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The MV-402 form serves as an essential application for a Sun Screening Certificate of Exemption in Pennsylvania, specifically designed for vehicle owners seeking to legally use aftermarket sun screening products on their vehicles. This form is issued by the Pennsylvania Department of Transportation and requires detailed personal information from the applicant, including their full name, driver's license or business ID number, and contact information. Vehicle details are also crucial; applicants must provide specifics such as the make, year, VIN, and registration plate of the vehicle in question. The form includes sections that prompt applicants to indicate which windows are treated with sun screening and to confirm the dates of vehicle purchase and sun screening installation. Notably, if the sun screening was installed before the applicant's ownership, they must disclose that information. For those seeking an exemption due to medical reasons, a licensed physician or optometrist must complete a designated section, outlining the patient’s condition and suggested treatments. Ultimately, the MV-402 form not only facilitates compliance with Pennsylvania's vehicle regulations but also ensures that individuals with legitimate medical needs can benefit from necessary sun protection while driving.

Preview - Mv 402 Form

MV-402 (2-08)

Commonwealth of Pennsylvania

Department of Transportation

Vehicle Inspection Division

P.O. Box 68697

Harrisburg, PA 17106-8697

APPLICATION FOR SUN SCREENING CERTIFICATE OF EXEMPTION

FOR DEPARTMENT USE ONLY

THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY THE APPLICANT

1. Full Name

PA DL/Photo ID # or Bus. ID#

Date of Birth

Daytime Telephone #

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

2.

Street Address __________________________________________________________________________

 

City

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Vehicle for which application is being made. Make

 

 

 

 

 

 

Year

 

VIN

 

 

 

 

Registration Plate

 

 

 

Title Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

“PLACE X WHERE NEEDED”

Windshield

 

 

 

Driver Side: Left Front ______________

Left Rear ______________

Passenger Side: Right Front _____________

Right Rear _____________

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

 

Number of additional passenger side right-rear windows: __________________

 

 

 

Number of additional driver side left-rear windows: _______________________

 

 

5.

When did you purchase this vehicle?

Date _______________/________/____________

 

 

Month

Day

Year

6.

When was the sun screening installed?

Date _______________/________/____________

 

NOTE: To be approved for window darkening

Month

Day

Year

 

products, installation must have been prior to

 

 

 

 

September 8, 1984.

 

 

 

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

 

 

 

 

your ownership of the vehicle?

Yes _____________

No _______________

7. When was this vehicle first registered by you

 

 

 

 

in Pennsylvania?

Date _______________/________/____________

 

 

Month

Day

Year

8. What is the serial number of the current inspection

 

 

 

 

sticker displayed on this vehicle?

Number __________________________________

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

Vehicle Owner’s Signature ________________________________________________ Date _______________

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

REQUEST FOR MEDICAL EXEMPTION

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

(Please type or print)

PATIENT INFORMATION

Patient Name ___________________________________________ Daytime Telephone # _________________

Street Address _____________________________________________________________________________

City ___________________________________________________ State __________ Zip Code ___________

Brief Description of patients condition: ___________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Suggested Treatment(s): _____________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

PHYSICIAN/OPTOMETRIST INFORMATION

Physician/Optometrist Name ___________________________________________________

Business Affiliation (if any) _____________________________________________________

Business Address ____________________________________________________________

City ___________________________________________ State _____ Zip Code _________

Physician Telephone Number __________________________________________________

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

Signature _______________________________________ Date _____________________

THE REVERSE SIDE MUST BE COMPLETED BY THE VEHICLE OWNER

Document Specifics

Fact Name Details
Purpose The MV-402 form is used to apply for a sun screening certificate of exemption in Pennsylvania.
Eligibility Individuals and businesses can apply. Individuals must provide their Pennsylvania Driver’s License or Photo ID, while businesses must list their Business ID.
Installation Date For approval, the sun screening installation must have occurred prior to September 8, 1984.
Medical Exemption A licensed physician or optometrist must complete a section of the form if requesting an exemption due to a physical condition.
Governing Law The MV-402 form is governed by the Pennsylvania Vehicle Code, Title 75, Section 4524.

Mv 402: Usage Instruction

Completing the MV-402 form is an important step in obtaining a sun screening certificate of exemption. After filling out the form, you will need to submit it to the Pennsylvania Department of Transportation for processing.

  1. Provide your full name, PA Driver’s License or Photo ID number (or Business ID number if applicable), and your date of birth.
  2. Enter your street address, city, state, and zip code.
  3. Fill in the details of the vehicle for which you are applying: make, year, VIN, registration plate, and title number.
  4. Indicate which windows have aftermarket sun screening by placing an “X” in the appropriate boxes:
    • Windshield
    • Driver Side: Left Front, Left Rear
    • Passenger Side: Right Front, Right Rear
  5. If applicable, list the number of additional rear side windows for vans, station wagons, or buses.
  6. Provide the purchase date of the vehicle.
  7. Enter the installation date of the sun screening.
  8. If the installation date is unknown, indicate whether it was installed prior to your ownership.
  9. Provide the date when the vehicle was first registered in Pennsylvania.
  10. Enter the serial number of the current inspection sticker displayed on the vehicle.
  11. Sign and date the form, certifying that the information provided is true and correct.

