Homepage Blank Mv 427 Penndot Form
Outline

The MV-427 form, issued by the Pennsylvania Department of Transportation (PennDOT), is a crucial document for anyone looking to establish or modify a vehicle inspection station in Pennsylvania. This form serves as the official application for a new inspection station, as well as for changes to existing stations, such as changes in ownership or location. Completing the MV-427 accurately is essential, as any incomplete information can lead to rejection of the application. The form requires a variety of supporting documents, including proof of liability insurance, a list of certified safety inspectors, and details about the business itself. Applicants must also submit separate forms for safety and emissions inspections, ensuring that each application is specific to its purpose. Additionally, the form includes sections that outline the reasons for the application, the ownership structure of the business, and the necessary certifications. Proper completion of the MV-427 not only facilitates the application process but also ensures compliance with state regulations, ultimately allowing businesses to operate legally and safely.

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.

Form Information

Fact Name Details
Form Purpose The MV-427 form is used to apply for a new inspection station or to make changes to an existing station.
Separate Forms Requirement When applying for both safety and emission inspections, separate forms must be completed for each type.
Insurance Requirement A certificate of liability insurance or bond of at least $10,000 is required to cover damages during inspections.
Submission Method The completed application packet can be submitted via mail or email to the Pennsylvania Department of Transportation.
Governing Law The application is governed by the Vehicle Code, specifically 75 Pa.C.S. Sections 4721, 4723, and 3368.
Documentation Checklist Included items must be complete; otherwise, the application will be rejected and a notification will be sent.
Ownership Verification The application must be signed by the owner or a corporate officer, verifying the accuracy of the information provided.
Inspection Area Size Applicants must specify the size of the inspection area, detailing dimensions for each bay if applicable.

Detailed Guide for Filling Out Mv 427 Penndot

Completing the MV-427 form is an essential step in the application process for establishing or modifying an inspection station. To ensure that your application is processed smoothly, it is important to follow each step carefully. If any information is missing or inaccurate, your application may be rejected, and you will receive a notification detailing the deficiencies.

  1. Gather Required Documents: Collect all necessary documents listed in the Safety Station Application Check List, including proof of insurance, lease or deed, and utility bills.
  2. Complete Section A: Indicate the reason for your application by checking the appropriate box, such as "New Inspection Station" or "Change of Ownership."
  3. Fill Out Section B: Provide your business name, address, telephone number, owner's name, and driver's license number. If applicable, fill in the mailing address.
  4. Complete Section C: Indicate your business structure (sole proprietorship, partnership, or corporation), and provide your Federal ID number and State Sales Tax number. Specify the size of your inspection area and the type of vehicles you will inspect.
  5. Fill Out Section D: If you own other inspection stations, list their station numbers. If you are canceling a previous station, provide its name and number.
  6. Complete Section E: If someone other than the owner or corporate officer operates the business, this section must be filled out by the owner or corporate officer.
  7. Sign Section G: Ensure that the application is signed by the owner or corporate officer. If Section E was completed, the authorized person must also sign.
  8. Review the Application: Double-check all sections to ensure accuracy and completeness. Incomplete applications may be returned.
  9. Submit the Application: Mail or email the completed packet to the Pennsylvania Department of Transportation at the address provided.

After submitting your application, it will be reviewed by the appropriate authorities. If everything is in order, you will receive confirmation of your application. If there are any issues, you will be notified of what needs to be corrected. It is important to keep a copy of all submitted documents for your records.

Obtain Answers on Mv 427 Penndot

  1. What is the purpose of the MV-427 form?

    The MV-427 form is essential for individuals or businesses applying to become an official inspection station in Pennsylvania. This application is necessary for new stations or when changes occur at existing stations, such as a change of ownership or location. Completing this form accurately ensures that the applicant can receive an appointment certificate, which authorizes them to conduct vehicle inspections.

