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The MV-427 PennDOT form plays a critical role for businesses seeking designation as safety inspection stations in Pennsylvania. This comprehensive form, integral to the application process, demands meticulous completion to ensure a station's eligibility for conducting vehicle safety and emission inspections. Applicants must navigate through a checklist, ensuring all pertinent documentation accompanies their submission, including separate MV-427 forms for safety and emission inspections, the MV-427A for additional inspection station applications, and a detailed list of certified safety inspectors. Crucial to this process are proofs of insurance or bonding, evidencing financial responsibility for any potential vehicle damages during inspections, and several business verification documents like lease agreements, utility bills, and valid tax identification numbers. This form not only facilitates the operational needs of an inspection station but also aligns with PennDOT's stringent requirements for station appointment and maintenance, necessitating a clear understanding of its sections, from business information to certification by the owner or a corporate officer, to ensure compliance and secure an official appointment as an inspection station. Navigating the complexities of Form MV-427 requires attention to detail and an understanding of the regulatory landscape governing vehicle inspections in Pennsylvania.

Form Preview Example

Safety Station Application Check List

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

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

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

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

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

☐MV-500

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

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

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

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

☐Copy of lease or deed

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

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

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

☐Must have a valid State Sales Tax Number

The completed packet should be mailed/emailed to:

Pennsylvania Department of Transportation

Vehicle Inspection Division

P O Box 68696

Harrisburg, PA 17106-9003

ATTN: Troy Roadcap, Manager

EMAIL: stationappointments@pa.gov

MV- 4 2 7

I NSPECTI ON STATI ON APPLI CATI ON

I NSTRUCTI ONS

USE: This application should be completed when applying for a new inspection station, and when any changes occur to an existing station, such as; change of location, change of ownership, and reappointment after a suspension, etc.

COMPLETI ON OF FORM: When properly completed and approved, this application will serve as your appointment certificate. Please use black ink and print clearly or type. PROVI DI NG FALSE, I NACCURATE, OR I NCOMPLETE I NFORMATI ON WI THI N THE APPLI CATI ON AUTOMATI CALLY I NVALI DATES THI S CERTI FI CATE.

Section A: I ndicate the reason for this application.

•New inspection station: A business which is not currently an inspection station.

•Reappoint After Cancel: A previously cancelled station reopens. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) NOT APPLI CABLE FOR PREVI OUS ENHANCED EMI SSI ON STATI ONS.

•Reappointment after Suspension: A business that had its inspection privileges suspended and wishes to reopen as an inspection station after the suspension has been served.

•Change of Location: An existing inspection station that is moving to a new location or is remodeling the existing location to provide additional space.

•Change of Ownership: When a new owner(s) takes over an existing inspection station or when a corporation changes President and the person was never listed as a Corporate Officer in the past. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” )

•Change of Authority: When a person in charge of an inspection station changes, but the ownership of the company remains the same. ( Section E should be completed at this time.)

•Change of Mailing Address: When a business wants to update an existing mailing address that is different than the physical location.

•Add Mailing Address: When a business wants its mail to be delivered to an address other than the physical location of the garage. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Delete Mailing Address: when a business wants to delete an existing mailing address other than its physical location. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Change of address by Post Office: When the business address of the station is being changed by the United States Post Office, or other agency.

•Company to Corporation: A sole proprietorship or partnership incorporates. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Change of Trade Name: An existing inspection station making a name change only. (See Company to Corporation above it the station is incorporating) .

•Adding or changing a station type: When a general station adds motorcycle, a fleet station changes to a general station and vice versa. (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

•Add or Drop Partner: When a business adds or drops a partner(s) . (WRI TE THI S REASON I N THE BLOCK MARKED “ OTHER” ) .

Section B: Complete this section with the following information.

•Business name: I ndicate the name under which you will operate. (list both names is you trade under a

different name; ie. Smith’s Garage, inc. T/ A Mike Smith Automotive.

•Business address: I ndicate the actual location of the business. Must be a street address, no post office boxes in this space. I f you want to use a PO Box, complete the mailing address box in this section.

•Telephone number: Provide the business telephone number including area code.

• Ow ner’s name: List the owner of the business. I f business is a partnership list on partner. I f the business is a corporation, list a corporate officer. A regional or district manager is also acceptable.