If you are requesting a medical exemption, a licensed physician or optometrist must complete the designated section. Ensure that all required information is filled out accurately.

Learn More on Mv 402

What is the MV-402 form used for?

The MV-402 form is an application for a sun screening certificate of exemption in Pennsylvania. This certificate allows vehicle owners to use aftermarket sun screening products that would otherwise be prohibited under state law. The exemption is particularly relevant for individuals with medical conditions that require protection from ultraviolet rays.

Who needs to fill out the MV-402 form?

Anyone who wishes to install or maintain aftermarket sun screening on their vehicle may need to complete the MV-402 form. This includes individual vehicle owners and businesses. If the exemption is sought for medical reasons, a licensed physician or optometrist must also complete a section of the form to verify the medical condition.

What information is required on the MV-402 form?

The form requires several key pieces of information, including:

  • Your full name and Pennsylvania driver's license or business ID number.
  • Your street address, city, state, and zip code.
  • Details about the vehicle, such as make, year, VIN, and registration plate number.
  • Specifics about the windows with aftermarket sun screening.
  • Dates of vehicle purchase and sun screening installation.
  • The serial number of the current inspection sticker.

Additionally, if the exemption is for medical reasons, a physician or optometrist must provide information about the patient’s condition and suggested treatments.

How do I submit the MV-402 form?

Once you have completed the MV-402 form, you should submit it to the Pennsylvania Department of Transportation's Vehicle Inspection Division. The address is provided on the form itself. Ensure that all required signatures are included, especially if the vehicle is registered in more than one name.

What happens after I submit the MV-402 form?

After submission, the Department of Transportation will review your application. If approved, you will receive a sun screening certificate of exemption. Keep this certificate in your vehicle as it may be required during inspections or if questioned by law enforcement. If your application is denied, you will be notified, and you may have the option to appeal the decision.

Common mistakes

Filling out the MV-402 form can be a straightforward process, but many people make common mistakes that can delay their application. One frequent error is failing to provide the correct identification numbers. Applicants often confuse their Pennsylvania Driver's License number with their Business ID number. This can lead to confusion and rejection of the application. It's essential to double-check that the right number is listed in the appropriate section.

Another mistake involves incomplete information regarding the vehicle. Applicants sometimes forget to fill in critical details such as the Vehicle Identification Number (VIN) or the registration plate number. Omitting this information can hinder the processing of the application. Ensure that all vehicle details are accurately filled out, as this information is crucial for verification purposes.

Many applicants overlook the section about the installation date of the sun screening. If the sun screening was installed after September 8, 1984, the application may not be approved. Applicants should pay close attention to the dates they provide. If the installation date is unknown, it is vital to answer the follow-up question about whether the sun screening was installed before ownership.

Lastly, some people forget to sign the form or include the date of their signature. This may seem like a minor oversight, but it can lead to significant delays. The signature certifies that the information provided is true and correct. Without it, the application cannot be processed. Always remember to review the form for completeness before submission.

Documents used along the form

The MV-402 form is an important document used in Pennsylvania for individuals seeking a certificate of exemption for aftermarket sun screening on their vehicles. Along with the MV-402, several other forms and documents may be required or helpful during this process. Below is a list of these documents, each briefly described to provide clarity on their purpose.

  • MV-1 Application for Certificate of Title: This form is used to apply for a title for a vehicle. It provides essential information about the vehicle, including its make, model, and identification number, which is necessary for registration.
  • MV-4ST Application for Duplicate Title: If a vehicle title is lost or damaged, this form is required to request a duplicate title. It ensures that the vehicle owner can obtain a replacement title for legal ownership verification.
  • MV-120 Application for a Temporary Registration: This form allows vehicle owners to obtain a temporary registration for their vehicle, which is useful when waiting for permanent registration to be processed.
  • MV-70S Application for a Special Plate: Individuals who wish to apply for personalized or special license plates must complete this form. It includes options for various designs and customizations.
  • MV-300 Vehicle Registration Application: This document is used to register a vehicle in Pennsylvania. It collects information about the owner and the vehicle to ensure compliance with state laws.
  • MV-431 Application for a Certificate of Exemption: This form is specifically for individuals seeking an exemption from certain vehicle regulations. It details the reasons for the exemption request.
  • MV-78 Application for a Pennsylvania Driver's License or ID: This form is necessary for individuals applying for a driver's license or state-issued identification. It requires personal information and proof of residency.
  • Physician's Statement: When seeking a medical exemption for sun screening, a physician must provide a statement detailing the patient’s condition and the necessity for the exemption. This document supports the MV-402 application.
  • Proof of Insurance: A copy of the vehicle's insurance policy may be required to demonstrate that the vehicle is insured in compliance with Pennsylvania law.

