Mv 402 Template

Mv 402 Template

The Mv 402 form is an application for a sun screening certificate of exemption, issued by the Commonwealth of Pennsylvania Department of Transportation. This form is essential for vehicle owners seeking to comply with regulations regarding aftermarket sun screening products on their vehicles. If you need to fill out this form, click the button below.

Table of Contents

The MV-402 form is an essential document for individuals and businesses in Pennsylvania seeking a certificate of exemption for aftermarket sun screening on their vehicles. This application, managed by the Pennsylvania Department of Transportation, is specifically designed to address the needs of vehicle owners who have installed sun screening products that may otherwise violate state regulations. The form requires applicants to provide personal information, including their name, driver's license or business ID number, and contact details. Additionally, it asks for specifics about the vehicle, such as the make, year, and vehicle identification number (VIN). Applicants must also indicate which windows have sun screening applied and provide dates related to the vehicle's purchase and registration. For those seeking an exemption due to a medical condition, a licensed physician or optometrist must complete a section detailing the patient's condition and suggested treatments. This form is not only a formal application but also a declaration of compliance with the law, ensuring that all provided information is accurate to the best of the applicant's knowledge. Completing the MV-402 form accurately is crucial, as it helps facilitate the exemption process while maintaining adherence to Pennsylvania's vehicle regulations.

Mv 402 Sample

MV-402 (2-08)

Commonwealth of Pennsylvania

Department of Transportation

Vehicle Inspection Division

P.O. Box 68697

Harrisburg, PA 17106-8697

APPLICATION FOR SUN SCREENING CERTIFICATE OF EXEMPTION

FOR DEPARTMENT USE ONLY

THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY THE APPLICANT

1. Full Name

PA DL/Photo ID # or Bus. ID#

Date of Birth

Daytime Telephone #

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

2.

Street Address __________________________________________________________________________

 

City

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Vehicle for which application is being made. Make

 

 

 

 

 

 

Year

 

VIN

 

 

 

 

Registration Plate

 

 

 

Title Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

“PLACE X WHERE NEEDED”

Windshield

 

 

 

Driver Side: Left Front ______________

Left Rear ______________

Passenger Side: Right Front _____________

Right Rear _____________

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

 

Number of additional passenger side right-rear windows: __________________

 

 

 

Number of additional driver side left-rear windows: _______________________

 

 

5.

When did you purchase this vehicle?

Date _______________/________/____________

 

 

Month

Day

Year

6.

When was the sun screening installed?

Date _______________/________/____________

 

NOTE: To be approved for window darkening

Month

Day

Year

 

products, installation must have been prior to

 

 

 

 

September 8, 1984.

 

 

 

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

 

 

 

 

your ownership of the vehicle?

Yes _____________

No _______________

7. When was this vehicle first registered by you

 

 

 

 

in Pennsylvania?

Date _______________/________/____________

 

 

Month

Day

Year

8. What is the serial number of the current inspection

 

 

 

 

sticker displayed on this vehicle?

Number __________________________________

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

Vehicle Owner’s Signature ________________________________________________ Date _______________

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

REQUEST FOR MEDICAL EXEMPTION

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

(Please type or print)

PATIENT INFORMATION

Patient Name ___________________________________________ Daytime Telephone # _________________

Street Address _____________________________________________________________________________

City ___________________________________________________ State __________ Zip Code ___________

Brief Description of patients condition: ___________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Suggested Treatment(s): _____________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

PHYSICIAN/OPTOMETRIST INFORMATION

Physician/Optometrist Name ___________________________________________________

Business Affiliation (if any) _____________________________________________________

Business Address ____________________________________________________________

City ___________________________________________ State _____ Zip Code _________

Physician Telephone Number __________________________________________________

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

Signature _______________________________________ Date _____________________

THE REVERSE SIDE MUST BE COMPLETED BY THE VEHICLE OWNER

Document Attributes

Fact Name Description
Form Purpose The MV-402 is used to apply for a sun screening certificate of exemption in Pennsylvania.
Governing Law This form is governed by Pennsylvania vehicle code regulations regarding window tinting.
Eligibility Individuals or businesses may apply, provided they have a valid PA Driver’s License or Business ID.
Installation Date Sun screening must have been installed before September 8, 1984, to qualify for exemption.
Medical Exemption A medical exemption can be requested if a licensed physician or optometrist completes the necessary section.
Signature Requirement The vehicle owner's signature is required, and all owners must sign if registered in multiple names.
Submission Address Completed forms should be sent to the Pennsylvania Department of Transportation in Harrisburg.

