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The MV-427 form, utilized by the Pennsylvania Department of Transportation (PennDOT), plays a crucial role in the establishment and operation of vehicle inspection stations within the state. This form is essential for both new applications and modifications to existing stations, such as changes in ownership or location. It encompasses a comprehensive checklist that applicants must adhere to in order to ensure their submission is complete. Key components of the MV-427 include the necessity for separate forms for safety and emissions inspections, as well as the requirement for various supporting documents, including proof of liability insurance, a valid Employer Identification Number (EIN), and a list of certified safety inspectors. Incomplete applications will lead to rejection, with applicants receiving notification of any deficiencies. The form also outlines specific sections that require detailed information about the business, including ownership structure, inspection area size, and the types of vehicles to be inspected. By carefully following the instructions provided, applicants can facilitate a smoother approval process and secure their appointment as an official inspection station.

Preview - 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.

Document Specifics

Fact Name Details
Form Purpose The MV-427 form is used to apply for a new inspection station or to report changes to an existing station, such as ownership or location changes.
Required Documents Applicants must submit a complete packet that includes various documents, such as proof of insurance, a lease or deed, and a list of certified safety inspectors.
Separate Forms for Inspections If applying for both safety and emission inspections, separate MV-427 forms must be completed for each type, as they cannot be combined.
Insurance Requirement A certificate of liability insurance or bond of at least $10,000 is required to cover potential damages during inspections.
Submission Method Completed applications can be mailed or emailed to the Pennsylvania Department of Transportation's Vehicle Inspection Division.
Governing Laws The application process is governed by the Vehicle Code, specifically 75 Pa.C.S. Sections 4721, 4723, and 3368.
Consequences of Inaccuracy Providing false or incomplete information on the MV-427 form can lead to automatic invalidation of the application and potential penalties.

Mv 427 Penndot: Usage Instruction

Completing the MV-427 form is a critical step when applying for a new inspection station or making changes to an existing one. This process requires careful attention to detail, as any omissions or inaccuracies may lead to delays or rejection of your application. Ensure that all required documentation is gathered and submitted along with the form to avoid complications.

  1. Begin by obtaining the MV-427 form from the Pennsylvania Department of Transportation (PennDOT) website or your local office.
  2. Use black ink and print clearly or type your responses throughout the form.
  3. In Section A, select the appropriate reason for your application. Options include new inspection station, change of ownership, or change of location, among others. Write your reason in the designated block.
  4. Move to Section B. Fill in your business name and address, ensuring that you provide a street address rather than a P.O. Box. Include your business telephone number and the owner’s name. If applicable, add the mailing address if it differs from the business address.
  5. In Section C, indicate the type of ownership (sole proprietorship, partnership, or corporation) and provide your Federal ID number and State Sales Tax number. If you have not received these numbers yet, you can write "APPLIED FOR" in the spaces provided.
  6. Also in Section C, specify the size of the inspection area and the category of your business. Check the appropriate box for the types of vehicles you will be inspecting.
  7. Section D requires information about any other inspection stations you own. Provide the station numbers and names as necessary.
  8. Complete Section E only if someone other than the owner or corporate officer will operate the business. Ensure that all parts are printed clearly except for the signature.
  9. In Section F, do not write anything; this section is reserved for department use only.
  10. Sign and date the application in Section G. The signature must be from the owner or corporate officer, or the authorized person if Section E has been completed.
  11. Gather all required documents, including proof of insurance, lease or deed, utility bills, and photographs of the inspection area.
  12. Submit the completed application packet, including the MV-427 form and all supporting documents, to the address provided by PennDOT.

Learn More on Mv 427 Penndot

What is the MV-427 form and when do I need to use it?

The MV-427 form is an application used to apply for a new inspection station or to report changes to an existing station, such as a change of location, ownership, or reappointment after a suspension. If you are starting a new inspection station or if your current station has undergone any significant changes, you will need to complete this form. It is crucial to ensure that all required information is accurately filled out to avoid delays in processing your application.

What documents must I include with my MV-427 application?

When submitting your MV-427 application, you need to include several important documents. Here’s a checklist to help you:

  1. Completed MV-427 form.
  2. Completed MV-427A form if applying for both safety and emissions inspections.
  3. List of certified safety inspectors (MV-443).
  4. Proof of liability insurance or bond, with coverage of at least $10,000.
  5. Copy of lease or deed for the inspection location.
  6. Recent utility bills (electric and phone).
  7. Photos of the inspection area and office.
  8. Valid Employer Identification Number (EIN) or Social Security Number (SSN).
  9. Valid State Sales Tax Number.

Make sure to double-check that all documents are included. If any information is missing, your application may be rejected, and you will receive a letter notifying you of the deficiency.

How do I ensure my application is complete and accurate?

To ensure that your application is complete, follow these steps:

  • Carefully read the instructions provided with the MV-427 form.
  • Use black ink and print clearly or type your responses.
  • Double-check that all required fields are filled out, including ownership details and inspection area size.
  • Verify that all necessary supporting documents are attached.
  • If you are unsure about any part of the application, consider reaching out to the Pennsylvania Department of Transportation for clarification.