•Driver License# : Provide the owner’s driver’s license number. I f license is issued from a state other than

Pennsylvania, please list the correct state abbreviation after the operator number: e.g., 123038483949 NJ (for operator number from New Jersey) .

•Mailing address ( if different from the business address) : May be indicated in the space provided. I f you wish to receive mail from the Department at your business address, the mailing address segment of Section B should remain blank.

Section C: This section provides additional information about your business.

•I ndicate if you are the sole proprietor, a partnership, or a corporation. (Commonwealth stations should check corporation) .

•I ndicate your Federal I D number and Sate Sales Tax number in the appropriate boxes. I f you have submitted applications to these agencies and have not received your identification numbers, you may write “ APPLI ED FOR” in the appropriate boxes, and then submit your number(s) to the Department when they are received.

•I ndicate the size of the I nspection area where inspection are performed (ie. 22ft x 28 ft or if more than one bay, e.g., Bay 1 22ft x 28 ft Bay 2 22ft X 62 ft, etc.)

•I ndicate the one category most appropriate for your business.

•I ndicate the type(s) of station you wish to operate which should coincide with the type(s) of vehicles you will be inspecting. I f applying for a safety station and an emission station you must complete a separate application for each type. (Do not mark safety and emission on the same application) .

•I ndicate the type(s) of station you wish to operate and check the appropriate box(es) for any type(s) of vehicles you will be inspecting at your business.

Section D: First section should be completed when you own another inspection station. Second section should be completed when you need to cancel a previous inspection station.

•First Section – Provide the station number(s) of other station(s) you own.

•Second Section – Provide the current station number and/ or name of station being cancelled due to change of location, change of ownership or change of station type, ie. Fleet to General.

Section E: This section should be completed by the owner or a corporate officer ONLY when a person OTHER THAN an owner or a corporate officer is responsible for operating the business in the owner/ corporate officer’s behalf.

I MPORTANT: PRI NT ALL PARTS OF SECTI ON E, EXCEPT for the signature of the owner/ corporate officer.

Section F: DO NOT WRI TE I N THI S SPACE.

Section G: The application must be signed by the owner/ corporate officer at the time of application submission. I N THOSE CASES WHERE SECTI ON E HAS BEEN COMPLETED, THE PERSON AUTHORI ZED BY THE OWNER/ CORPORATE OFFI CER MUST SI GN THE APPLI CATI ON.

 

MV-427 (2-08)

 

 

 

 

 

 

 

INSPECTION STATION

 

 

FORDEPARTMENTUSEONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE TYPE OR PRINT CLEARLY.

 

 

 

CERTIFICATE OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INCIDENT# ____________________________

 

THIS APPLICATION WILL SERVE AS

 

 

 

 

APPOINTMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YOUR CERTIFICATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

CHECK ✔ THE PROPER BLOCK:

 

 

❑New Inspection Station

 

 

❑Re-appointment after suspension

 

❑Change of Location

 

❑ Change ofAuthority within a Company or a Corporation

 

❑Change of MailingAddress

❑Change ofAddress by Post Office

 

❑ Change of Trade Name

 

 

❑ Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

NAME AND ADDRESS OF BUSINESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business StreetAddress

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone #

 

Owner’s Name

 

 

 

 

 

 

 

 

Driver’s License #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MailingAddress (if different than above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

BUSINESS INFORMATION

CHECK ✔ OWNERSHIP CLASS:

❑Sole Proprietorship (A)

❑ Partnership (B) ❑Corporation (C)

 

Federal ID #

 

 

 

 

State Sales Tax #

 

 

 

 

 

Size of InspectionArea

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Category ✔ Check One:

❑Garage (A)

 

❑Manufacturer (E)

 

❑Gas Station (B)

 

❑New Dealer (C)

 

❑Used Dealer (D)

 

Station Type: ❑Motorcycle (A)

 

 

 

 

❑Fleet (C)

 

 

 

 

❑General (E)

 

❑Enhanced Safety

 

❑Commonwealth (F)

 

 

 

 

❑Emission (X)

 

❑Trailer (D)

 

 

Inspection (J)

 

Type of vehicles you will be inspecting:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

❑Passenger Cars

 

 

❑Light Trucks

 

❑Trailers 10,000 lbs or less

 

 

❑Trucks over 17,000 lbs.