Mv 402: Usage Instruction

Once you have gathered the necessary information, you can proceed to fill out the MV-402 form. This form is essential for applying for a sun screening certificate of exemption in Pennsylvania. Ensure that all sections are completed accurately to avoid delays in processing your application.

  1. Enter your full name, Pennsylvania Driver’s License (PA DL) or Photo ID number, date of birth, and daytime telephone number in the designated fields.
  2. Provide your street address, including city, state, and zip code.
  3. Fill in the details of the vehicle for which you are applying: make, year, Vehicle Identification Number (VIN), registration plate, and title number.
  4. Indicate the windows with aftermarket sun screening by placing an "X" in the appropriate boxes for the windshield and each side window.
  5. If applicable, list the number of additional rear side windows for vans, station wagons, and buses, including the number of passenger side right-rear and driver side left-rear windows.
  6. Provide the date you purchased the vehicle.
  7. Enter the date when the sun screening was installed. If you do not know, answer whether it was installed prior to your ownership of the vehicle.
  8. Fill in the date when the vehicle was first registered by you in Pennsylvania.
  9. Write the serial number of the current inspection sticker displayed on the vehicle.
  10. Sign and date the form to certify that the information provided is true and correct. If the vehicle is registered in more than one name, ensure all signatures are included.

If you are requesting a medical exemption, have a licensed physician or optometrist complete the required section, including patient information and a brief description of the condition. The physician must also provide their information and signature.

Finally, remember to complete the reverse side of the form, which must be filled out by the vehicle owner.

Frequently Asked Questions

  1. What is the purpose of the MV-402 form?

    The MV-402 form is an application for a sun screening certificate of exemption in Pennsylvania. This certificate allows vehicle owners to legally possess aftermarket sun screening products on their vehicles, which may otherwise violate state regulations regarding window tinting.

  2. Who needs to fill out the MV-402 form?

    The form must be completed by individuals or businesses that wish to apply for a certificate of exemption for sun screening on their vehicle windows. Individuals should provide their Pennsylvania Driver's License or Photo ID number, while businesses should list their Business ID number.

  3. What information is required on the MV-402 form?

    Applicants must provide several details, including:

    • Full name and identification number (PA DL/Photo ID or Business ID)
    • Street address, city, state, and zip code
    • Details about the vehicle, such as make, year, VIN, and registration plate
    • Information about the sun screening, including installation dates
    • Serial number of the current inspection sticker
  4. What is the significance of the installation date for sun screening?

    For the application to be approved, the installation of the sun screening must have occurred prior to September 8, 1984. If the installation date is unknown, the applicant must indicate whether the screening was installed before they owned the vehicle.

  5. What should a physician or optometrist include in the medical exemption request?

    If the exemption is requested due to a medical condition, a licensed physician or optometrist must complete a section of the form. This includes providing patient information, a brief description of the condition, suggested treatments, and their own contact information.

  6. How does one certify the information provided on the MV-402 form?

    Applicants must sign the form, certifying that the information provided is true and correct to the best of their knowledge. This certification is made under penalty of law, meaning that providing false information could lead to legal consequences.

  7. What happens after submitting the MV-402 form?

    Once the form is completed and submitted, the Department of Transportation will review the application. If approved, a certificate of exemption will be issued, allowing the vehicle owner to legally maintain the aftermarket sun screening on their vehicle.