Completing these steps can help prevent delays in processing your application.

What happens if my application is rejected?

If your application is rejected due to incomplete information or missing documents, you will receive a notification letter from the Pennsylvania Department of Transportation. This letter will outline what is deficient in your application. You will need to address these issues and resubmit your application promptly. It is essential to act quickly to avoid any potential disruptions to your business operations.

Where do I send my completed MV-427 application?

Your completed MV-427 application, along with all supporting 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]

Make sure to include all required documents to facilitate a smooth review process.

Common mistakes

Filling out the MV-427 form can be a straightforward process, but many applicants make common mistakes that can lead to delays or outright rejection of their application. Understanding these pitfalls can help ensure a smoother submission process.

One frequent error is checking both safety and emissions on the same form. Applicants must remember that each type of inspection requires a separate MV-427 form. This means if you're applying for both, you need to submit two distinct forms—one for safety and another for emissions. Failing to do this can result in immediate rejection of your application.

Another common mistake involves the omission of required documents. The checklist included with the application specifies numerous items that must be submitted, such as proof of liability insurance, utility bills, and photos of the inspection area. If any of these documents are missing, the application will be deemed incomplete, and a letter will be sent notifying the applicant of the deficiency.

Some applicants also neglect to provide accurate information regarding ownership and authority. If the person listed in Section E as the responsible party is not the owner or corporate officer, a separate document must be submitted that includes their name and driver’s license number. This oversight can easily lead to confusion and delays in processing.

Providing incorrect or outdated identification numbers is another pitfall. Applicants must ensure that their Federal ID number and State Sales Tax number are current. If you have applied for these numbers but have not yet received them, it’s crucial to write “APPLIED FOR” in the appropriate sections. Not doing so can result in unnecessary complications.

Lastly, many people fail to follow the instructions regarding how to complete the form. Using black ink and printing clearly are essential for legibility. If the application is difficult to read, it could be rejected simply because the information cannot be accurately interpreted. Taking the time to ensure clarity can save applicants from future headaches.

Documents used along the form

The MV-427 PennDOT form is an essential document for applying to operate a vehicle inspection station in Pennsylvania. Alongside this form, several other documents are typically required to ensure a complete application. Below is a list of these documents, each with a brief description.

  • MV-427A: This supplemental form must be completed when applying for both safety and emissions inspection stations. Two separate forms are required for each type of inspection.
  • MV-443: This document lists certified safety inspectors associated with the inspection station. It must include the inspector's number for verification purposes.
  • Letter of Authority: If a person listed in Section E of the MV-427 is not an owner or corporate officer, a separate document must be provided. This document should include the individual's name and driver's license number.
  • MV-500: This form may be required for specific applications related to the inspection station's operations. It provides additional information as needed.
  • Certificate of Liability Insurance or Bond: Proof of insurance or a bond of at least $10,000 is necessary. This document must detail the station name, physical location, coverage amount, and period.
  • Lease or Deed: A copy of the lease or deed for the property where the inspection station will operate must be submitted to confirm the location.

Submitting these documents along with the MV-427 form helps ensure a smooth application process. Incomplete applications may lead to delays or rejections, so careful attention to detail is crucial.

Similar forms

The MV-427 form is similar to the MV-427A form in that both documents are essential for applying to operate an inspection station in Pennsylvania. The MV-427A serves as a supplemental application that provides additional information about the owners, partners, or corporate officers involved with the inspection station. While the MV-427 focuses on the primary application details, the MV-427A requires specific identification numbers and personal information of all individuals involved, ensuring that the Department of Transportation has a comprehensive understanding of who is operating the station.

The MV-443 form is another related document, as it provides a list of certified safety inspectors associated with the inspection station. This document must be included with the MV-427 application to demonstrate that the station employs qualified personnel. The MV-443 ensures compliance with state regulations by confirming that only certified inspectors perform vehicle inspections, thereby maintaining safety standards across the board.

The MV-500 form also parallels the MV-427 in its purpose of facilitating vehicle inspections. This form is used for reporting any issues or incidents that occur during the inspection process. Including the MV-500 with the MV-427 application helps the Department of Transportation track inspection-related incidents and maintain accountability within the inspection process.

Another important document is the Certificate of Liability Insurance or Bond. This document is crucial for proving that the inspection station has adequate insurance coverage to protect against damages that may occur during inspections. The requirement for a minimum coverage amount of $10,000 ensures that both the station and the clients are safeguarded, similar to how the MV-427 ensures that all operational aspects of the station are compliant with state regulations.

The lease or deed document is necessary for establishing the physical location of the inspection station. This document confirms that the station has a legitimate place of business, which is a requirement for the MV-427 application. By providing proof of the property, the applicant demonstrates their commitment to operating a legal and functional inspection station.

Utility bills, such as recent electric and phone bills, serve to verify the operational status of the inspection station. These documents are necessary for the MV-427 application to confirm that the business is active and can sustain its operations. This requirement ensures that only functioning inspection stations are granted approval, thereby upholding the integrity of the inspection process.