 

❑ Buses

 

 

❑Motorcycles

 

❑Trailers over 10,000 lbs.

 

 

❑Trucks 17,000 lbs. or less

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

Station number of other Station(s) presently owned:

 

 

 

Station number and/or name of current Inspection Station:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

LETTER OF AUTHORITY

 

 

 

F

 

 

 

CERTIFICATION

 

Thisletterauthorizes_______________________________________

 

 

Certificate ofAppointment as an Official Inspection Station

 

 

(Print Name of person signing the application)

 

 

 

 

Pursuant to the provisions of the Vehicle Code, 75 Pa.C.S. Sections 4721,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4723 or 3368,Act of June 17, 1976, No. 81, as amended.

 

________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Title)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

residing at _______________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(home street address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

________________________________________________________

 

 

 

(NOT VALID WITHOUT SEAL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(city/town)

 

(county)

 

 

 

(state)

(zip)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to be responsible for all inspection operations performed at the above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

station.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________________________________ _______________

 

 

This certificate may be suspended or cancelled at any time if the provisions

 

 

 

of the Vehicle Code or the inspection regulations are not being complied

 

(Signature of owner or officer)

 

 

 

 

 

 

 

 

(Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

with or if the business is being improperly conducted.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_______________________________________

 

 

 

 

 

Any change at a designated Official Inspection Station automatically

 

(Title)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

invalidates this Certificate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G

Application Date:

 

 

 

 

 

 

 

Appointment Date:

 

 

 

 

Inspection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Iverifythatthefactssetforthonthisapplicationwerecheckedafterthecompletionoftheformandaretrueandcorrect.Thisverificationismadesubject

 

to the penalties of Section 4904 of the Crimes Code (18 Pa.C.S. § 4904) relating to Unsworn falsification to authorities.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department Investigator:

 

 

 

 

 

 

 

 

 

 

Troop/Station

 

 

 

 

 

 

Badge #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WHITE - Business Copy

YELLOW - Bureau of Motor Vehicles Copy

PINK - Investigator Copy

MV-427A (4-12)

Station Application

Supplemental Information

For Department Use Only

ATTACHMENT 1

PLEASE TYPE OR PRINT CLEARLY

A.STATION NAME: _____________________________________________________________________________________

B.INSURANCE ACKNOWLEDGEMENT:

I understand that a bond or certificate of insurance in the amount of $10,000 is required for each inspection station. I also understand that failure to maintain this bond or insurance will result in cancellation of my inspection station.

Yes ______ No ______

C.ADDITIONAL INFORMATION:

1.LIST ALL OWNERS, PARTNERS OR CORPORATE OFFICERS (NOTE: Individuals should list thier PA Driverʼs License (PA DL) or Photo ID# in the space provided. Business should list their Business ID# (Bus.ID) where indicated (i.e. E.I.N.)

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

NAME

TITLE

PA DL/PHOTO ID#

DATE OF BIRTH

 

 

 

 

STREET ADDRESS

CITY

STATE

ZIP

 

 

 

 

2.Has this business or the owners, partners or officers thereof ever been a dealer, miscellaneous motor vehicles business, messenger service, inspection station or issuing agent in this or any other state?

Yes _____ No _____

If yes, list name(s), location(s), and identification number(s).

_________________________________________________________________________________________________

_________________________________________________________________________________________________

3.Is this application for a change of ownership or was this location previously an inspection station?

Yes _____ No _____

If yes, list previous station name(s), address(s) and identification number(s).

_________________________________________________________________________________________________

_________________________________________________________________________________________________

4.Is this inspection station being sold, transferred or leased while the station is suspended or restored pending appeal?

Yes _____ No _____

If yes, were you ever affiliated with this station or are you related in any way to the owner(s)? Yes _____ No _____

5.Have any owners, partners or corporate officers of this business been affiliated with a dealership, miscellaneous motor vehicle business, messenger service, inspection station or issuing agent whose privilege to conduct business as such was suspended, cancelled or revoked or is currently under investigation or received notice to attend a Departmental or court hearing or is awaiting a decision by a hearing officer or a Court?

