have a "Garage Keeper’s Legal Liability Policy" or equivalent, with a minimum coverage amount of $10,000.00. This insurance or bond must specifically include the station's name, physical location, coverage amount, and period of coverage. Additionally, PennDOT must be listed as the Certificate Holder with their address specified.

Where should the completed MV-427 packet be sent?

The completed MV-427 packet should be mailed or 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

How should the MV-427 form be filled out?

The MV-427 form should be completed using black ink, with all sections printed clearly or typed. It is crucial to provide accurate and complete information as providing false, inaccurate, or incomplete information automatically invalidates the inspection station certificate.

Common mistakes

Filling out the MV-427 PennDOT form can be complex, leading to common mistakes that can result in the rejection of the application. By understanding and avoiding these missteps, applicants can streamline their process. Below are four common mistakes:

  1. Combining Safety and Emissions Applications: One of the critical errors comes from applicants attempting to check both the safety and emissions boxes on the same MV-427 form. Each inspection type requires a separate form— one exclusively for safety and another solely for emissions. Failure to comply with this directive leads to application rejection.

  2. Incomplete Section E – Letter of Authority: If someone other than the owner or a corporate officer is responsible for the operation, their information must be accurately filled in Section E. Moreover, a common mistake is not including a separate document with the listed person’s name and driver’s license number if they aren't the owner or a corporate officer mentioned on the form MV-427A. This oversight is a significant reason for the rejection of applications.

  3. Incorrect or Missing Documentation: Applicants often overlook the requirement to attach necessary documentation, such as the Certificate of Liability Insurance or Bond and the MV-443 list of certified safety inspectors, including their inspector number. This documentation is crucial to verify the station's compliance with PennDOT's regulations.

  4. Failure to Use Black Ink and Clear Handwriting or Typing: The MV-427 form clearly instructs to complete the application in black ink and ensure all handwriting is clear, or alternatively, the form should be typed. Applications that do not adhere to these instructions risk being unreadable and, consequently, rejected.

By carefully reviewing and correctly completing the MV-427 PennDOT form as specified, applicants can avoid unnecessary delays or rejections in the approval process.

Documents used along the form

When assembling a station information packet alongside the MV-427 form for PennDOT, several additional forms and documents are typically necessary to fulfill the requirements for a safety and emission inspection station application. Understanding each document's purpose can streamline the application process and help ensure that all submissions are accurate and complete.

  • MV-427A: This form is essential for applicants seeking to operate both safety and emission inspection stations. It must be completed separately from the MV-427, with one form dedicated to safety and another for emissions.
  • MV-443: A list that includes the names and inspector numbers of all certified safety inspectors employed at the station, ensuring that all personnel are properly credentialed for the inspections they will perform.
  • Letter of Authority: If someone other than the owner or a corporate officer is operating the business, a Letter of Authority is required. It provides the designated individual’s name and driver's license number and confirms their authorization to operate the inspection station on behalf of the owner or corporation.
  • MV-500: A form required for inspection stations to record and keep track of all inspections performed, promoting accountability and transparency in vehicle inspections.
  • Certificate of liability insurance or bond: Proof of insurance or a bond, with a minimum value of $10,000, to cover any potential damages to vehicles during inspection. This document must clearly list the station name, location, coverage amount, and the coverage period to ensure full compliance.
  • Proof of valid Employer Identification Number (EIN) or Social Security Number (SSN) and State Sales Tax Number: Documents proving the business’s registration with federal and state tax authorities, confirming its legal operating status.

Together, these forms and documents complement the MV-427 form, creating a comprehensive application packet for inspection station applicants. Proper completion and submission of these documents support a smooth application process, facilitating the establishment of authorized safety and emission inspection stations in Pennsylvania.

Similar forms

  • The MV-427A form, similar to the MV-427, is required when applying for a safety and emission inspection station, necessitating careful completion to indicate the specific types of inspections the station intends to perform. Both forms are integral in the application process for inspection station certification, with the MV-427A acting as a supplementary document for additional details akin to the MV-427's initial information capture.

  • The MV-443 form, which lists certified safety inspectors including their inspector numbers, shares a common goal with the MV-427 form in ensuring the safety and compliance of vehicles. It complements the MV-427 by providing a roster of qualified individuals who can conduct the safety inspections the station is being certified to perform, making both documents crucial in establishing a station's eligibility and operational readiness.

  • A Certificate of Liability Insurance or bond, required alongside the MV-427, serves a similar purpose of guaranteeing a station's adherence to safety and financial responsibility standards. This document ensures compensation for any damages during an inspection, reflecting the MV-427's broader objective of maintaining high standards of safety and emissions inspections. Both documents together confirm the station's commitment to regulatory compliance and consumer protection.

  • The MV-500 form is akin to the MV-427 in that it is part of the broader framework of documents needed for the administration and regulation of vehicle inspection stations. While the MV-427 focuses on the application for becoming a designated inspection station, the MV-500 form may deal with specific facets of vehicle inspection operations, further integrating into the regulatory scheme that the MV-427 initiates. Each form plays a role in the comprehensive process of certifying and managing vehicle inspection stations.

Dos and Don'ts

When applying for an inspection station designation or updating an existing one using the MV-427 Penndot form, it is crucial to follow specific guidelines to ensure your application is processed smoothly and efficiently. Below are important dos and don’ts to keep in mind:

Do:

  • Fill out the MV-427 form using black ink, and ensure that the handwriting is legible or, preferably, type the information.