Photos of the interior and exterior of the inspection area are also required. These images provide visual evidence of the station's setup and security measures, which are essential for compliance with safety regulations. By including these photos with the MV-427 application, the applicant allows the Department of Transportation to assess the station's readiness for inspections.

The requirement for a valid Employer Identification Number (EIN) or Social Security Number (SSN) is another critical aspect of the MV-427 application. This number is necessary for tax purposes and helps the Department ensure that the inspection station is operating within the legal framework. The EIN or SSN links the business to its owners, further establishing accountability.

The State Sales Tax Number is similarly important, as it indicates that the inspection station is compliant with state tax regulations. This requirement aligns with the MV-427’s goal of ensuring that all aspects of the inspection station's operations are legally sound and transparent, contributing to the overall trustworthiness of the inspection process.

Lastly, the application for a change of ownership or location must be documented properly. This requirement ensures that any transitions within the inspection station's management or operational base are officially recognized. By documenting these changes through the MV-427, the Department of Transportation can maintain accurate records and oversight of inspection stations across the state.

Dos and Don'ts

When filling out the MV-427 PennDOT form, keep these important tips in mind:

  • Ensure you complete separate forms for safety and emissions inspections; do not check both on one form.
  • Use black ink and print clearly or type your responses to avoid any confusion.
  • Double-check that all required documents, like proof of insurance and utility bills, are included with your application.
  • Provide accurate information; incorrect or incomplete details can lead to rejection of your application.
  • Mail or email the completed packet to the correct address, ensuring it reaches the right department.
  • Keep copies of all submitted documents for your records.

Avoid these common mistakes:

  • Do not use a post office box as your business address; it must be a street address.
  • Do not submit forms without the necessary signatures; they must be signed by the owner or corporate officer.
  • Do not forget to include a valid Employer Identification Number (EIN) or Social Security Number (SSN).
  • Do not assume your application will be accepted without verifying that all sections are completed correctly.
  • Do not provide false information; this can invalidate your application.
  • Do not neglect to check the specific requirements for your type of inspection station.

Misconceptions

  • Misconception 1: The MV-427 form can be used for both safety and emissions inspections on the same application.
  • This is incorrect. Applicants must complete separate forms for safety and emissions inspections. Checking both options on a single form will result in rejection.

  • Misconception 2: Only one form MV-427A is required, regardless of the number of inspections.
  • In fact, two separate forms must be completed if the applicant is applying for both safety and emissions inspections. Each type requires its own documentation.

  • Misconception 3: A copy of the lease or deed is optional when applying for an inspection station.
  • This is not true. A copy of the lease or deed is a mandatory requirement and must be included in the application packet.

  • Misconception 4: Providing proof of insurance is not necessary if the station has a bond.
  • This is misleading. The application requires either a certificate of liability insurance or a bond, but not both. The applicant must choose one and provide the necessary documentation.

  • Misconception 5: Utility bills are not needed if the station has been operating for a long time.
  • This is incorrect. Recent utility bills must be included, regardless of how long the station has been in operation. This is to verify the current operational status of the business.

  • Misconception 6: The application can be submitted without the owner's driver’s license number.
  • This is not allowed. The owner’s driver’s license number is a required piece of information on the MV-427 form and must be provided for the application to be valid.

  • Misconception 7: An Employer Identification Number (EIN) is not necessary for sole proprietorships.
  • This is misleading. Even sole proprietorships must have a valid EIN or Social Security Number to complete the application process.

  • Misconception 8: The application can be submitted via any method, including in-person delivery.
  • This is not accurate. The completed application must be mailed or emailed to the specified address in the guidelines, ensuring it reaches the Pennsylvania Department of Transportation Vehicle Inspection Division.

Key takeaways

When filling out and using the MV-427 PennDOT form, it’s essential to follow specific guidelines to ensure a smooth application process. Here are some key takeaways to keep in mind:

  • Separate Forms for Different Inspections: If applying for both safety and emissions inspections, you must fill out two separate MV-427 forms. Do not check both safety and emissions on the same form.
  • Complete the Application Packet: Ensure that all required documents are included in your submission. An incomplete packet will lead to rejection and a notification letter regarding any deficiencies.
  • Proof of Insurance: Attach a certificate of liability insurance or a bond of at least $10,000. This must include the station name, physical location, coverage amount, and period.
  • Provide Accurate Information: Fill out the form using black ink and print clearly. Any false or incomplete information will invalidate your application.
  • Include Utility Bills: Recent copies of utility bills, such as electric and phone bills, must be submitted to verify the business address.
  • Photographic Evidence: Include photos of both the interior and exterior of the inspection area, sticker security area, and office area to support your application.
  • Employer Identification Number (EIN): Ensure you have a valid EIN or Social Security Number (SSN) to complete the application process.
  • Mailing Instructions: Submit the completed packet to the Pennsylvania Department of Transportation, Vehicle Inspection Division, ensuring it is directed to the appropriate manager.

Following these guidelines will help streamline your application process and increase the likelihood of approval for your inspection station.