Yes _____ No _____

If yes, list name, location, and identification number and explain situation.

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

6.Does any owner, partner, corporate officer or any business with which they were previously affiliated, have any outstanding liabilities which are due and owing to the Commonwealth, including but not limited to, taxes, fees, monetary penalties or outstanding paperwork?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

7.Have any owners, partners or corporate officers of this business ever been convicted or administratively sanctioned for violations of Department regulations Chapter 175 or 177 or Chapter 47 of the Vehicle Code?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

8.Have any owners, partners or corporate officers of this business ever remitted uncollectible checks payable to the Department of Transportation or the Commonwealth of Pennsylvania?

Yes _____ No _____

If yes, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

9.Are all owners, partners, officers and management/supervisory employees aware of their responsibilities and obligations relating to the operation of an official inspection station, including but not limited to, record keeping, supervision of employees and customer relations?

Yes _____ No _____

If no, explain

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

I hereby verify that the information set forth above is true and correct to the best of my knowledge, information and belief. This verification is made subject to the penalties of 18 PA. C.C.§4904, relating to unsworn falsification of authorities.

Signature: _________________________________________________________________________________________

Print Name as it Appears Above: _______________________________________________________________________

Title: ________________________________________________________________________________________________

Date: _______________________________________________________________________________________________

MV-443 (3-06)

Commonwealth of Pennsylvania

DEPARTMENT OF TRANSPORTATION

OFFICIAL INSPECTION STATION NUMBER _____________________________

CURRENT LIST OF CERTIFIED

SAFETY INSPECTION MECHANICS

 

OPERATOR’S

MECHANIC

 

NAME

LICENSE

CERTIFICATION

CLASS

 

 

 

EXPIRATION

EXPIRATION

 

 

DATE

DATE

 

1.____________________________________________________________________________________

2.____________________________________________________________________________________

3.____________________________________________________________________________________

4.____________________________________________________________________________________

5.____________________________________________________________________________________

6.____________________________________________________________________________________

7.____________________________________________________________________________________

8.____________________________________________________________________________________

9.____________________________________________________________________________________

10.___________________________________________________________________________________

11.___________________________________________________________________________________

12.___________________________________________________________________________________

13.___________________________________________________________________________________

14.___________________________________________________________________________________

15.___________________________________________________________________________________

16.___________________________________________________________________________________

17.___________________________________________________________________________________

MV-500 (11-10)

www.dot.state.pa.us

Bureau of Motor Vehicles

Vehicle Inspection Division

P.O. 68697 • Harrisburg, PA 17106-8697

Pennsylvania Department of Transportation Authorized Agents for Purchasing Stickers

r NEW

r REVISED (PLEASE CHECK ONE)

 

PRINT NAME AS LISTED ON ID

 

OPERATOR NUMBER

 

SOCIAL SECURITY#

 

OR DRIVER’S LICENSE

 

 

 

(IF NON-PA DRIVER’S LICENSE)

 

 

 

 

 

1.

_____________________________

1.

_____________________________

1.

_____________________________

2.

_____________________________

2.

_____________________________

2.

_____________________________

3.

_____________________________

3.

_____________________________

3.

_____________________________

4.

_____________________________

4.

_____________________________

4.

_____________________________

5.

_____________________________

5.

_____________________________

5.

_____________________________

I hereby authorize the above listed person(s) to sign sticker requisitions and receive Certificates of Inspection for the following Official Inspection Station:

__________________

__________________________________

________________________

(Station Number)

(Station Name)

 

(Telephone #)

______________________________________________________________

____________________

(Signature of Station Owner or Authority) - Station Owner or Authority must be listed in one of the five lines above.

(Title)

______________________________________________________________

____________________

(Print Name As It Appears Above)

 

 

(Date)

REVIEW INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING.

THIS FORM MAY NOT BE COPIED OR FAXED

•Official Inspection Stations must use this form to authorize purchaser(s) to sign Form MV-436A, "Inspection Sticker and Insert Order Form."

•You may submit up to five names to be placed in a computerized signature file for your station. (NO MORE THAN FIVE (5) NAMES ARE PERMITTED). Each name submitted must include, driver’s license number (or government issued photo identification card number) and Social Security number (if non-PA driver’s license).