  • Complete separate MV-427 forms for safety inspection and emission inspection if you are applying for both, as checking both on the same form is not allowed.

  • Include a complete MV-443 list of certified safety inspectors, making sure to provide their inspector number.

  • Attach proof of a valid insurance policy or bond in the amount of at least $10,000 to cover any potential damage during vehicle inspections.

  • Ensure that all required documents, such as a copy of the lease or deed, recent utility bills, photos of the inspection areas, and valid EIN or SSN, are included in your packet.

  • Sign the application in the designated area (Section G) by the owner or corporate officer to authenticate the submission.

Don’t:

  • Do not attempt to apply for both safety and emission inspections on the same MV-427 form. Each type requires a separate form.

  • Avoid submitting incomplete information or leaving sections blank that are applicable to your station as this will lead to the rejection of your application packet.

  • Do not forget to provide a separate document with the name and driver’s license number for persons listed in section E who are not the owner or listed as an owner/corporate officer on form MV-427 or MV-427A.

  • Do not overlook the need to have PennDOT listed as the Certificate Holder on your insurance policy, using the provided address.

  • Refrain from providing false, inaccurate, or incomplete information within your application, as this automatically invalidates the certificate.

  • Avoid delaying the submission of your Federal ID number and State Sales Tax number. If not immediately available, mark “Applied For” in the appropriate boxes and submit the numbers to the Department once received.

Misconceptions

Misunderstandings abound when it comes to filling out official forms, particularly those as specific as the PennDOT MV-427 form used in Pennsylvania for inspection station applications. It's crucial to get the facts straight, as incorrect information can lead to delays or rejections of your application. Here, we'll dispel some common misconceptions about the MV-427 PennDOT form.

  • One form fits all applications: Many assume that a single MV-427 form can be used regardless of the inspection type they are applying for – be it safety, emission, or both. However, the truth is that separate forms must be completed for safety and emissions inspections. Marking both on the same form is a mistake that will lead to a rejected application.
  • Incomplete packs get processed with penalties: There's a misconception that if you submit an incomplete information packet, it will still be processed, but with penalties. Instead, incomplete packets lead to outright rejection. The applicant will be notified of the deficiencies and required to resubmit the complete packet.
  • Any insurance coverage is acceptable: Some believe that any form of insurance coverage is sufficient for the application. In reality, proof of a bond or insurance coverage of at least $10,000 specifically for compensation for vehicle damage during inspection is mandatory. This must include specific details like station name, location, and coverage period.
  • E-mail submission is an alternative: A few might think that e-mailing the completed MV-427 form and supplementary documents is an option. Though modern practices often allow for digital submissions, this packet should be mailed or emailed to the designated address as per the instructions with the correct attention to Troy Roadcap, Manager, reinforcing the importance of following specified submission guidelines.
  • Utility bills are optional: Overlooking the requirement of including the most recent electric and phone utility bills in the submission packet is common. These documents are, indeed, mandatory and serve as additional proof of the operational status and physical location of the business.
  • Photos of the premises are unnecessary: Another error is the assumption that providing photos of the inspection area, sticker security area, and office area is not required. These photos are essential to verify the adequacy of the facility for the intended services.
  • Any type of letter of authority will suffice: Some applicants might think that any form of a letter of authority is acceptable. However, if the person responsible for the operation isn’t listed on the MV-427 or MV-427A forms as an owner or corporate officer, a specific letter detailing their name and driver’s license number must be included.
  • A Social Security Number (SSN) is always needed: It’s commonly misconceived that an SSN is required in all circumstances. While a valid SSN or Employer Identification Number (EIN) is indeed necessary, either can be provided based on the nature of the entity applying.

Understanding the specifics of the MV-427 PennDOT form is crucial for all applicants. Clearing up these misconceptions can streamline the process, helping you to submit your application correctly the first time around. Remember, precision and attention to detail are your allies in fulfilling state regulatory requirements.

Key takeaways

When preparing to fill out and submit the MV-427 PennDOT form for the application or modification of a safety inspection station, here are several key points to keep in mind:

  • Ensure completeness of the application packet: To avoid rejection, verify that all required documents are included in your submission, as detailed on the Safety Station Application Checklist.
  • Dual applications for safety and emissions: If applying to become both a safety and emission inspection station, complete separate MV-427 forms for each type. Marking both on a single form can lead to application rejection.
  • Include a list of certified safety inspectors: The application must be accompanied by form MV-443, listing all certified safety inspectors associated with the station, along with their inspector numbers.
  • Proof of insurance or bond required: Attach a certificate of liability insurance or bond of at least $10,000 to cover potential damages to vehicles during inspections. This document must include specific details such as station name, location, coverage amount, and period.
  • Additional documentation: Alongside the MV-427 form, include relevant documents such as lease or deed copies, recent utility bills, interior and exterior photos of the inspection area, and evidence of a valid Employer Identification Number (EIN) or Social Security Number (SSN), and a State Sales Tax Number.
  • Accurate completion of form MV-427: Fill out the form carefully, using black ink and providing clear, accurate, and complete information to ensure its validity as your appointment certificate.
  • Changes in station details: The MV-427 form should be used not only for new inspection station applications but also for reporting any changes to existing stations, such as relocation, ownership changes, or updates after a suspension.
  • Signatures: The application must be signed by the owner or corporate officer. If Section E is completed – designating operational responsibility to another person – that individual also needs to sign the application.

By meticulously following these guidelines and ensuring all provided information is accurate and complete, applicants can streamline the approval process for their inspection station with PennDOT.

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