  2. What documents must be included with the MV-427 submission?

    When submitting the MV-427 form, it is crucial to include a comprehensive set of documents. The checklist includes:

    • Completed MV-427 and MV-427A forms (if applying for both safety and emissions inspections).
    • List of certified safety inspectors (MV-443).
    • Proof of liability insurance or bond, with coverage of at least $10,000.
    • Lease or deed for the inspection location.
    • Recent utility bills.
    • Photos of the inspection area.
    • Employer Identification Number (EIN) or Social Security Number (SSN).
    • State Sales Tax Number.

    Submitting incomplete information can lead to rejection of the application, so it is vital to ensure all required documents are included.

  3. How should the MV-427 form be completed?

    The MV-427 form must be filled out clearly and accurately. It is recommended to use black ink and print legibly or type the information. Each section of the form must be completed according to the instructions provided. If the application is filled out incorrectly or if false information is provided, it may invalidate the appointment certificate.

  4. What happens if my application is incomplete?

    If the application is found to be incomplete, the Pennsylvania Department of Transportation (PennDOT) will send a letter to the applicant detailing the deficiencies. This notification allows the applicant to correct the issues and resubmit the application. It is crucial to address these deficiencies promptly to avoid delays in obtaining the inspection station's approval.

  5. Can I apply for both safety and emissions inspections with one MV-427 form?

    No, it is important to complete separate forms for safety and emissions inspections. The MV-427 form should only specify one type of inspection. If both types are needed, the applicant must submit one form for safety and another for emissions. This separation ensures clarity in processing the application.

  6. Where should I send my completed MV-427 application?

    The completed MV-427 application and all accompanying documents 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: [email protected]

    Ensuring that the application is sent to the correct address is vital for timely processing.

Common mistakes

Filling out the MV-427 PennDOT form can be straightforward, but there are common mistakes that applicants often make. These errors can lead to delays or even rejection of the application. Understanding these pitfalls can help ensure a smoother submission process.

One frequent mistake is checking both safety and emissions on the same form. Each application must be submitted separately for safety and emissions. Failing to adhere to this requirement will result in the application being returned. It is crucial to remember that one form should only specify safety or emissions, not both.

Another error involves incomplete documentation. Applicants sometimes forget to include essential items, such as the MV-443 list of certified safety inspectors or proof of liability insurance. Incomplete packets will be rejected, and the applicant will receive a notification detailing the deficiencies. Ensuring that all required documents are included is vital.

Many applicants also overlook the need for a valid Employer Identification Number (EIN) or Social Security Number (SSN). This information is mandatory for the application to be processed. Missing this detail can lead to significant delays, as the application cannot move forward without it.

Additionally, providing inaccurate information can invalidate the application. This includes incorrect driver’s license numbers or business addresses. Double-checking all entries for accuracy before submission is essential. Even a small mistake can lead to complications.

Some applicants fail to specify the correct ownership class, such as sole proprietorship, partnership, or corporation. This classification is crucial for processing the application correctly. Misidentifying the ownership structure can result in further inquiries or rejection.

Another common oversight is not including a valid Certificate of Liability Insurance or bond. This proof must meet specific requirements, including the amount of coverage and listing PennDOT as the certificate holder. Failure to provide this documentation can halt the application process.

Lastly, applicants sometimes neglect to sign the application. The form must be signed by the owner or a corporate officer at the time of submission. Without a signature, the application is considered incomplete and will not be processed.

By being aware of these common mistakes, applicants can improve their chances of a successful application. Taking the time to carefully review the form and accompanying documents will help ensure that everything is in order before submission.

Documents used along the form

When applying for an inspection station in Pennsylvania, it is essential to have the right documentation in place. Along with the MV-427 form, several other forms and documents are often required. These documents help ensure that the application process runs smoothly and meets all regulatory requirements.

  • MV-427A: This form is a supplemental application that must be completed if the station is applying for both safety and emissions inspection. Each type of inspection requires a separate form to avoid confusion.
  • MV-443: This document is a list of certified safety inspectors. It should include the inspector numbers for all personnel authorized to perform inspections at the station.
  • MV-500: This form is used to provide additional information about the business and its ownership structure. It is crucial for verifying compliance with state regulations.
  • Certificate of Liability Insurance or Bond: Proof of insurance or a bond of at least $10,000 is required. This document protects against potential damages to vehicles during inspections and must specify the station's name and coverage details.
  • Lease or Deed: A copy of the lease agreement or property deed is necessary to confirm the physical location of the inspection station. This document must show that the station has the right to operate at the specified address.