Understanding these forms and documents can streamline the process of obtaining a sun screening certificate of exemption. Being prepared with the necessary paperwork will help ensure a smoother experience, allowing vehicle owners to focus on their needs rather than paperwork challenges.

Similar forms

The MV-402 form, used in Pennsylvania to apply for a sun screening certificate of exemption, shares similarities with the DMV Form VTR-271 used in Texas. Both documents require personal information from the applicant, including name, address, and identification numbers. Each form also necessitates details about the vehicle in question, such as the make, model, and identification numbers. Additionally, both forms include a section for the applicant to certify the accuracy of the information provided, underscoring the importance of honesty in the application process.

Another document comparable to the MV-402 is the Application for Special License Plates in various states. This application similarly collects personal information and vehicle details. Like the MV-402, it often requires a signature affirming that the information is true. The purpose of both forms is to grant specific exemptions or privileges related to vehicle registration, reflecting the applicant's unique circumstances or needs.

The Vehicle Registration Application form, commonly used across states, is also similar to the MV-402. Both documents ask for the applicant's name, address, and vehicle information. They serve as official requests to the state for permission to operate a vehicle legally. Each form requires the applicant to certify the truthfulness of the information provided, reinforcing the legal responsibility associated with vehicle ownership.

The Medical Exemption Application for various state programs aligns closely with the MV-402's medical exemption section. This document requires medical professionals to provide information about a patient's condition, similar to how the MV-402 requests a physician's certification for sun screening exemptions. Both forms emphasize the need for a licensed professional's input, highlighting the intersection of health and regulatory compliance.

Lastly, the Certificate of Exemption for Emissions Testing in some states bears resemblance to the MV-402. This certificate allows certain vehicles to bypass emissions testing requirements based on specific criteria. Both documents require detailed vehicle information and personal identification from the applicant. They also include a certification section where the applicant must affirm the accuracy of the information, reflecting a commitment to regulatory standards.

Dos and Don'ts

When filling out the MV-402 form, it’s essential to follow certain guidelines to ensure your application is processed smoothly. Here’s a list of what you should and shouldn’t do:

  • Do provide accurate information in all sections of the form.
  • Do include your Pennsylvania Driver’s License or Business ID number where indicated.
  • Do double-check the dates you enter, especially the purchase date and installation date.
  • Do sign the form to certify that the information is correct.
  • Don’t leave any required fields blank; incomplete forms may be rejected.
  • Don’t forget to include the serial number of your current inspection sticker.

By following these guidelines, you can help ensure that your application for a sun screening certificate is completed correctly and efficiently.

Misconceptions

Misconceptions about the MV-402 form can lead to confusion and mistakes in the application process. Here are seven common misconceptions, along with clarifications to help you understand the form better.

  • Only individuals can apply for the exemption. Many believe that only individual vehicle owners can submit the MV-402 form. In reality, businesses can also apply by providing their Business ID number.
  • All sun screening products are eligible for exemption. Some people think any sun screening product qualifies for exemption. However, the exemption is only valid for colorless products that filter ultraviolet rays.
  • The installation date of sun screening is irrelevant. Many applicants assume the installation date does not matter. In fact, the sun screening must have been installed before September 8, 1984, for approval.
  • Medical exemptions are not required. Some individuals think they can skip the medical exemption section if they have a physical condition. However, a licensed physician or optometrist must complete this section for a valid exemption.
  • Signature of one owner is enough. It's a common belief that only one owner's signature is needed if the vehicle is registered in multiple names. In truth, all owners must sign the form.
  • Providing inaccurate information is not serious. Some applicants underestimate the importance of accuracy. Misrepresenting facts on the form can lead to legal penalties and denial of the exemption.
  • The form can be submitted without a current inspection sticker. Many people think they can submit the MV-402 without the serial number of the current inspection sticker. This number is essential for processing the application.

Understanding these misconceptions can help ensure that your application for the MV-402 form is completed correctly and efficiently.

Key takeaways

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

  • Accurate Information is Crucial: Ensure that all personal and vehicle details, such as your full name, address, and vehicle identification number (VIN), are entered correctly. This helps avoid delays in processing your application.
  • Medical Exemption Requires Professional Input: If you are applying for a medical exemption, a licensed physician or optometrist must complete the relevant section. Their signature and details are necessary for validation.
  • Installation Date Matters: The date when the sun screening was installed is important. If it was installed before September 8, 1984, you may be eligible for exemption. Be prepared to provide this date accurately.
  • Signature Requirement: The vehicle owner's signature is mandatory. If the vehicle is registered in more than one name, all owners must sign the form. This confirms that the information provided is true and correct.