Common mistakes

Filling out the MV-402 form, which is essential for obtaining a sun screening certificate of exemption in Pennsylvania, can be straightforward, but many individuals make common mistakes that can delay the process. One frequent error occurs in the section where applicants are required to provide their full name and identification numbers. It is crucial to ensure that the name matches exactly with the name on the Pennsylvania Driver’s License or Photo ID. If there are discrepancies, such as a missing middle name or an incorrect number, it can lead to confusion and rejection of the application.

Another mistake often seen is in the vehicle information section. Applicants may fail to provide complete details about their vehicle, such as the make, year, or VIN (Vehicle Identification Number). Each of these elements is vital for accurately processing the application. Omitting any of this information can result in delays or denials. Therefore, it is advisable to double-check that all vehicle information is filled out completely and correctly before submitting the form.

Additionally, applicants sometimes overlook the dates related to the vehicle purchase and the installation of sun screening. It is important to provide accurate dates, as the application requires that the sun screening be installed before September 8, 1984, for it to be eligible for exemption. Misstating these dates can lead to unnecessary complications. If unsure, individuals should take the time to verify the dates to ensure compliance with the requirements.

Lastly, many people neglect to ensure that the signature section is completed properly. The form requires the vehicle owner’s signature, and if the vehicle is registered in more than one name, all owners must sign the application. Failing to include all necessary signatures can result in the application being deemed incomplete. Therefore, it is wise to review the entire form for signatures before submission to avoid any potential setbacks.

Documents used along the form

The MV-402 form is an application for a sun screening certificate of exemption in Pennsylvania. When submitting this form, applicants may also need to provide additional documentation to support their request. Below is a list of other forms and documents often used alongside the MV-402.

  • MV-1 Form: This is the application for certificate of title. It is required when registering a vehicle in Pennsylvania and establishes ownership.
  • MV-4ST Form: This form is used for the application for a Pennsylvania vehicle registration. It provides details about the vehicle and its owner.
  • MV-120 Form: This is a request for a duplicate title. It is necessary if the original title is lost or damaged.
  • Physician's Note: A medical professional's note may be required to support claims for medical exemptions regarding sun screening products.
  • Proof of Ownership: Documents such as a bill of sale or previous title can serve as proof of ownership when applying for exemptions.
  • Vehicle Inspection Report: This report confirms that the vehicle meets safety standards. It may be necessary for certain exemption applications.
  • Identification Documents: A valid driver's license or state ID may be required to verify the identity of the applicant.
  • Insurance Verification: Proof of insurance may be needed to show that the vehicle is insured while under the exemption.
  • Affidavit of Ownership: This sworn statement may be necessary in cases where the ownership of the vehicle is disputed or unclear.
  • Additional Medical Records: If claiming a medical exemption, further documentation may be required to substantiate the request.

Providing these additional forms and documents can help streamline the application process for a sun screening certificate of exemption. Ensure that all required information is accurate and complete to avoid delays.

Similar forms

  • MV-1 Form: This form is used for vehicle title applications in Pennsylvania. Like the MV-402, it requires personal information and details about the vehicle, ensuring proper registration and compliance with state laws.
  • MV-4ST Form: The MV-4ST is for applying for a Pennsylvania title and registration for a vehicle. Similar to the MV-402, it involves information about the vehicle and the owner, serving to formalize ownership and registration.
  • MV-120 Form: This document is utilized for requesting a duplicate title in Pennsylvania. Both the MV-120 and MV-402 require specific vehicle details and personal identification to verify ownership.
  • MV-41 Form: This form is for applying for a Pennsylvania vehicle registration. Like the MV-402, it collects essential information about the vehicle and the owner to ensure compliance with state regulations.
  • MV-350 Form: The MV-350 is used for reporting a vehicle's sale or transfer. Similar to the MV-402, it requires information about the vehicle and the parties involved, ensuring proper documentation during ownership changes.
  • MV-46 Form: This form is for applying for a special registration plate. Like the MV-402, it requires personal and vehicle information to process the request accurately.
  • MV-580 Form: The MV-580 is used for applying for a temporary registration. Similar to the MV-402, it requires detailed information about the vehicle and the applicant to facilitate a temporary permit.
  • MV-70 Form: This document is used for requesting a vehicle inspection. Like the MV-402, it includes information about the vehicle and the owner, ensuring compliance with inspection requirements.
  • MV-217 Form: The MV-217 is for reporting a lost or stolen vehicle registration. Similar to the MV-402, it requires personal and vehicle details to process the report and protect ownership rights.
  • MV-300 Form: This form is used for applying for a vehicle title transfer. Like the MV-402, it collects necessary information about the vehicle and the new owner to ensure accurate title documentation.