Having these documents prepared and organized can significantly enhance the chances of a successful application. Ensuring that all information is accurate and complete will help avoid delays and potential rejections from the Pennsylvania Department of Transportation.

Similar forms

  • MV-427A: This form is a supplemental application that must be completed alongside the MV-427 when applying for both safety and emission inspections. It ensures that all necessary information is collected for each type of inspection, similar to how the MV-427 serves as the primary application for an inspection station.
  • MV-443: This document lists certified safety inspectors and includes their inspector numbers. Like the MV-427, it is essential for verifying qualifications and ensuring compliance with safety standards for inspection stations.
  • MV-500: This form is used to provide additional information regarding the inspection station's operations. It parallels the MV-427 by serving as a means to gather crucial operational details that support the application process.
  • Certificate of Liability Insurance or Bond: This document provides proof of insurance or a bond covering damages during inspections. Similar to the MV-427, it is a critical requirement for operating an inspection station, ensuring financial responsibility.
  • Lease or Deed: This document verifies the physical location of the inspection station. It is akin to the MV-427, as both require accurate information about the station's operational base to maintain compliance with regulations.
  • Utility Bills: Recent utility bills are needed to confirm the operational status of the inspection station. This requirement is similar to the MV-427, as both documents aim to establish the legitimacy and ongoing operation of the business.

Dos and Don'ts

When filling out the MV-427 PennDOT form, it is important to follow specific guidelines to ensure successful submission. Below is a list of what to do and what to avoid.

  • Do: Complete separate forms for safety and emissions inspections. Do not check both on one form.
  • Do: Include all required documentation, such as proof of insurance and a list of certified safety inspectors.
  • Do: Use black ink and print clearly or type the information on the form.
  • Do: Verify that all information is accurate and complete before submission to avoid rejection.
  • Don't: Submit incomplete applications. Missing information will lead to rejection.
  • Don't: Use a post office box as the business address; a physical street address is required.
  • Don't: Forget to sign the application. An unsigned application will not be processed.
  • Don't: Provide false or inaccurate information. This can invalidate the application.

Misconceptions

Misconception 1: The MV-427 form can be used for both safety and emissions inspections on the same application.

This is incorrect. You must complete separate forms for safety and emissions inspections. Each form should only specify one type of inspection.

Misconception 2: You only need to submit the MV-427 form when applying for a new inspection station.

The MV-427 form is also required when there are changes to an existing station, such as a change of location or ownership.

Misconception 3: All required documents can be submitted at any time after the MV-427 form is completed.

All required documents must be included with the station information packet upon submission. Incomplete packets will be rejected.

Misconception 4: A letter of authority is not necessary if the person operating the station is not listed as an owner.

If the person in charge is not listed as an owner or corporate officer, a separate document must be included to provide their name and driver’s license number.

Misconception 5: Proof of insurance or bond is optional for the MV-427 application.

Proof of insurance or a bond in the amount of at least $10,000 is mandatory. This coverage must be specifically for damages during inspections.

Misconception 6: Utility bills are not required for the application process.

Recent copies of utility bills, such as electric and phone bills, must be submitted with the application.

Misconception 7: The application can be submitted without a valid Employer Identification Number (EIN) or Social Security Number (SSN).

A valid EIN or SSN is required for the application to be processed. If you do not have one, you must indicate "APPLIED FOR" in the appropriate section.

Key takeaways

Key Takeaways for Completing the MV-427 PennDOT Form

  • Ensure all required documents are included in your application packet. Incomplete submissions will be rejected, and you will receive a letter detailing the missing information.
  • Do not combine applications for safety and emissions inspections on the same form. Each type of inspection requires a separate MV-427 form.
  • Provide accurate and complete information. Any false or incomplete details can invalidate your application, leading to delays or rejections.
  • Mail or email your completed application to the Pennsylvania Department of Transportation. Use the specified address to avoid processing issues.