•If the station owner or authority (as listed in sections B or E of the certificate of appointment Form MV-427) or corporate officer, partner, etc. (listed on Form MV-427A) intends to sign Form MV-436A to purchase inspection stickers, his/her name, operator number, and Social Security Number

(if applicable) must also be listed on one of the five (5) designated spaces.

•If the REVISED box is checked, you will need to list all persons whom you have previously authorized and wish to remain authorized. Any names that are not on this form will be deleted from the computerized signature file.

•Stations which are appointed to perform both safety and emission inspections may submit only one (1) authorization form. The authorized purchasers for these stations will be able to sign Form MV-436A for both safety and emission stickers.

•Bonded messengers and members of the Legislature cannot be listed on this form as authorized purchasers.

•Return this form to: Bureau of Motor Vehicles, Vehicle Inspection Division, P.O. Box 68697, Harrisburg, PA 17106-8697. If you have questions please call (717) 787-2895.

Click for PDF Form

File Characteristics

Fact Detail
Form Name MV-427
Purpose Application for Inspection Station Certification
Requirement for Emissions Separate form MV-427A is required for safety and emission inspection station applications.
Insurance Requirement Minimum of $10,000 liability insurance or bond
Inspector Qualification Includes a list of certified safety inspectors (MV-443)
Authority Verification Section E to be completed if the authorizing person is not the owner or a corporate officer
Station Information Must include business name, address, contact information, and ownership details
Legal Basis Governed by the Vehicle Code, 75 Pa.C.S. Sections 4721, 4723 or 3368,Act of June 17, 1976, No. 81, as amended
Application Submission Mail or email the completed packet to the Pennsylvania Department of Transportation Vehicle Inspection Division
False Information Penalty Providing false, inaccurate, or incomplete information invalidates the certificate automatically.
Change Notification Any change at a designated Official Inspection Station automatically invalidates the Certificate of Appointment

Steps to Writing Mv 427 Penndot

Filling out the MV-427 form is a crucial step for Pennsylvania businesses seeking inspection station certification or needing to report changes in their existing station details. It's important to approach this task with care, ensuring all information provided is accurate and complete to avoid potential delays in the certification process. Follow these detailed steps to ensure the form is filled out correctly:

  1. Read the instructions provided in the packet carefully to understand the purpose of each section.
  2. Section A: Select the reason for your application by checking the appropriate box. If your reason does not match any of the listed options, write the specific reason in the block marked “Other”.
  3. Section B: Fill in your business information, including name, address (no P.O. boxes for the business address), and telephone number. Provide the owner's name and driver's license number. If the license is from outside Pennsylvania, include the state abbreviation. If different, add a mailing address.
  4. Section C: Provide business details, such as ownership class (sole proprietorship, partnership, or corporation), Federal ID number, and State Sales Tax number. If you have applied but not yet received your numbers, write "Applied For." Indicate the size of the inspection area, select the category that best describes your business, and check the types of station you wish to operate along with the types of vehicles you will be inspecting.
  5. Section D: If applicable, list other station numbers you own under the first section. If you are canceling a current station due to various reasons like change of location or ownership, provide the details in the second section.
  6. Section E (Letter of Authority): This should only be completed if the person responsible for the operation of the business is neither the owner nor a corporate officer. Fill out all parts except for the signature, which should be completed by the owner/corporate officer themselves.
  7. Section F: This section is for official use only, so do not write anything here.
  8. Section G: The application must be signed by the owner or a corporate officer. In cases where Section E has been filled, the designated person authorized by the owner/corporate officer must also sign the application.

After completing the form, make sure to gather all required documents listed in the packet, including proof of insurance or bond, a copy of the lease or deed if applicable, copies of recent utility bills, photos of inspection-related areas, and any additional information required for specific situations described in the checklist. Thoroughly review your packet to ensure completeness before submitting it to the address or email provided. Remember, a well-prepared submission helps facilitate a smoother process.

Important Details about Mv 427 Penndot

What is the purpose of the MV-427 Penndot form?