Dos and Don'ts

When filling out the MV-402 form, there are important things to keep in mind. Here is a list of what you should and shouldn’t do:

  • Do provide your full name as it appears on your ID.
  • Do include your Pennsylvania Driver’s License or Business ID number.
  • Do write the correct vehicle information, including the make, year, and VIN.
  • Do clearly indicate which windows have after-market sun screening.
  • Don’t leave any sections blank; fill in all required information.
  • Don’t forget to sign and date the form at the end.
  • Don’t submit the form if it contains incorrect information.

Following these guidelines will help ensure your application is processed smoothly.

Misconceptions

Here are eight common misconceptions about the MV-402 form:

  • Only individuals can apply for the exemption. Many believe that only individuals can submit the MV-402 form. However, businesses can also apply using their Business ID.
  • The form is only for new vehicles. Some think the MV-402 is only applicable to new vehicles. In reality, it can be used for any vehicle with aftermarket sun screening, regardless of age.
  • All sun screening products qualify for exemption. It is a misconception that any sun screening product is eligible. Only colorless products that filter ultraviolet rays can receive an exemption.
  • Medical exemptions are not valid. Some people doubt the validity of medical exemptions. However, if a licensed physician or optometrist certifies the need, the exemption is legitimate.
  • The installation date of sun screening is irrelevant. Many think the installation date does not matter. In fact, the sun screening must have been installed prior to September 8, 1984, to be eligible for exemption.
  • All signatures are not required if there are multiple owners. Some believe that only one signature is necessary if the vehicle is registered in multiple names. All owners must sign the form to validate the application.
  • Submitting the form guarantees approval. It is a common belief that completing the MV-402 guarantees an exemption. Approval is contingent upon meeting specific criteria outlined by the Department of Transportation.
  • The MV-402 form is only for personal vehicles. Some think this form is limited to personal vehicles. However, it can also be used for vans, buses, and other types of vehicles.

Key takeaways

Here are some key takeaways about filling out and using the MV-402 form for a sun screening certificate of exemption in Pennsylvania:

  • Full Name and ID: Provide your full name along with your Pennsylvania Driver’s License or Photo ID number. If applying as a business, include your Business ID number.
  • Address Information: Ensure your street address, city, state, and zip code are accurately filled out.
  • Vehicle Details: Include specific information about the vehicle, such as make, year, VIN, registration plate, and title number.
  • Window Screening: Indicate which windows have after-market sun screening by placing an "X" in the designated spaces.
  • Installation Dates: Document the purchase date of the vehicle and the installation date of the sun screening. Note that installation must have occurred before September 8, 1984, for approval.
  • Inspection Sticker: Provide the serial number of the current inspection sticker displayed on the vehicle.
  • Signature Requirement: The vehicle owner must sign the form, and if the vehicle is registered in more than one name, all owners must provide signatures.
  • Medical Exemption: If applicable, a licensed physician or optometrist must complete the medical exemption section, detailing the patient's condition and suggested treatments.
  • Certification of Accuracy: Both the vehicle owner and the physician/optometrist must certify that the information provided is true and correct under penalty of law.
  • Reverse Side Instructions: Complete any required information on the reverse side of the form as indicated.

Following these guidelines can help ensure that the MV-402 form is filled out correctly and submitted for processing without delays.