The MV-427 form is essential for those applying to operate a new vehicle inspection station or update the status of an existing station in Pennsylvania. It serves various purposes, including initiating a new inspection station application, changing the station's location, ownership, or authority, updating mailing addresses, and more. Completing and submitting this form correctly is crucial for receiving approval to conduct safety and emissions inspections.

How do I properly fill out the MV-427 form for both safety and emission inspections?

To apply for the authorization to conduct both safety and emissions inspections, two separate MV-427 forms must be completed—one designated for safety inspections and the other for emissions. It is important not to check both the safety and emissions boxes on a single form; each inspection type requires its dedicated form. Carefully follow the included instructions and use black ink for clarity.

What additional documents are required when submitting the MV-427 form?

Along with the MV-427 form, several other items are necessary to ensure a complete application packet. These include the MV-427A for additional station information, a list of certified safety inspectors with their numbers (MV-443), proof of insurance or bond of at least $10,000, copies of lease or deed, recent utility bills, photos of the inspection areas, a valid EIN or SSN, and a valid State Sales Tax Number. Incomplete submissions will result in the rejection of the application.

Who needs to sign the MV-427 form, and what is the significance of Section E?

The MV-427 form must be signed by the owner or a corporate officer of the business applying for the inspection station. Section E is particularly important as it must be filled out if someone other than the owner or corporate officer will be responsible for the station's operations. This section essentially delegates inspection operation responsibilities, ensuring accountability and compliance with state regulations.

Where and how should the completed MV-427 packet be submitted?

Once all parts of the MV-427 form and accompanying documents are complete, the packet should be mailed or emailed to the Pennsylvania Department of Transportation Vehicle Inspection Division. The packet's destination is P O Box 68696, Harrisburg, PA 17106-9003, with attention to Troy Roadcap, Manager, or through the email address stationappointments@pa.gov. Proper submission is crucial for the timely processing of your application to become an authorized inspection station.

Common mistakes

Filling out the MV-427 form for the PennDOT can trip up even the most diligent applicants. A common pitfall is not understanding the significance of separating safety and emissions inspections on the form. Applicants often check off both safety and emissions on the same MV-427 form, a mistake that results in the rejection of their application. It's vital to remember that you need to complete one form for safety inspections and a separate one for emissions, ensuring clear distinction and compliance with Pennsylvania Department of Transportation regulations.

Another frequent error occurs with the MV-427A form, particularly when applying for both safety and emission inspection stations. This oversight often stems from not realizing that two distinct MV-427A forms must be filled out—one for each type of inspection station. The confusion can delay the approval process, highlighting the importance of a careful review of instructions before submission.

Incomplete or incorrect information in Section E of the MV-427 form also leads to application setbacks. This section requires details about a designated person other than the owner or a corporate officer who will be responsible for the operation. Failure to include a separate document providing the designated person’s name and driver's license number—especially if the individual possesses an out-of-state license—along with their date of birth, results in application delays. Making sure all information is accurate and complete is crucial for a smooth application process.

Lastly, overlooking the requirement for a valid Certificate of Liability Insurance or Bond is a common mistake. The application packet must include this certificate, which ensures coverage of at least $10,000 for potential damages during vehicle inspections. This document must clearly list the station name, physical location, coverage amount, and the coverage period. Failure to attach this proof or providing incomplete information can lead to the rejection of the application. Ensuring that all documentation meets the specified criteria is essential for the approval of an inspection station.

Documents used along the form

The MV-427 PennDOT form is crucial for anyone looking to apply for a new inspection station designation or make significant changes to an existing one. Alongside this form, there are several other important documents that are often required to ensure the complete processing of the application. Here is a list of four such documents, each serving its distinct purpose in complementing the MV-427 form submission.

  • MV-427A: This form acts as a supplemental information sheet specifically designed for the inspection station application process. Its purpose is to gather additional details about the station, including ownership and insurance acknowledgment, which are crucial for the PennDOT's comprehensive review and approval process.
  • MV-443: This document lists certified safety inspectors who are authorized to conduct vehicle inspections at the station. It includes their inspector number, a requirement that ensures only qualified personnel are performing inspections, thus upholding the integrity of the safety and emission inspection program.
  • MV-500: This form is used for applying for authorization to issue temporary registration plates and/or transfer of registration. It's significant when the station also deals with vehicle sales or transfers, enabling the provision of immediate, legal road access to buyers.
  • Certificate of Liability Insurance or Bond: Proof of insurance or bonding is necessary to protect vehicle owners against potential damage during inspections. The document must detail the station's name, location, coverage amount, and the coverage period. An acceptable form is the "Garage Keeper’s Legal Liability Policy," ensuring financial compensation capabilities for any damages incurred.

Together with the MV-427 form, these documents form a comprehensive packet that addresses both the legal and operational aspects of running an inspection station. They ensure that the station meets all Pennsylvania Department of Transportation (PennDOT) requirements for safety, accountability, and financial responsibility. This thorough documentation process helps maintain a high standard of vehicle safety and emissions control across the state.

Similar forms

The MV-427 form, necessary for the application and update of vehicle inspection stations in Pennsylvania, shares similarities with a variety of other documents required by different departments and agencies, each serving a unique regulatory or compliance purpose. These documents often facilitate the operation, tracking, and regulation of businesses and professional activities within the state.

Similar to the MV-427, the Business License Application forms found in many states require comprehensive details about a business's operations, owners, and locations. These forms are essential for registering a new business or altering the details of an existing one, mirroring the MV-427's role in updating inspection station information.

The Employer Identification Number (EIN) Application (Form SS-4) issued by the IRS bears resemblance to the MV-427 in its necessity for establishing a business’s tax identity. Like the MV-427, which demands a valid EIN for inspection station operation, the EIN application is critical for tax reporting and compliance for businesses.

The Construction Permit Application forms, which are required for any substantial modifications or new constructions of business facilities, also share commonalities with the MV-427. These forms ensure that all modifications meet local zoning, safety, and environmental standards, akin to how the MV-427 mandates inspection areas meet specific criteria.

Vehicle Dealer License Application forms are necessary for businesses looking to sell new or used vehicles. These forms, much like the MV-427, require information about the business location, ownership, and adherence to specific insurance criteria, ensuring that dealerships operate within legal requirements.

The Hazardous Waste Permit Application is another document similar to the MV-427, as it collects detailed information about a business’s operations, ownership, and the physical site. This form is vital for businesses that manage hazardous waste, ensuring they comply with environmental and safety standards.

Liquor License Application forms, required for businesses wishing to sell alcoholic beverages, necessitate thorough documentation similar to the MV-427. These documents gather data on the premises, ownership, and compliance with local laws, underpinning the business’s legality and operational guidelines.

The Food Establishment License Application, required for businesses that prepare and sell food, requests comprehensive information similar to the MV-427 form. This includes details on the physical setup, ownership, and compliance with health codes, ensuring public safety.

The Occupational License Application, required for certain professions within the state, demands detailed personal and business information, akin to the MV-427’s requirements for inspection stations. These forms help regulate professional standards and practices within various fields.

Finally, the Zoning Permit Application, often required for new businesses or those undergoing significant changes, requests detailed information about the use of premises, much like the MV-427 does for the physical requirements of inspection stations. This ensures that businesses operate in accordance with local land use regulations.

Dos and Don'ts

When filling out the MV-427 PennDOT form, it is imperative to adhere to certain dos and don'ts to ensure the application process is smooth and successful. Following these guidelines carefully will help avoid common mistakes and ensure that your application is not rejected due to incomplete or incorrect information.

Do:
  • Complete one form for safety and a separate form for emissions inspections, if you're applying for both. Do not check both boxes on the same form.
  • Include the MV-443 list of certified safety inspectors with their inspector numbers.
  • Attach proof of a minimum $10,000 liability insurance or bond, which must include the station name, physical location, and the coverage period.
  • Provide a valid Employer Identification Number (EIN) or Social Security Number (SSN) and a valid State Sales Tax Number.
  • Include photos of the interior and exterior of the inspection area, sticker security area, and office area.
  • Ensure that all parts of Section E are printed clearly, except for the signature, which should be done by the owner or corporate officer.
  • Sign the application as the owner/corporate officer, or, if Section E is completed, by the person authorized on behalf of the owner/corporate officer.
Don't:
  • Check both the safety and emissions boxes on the same MV-427 form—separate applications are required for each.
  • Forget to include a Letter of Authority if the person listed in section E is not the owner or a listed corporate officer, along with a separate document providing their name and driver's license number.
  • Omit a valid insurance policy with PennDOT listed as the Certificate Holder.
  • Fail to include copies of the most recent utility bills (electric and phone) and a copy of the lease or deed for the property.
  • Overlook the attachment of the MV-427A form if applying for both a safety and emission inspection station.
  • Provide false, inaccurate, or incomplete information, as it automatically invalidates the certificate.
  • Write in Section F of the form, as it is for department use only.

Adhering to these enumerated guidelines will facilitate a smoother application process and help avoid unnecessary delays or rejections based on technicalities, ensuring that your MV-427 PennDOT form submission is compliant with all requirements.

Misconceptions

When it comes to the MV-427 form for Pennsylvania Department of Transportation (PennDOT), several misconceptions often arise, complicating the application process for new or existing inspection stations. Understanding these misconceptions is crucial in ensuring a smooth application process.

  • Misconception 1: A single MV-427 form can be used for both safety and emission applications. The truth is, separate forms must be completed for safety and emission inspections. This clear distinction is crucial in the application process, as trying to apply for both on a single form will result in rejection.
  • Misconception 2: If the owner’s name or a corporate officer is not listed under section E, no additional documentation is needed. Contrary to this belief, if the person responsible for the inspection station is not listed as an owner or corporate officer on the MV-427 or MV-427A forms, a separate document providing their name and driver’s license number must be included.
  • Misconception 3: Proof of insurance or bond is not mandatory at the time of application. Actually, attaching proof of liability insurance or bond that covers at least $10,000 for potential vehicle damage during inspections is mandatory. Failure to include this document can lead to application rejection.
  • Misconception 4: Digital submissions of the application packet are unacceptable. In reality, the completed packet, including the MV-427 form and other necessary documents, can be mailed or emailed to the Pennsylvania Department of Transportation. This flexibility aids in facilitating the application process from different locations.
  • Misconception 5: The MV-427 form is only for new inspection stations. This form is not exclusively for new stations but is also required for various changes to existing stations, such as change of location, change of ownership, and reappointment after suspension among others. Understanding the form’s broad applicability helps in maintaining compliance with PennDOT requirements.

Clarifying these misconceptions plays a significant role in streamlining the application process for inspection stations, ensuring that they meet all requirements set forth by the Pennsylvania Department of Transportation. Accurate and complete submissions not only comply with state regulations but also promote a safer driving environment through thorough vehicle inspections.

Key takeaways

When filling out the MV-427 PennDOT form for inspection station applications, it is crucial to ensure all required documentation is complete and accurate. Below are key takeaways to guide applicants through this process:

  • Before submitting the application, ensure all sections of the MV-427 form are filled out with black ink, clearly printed or typed.
  • If applying for both safety and emission inspection stations, two separate forms MV-427 and MV-427A must be filled out - one for safety and another for emissions, without combining the two on a single form.
  • A list of certified safety inspectors along with their inspector numbers on form MV-443 is necessary.
  • Include a Certificate of liability insurance or bond, with a minimum coverage of $10,000, showing compensation for any damage during vehicle inspection. The document must list the station name, location, coverage amount, and period.
  • Valid insurance policy documentation with PennDOT listed as the Certificate Holder should be attached.
  • Proof of site ownership or lease agreement, plus recent copies of utility bills (electric and phone), should be included in the application packet.
  • Photos demonstrating the inspection, sticker security, and office areas are required.
  • The applicant must have a valid Employer Identification Number (EIN) or Social Security Number (SSN), along with a State Sales Tax Number.
  • A letter of authority needs to be included if the person operating the station is not listed as an owner or corporate officer on forms MV-427 or MV-427A. This letter should include that person’s name and driver’s license number.
  • Do not write in Section F of the form, as it is for Department use only, and ensure the application is signed by the owner or a corporate officer in Section G.

It is important for applicants to provide complete and accurate information to avoid any delays or rejection of their application. A packet containing all the necessary documents should be mailed or emailed to the Pennsylvania Department of Transportation Vehicle Inspection Division, as indicated on the form.

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