The MV 427 PennDOT form is an essential application used for establishing a new vehicle inspection station or updating the details of an existing one. This form must be filled out completely and accurately to avoid delays or rejection. Ensuring all required documents are included with your application is crucial for a smooth submission process, so don't hesitate to fill out the form by clicking the button below.
The MV-427 form plays a crucial role for individuals and businesses looking to establish or update an inspection station in Pennsylvania. This application is necessary for multiple scenarios, including when starting a new inspection station, changing ownership, or relocating an existing one. When preparing this form, applicants must ensure they gather a variety of essential documents to avoid delays. These documents include, but are not limited to, proof of liability insurance, a copy of the lease or deed, and recent utility bills. The MV-427 serves not only as a gateway to earn appointment as an official inspection station but also as a record of compliance with specific regulations set by the Pennsylvania Department of Transportation (PennDOT). In submitting this form, applicants must also complete various sections thoroughly, specifying information such as ownership type and inspection area specifics. It is important to note that each application must be clearly printed and devoid of any inaccuracies, as any discrepancies could result in rejection. Alongside the MV-427, applicants applying for both safety and emissions inspection stations will need to fill out additional forms, particularly the MV-427A, to ensure a complete and compliant submission.
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)
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
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
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?
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?
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?
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?
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?
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?
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?
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
LICENSE
CLASS
EXPIRATION
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
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.
_____________________________
2.
3.
4.
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.
(Print Name As It Appears Above)
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.
Completing the MV-427 form requires careful attention to detail. Each section must be filled out accurately to avoid delays or rejections. Follow the steps outlined below to ensure a successful application process.
Once submitted, the department will review your application. If everything is in order, you will receive confirmation of your inspection station appointment. Incomplete applications will prompt a notification regarding any deficiencies, allowing you to rectify the issues before resubmission.
The MV-427 form is the application required to apply for a new vehicle inspection station in Pennsylvania. This form is necessary when establishing a new station or when making changes to an existing one, such as a change of location, ownership, or reappointment after suspension.
When submitting the MV-427 form, include the following items:
If any information is missing from your packet, the Pennsylvania Department of Transportation (PennDOT) will reject the submission. You will receive a letter notifying you of the deficiency, and you'll need to address those issues before resubmitting.
Yes, you may email the completed application along with all required documents to PennDOT. Ensure that the application is fully complete and clear in format to avoid delays in processing.
Your inspection station can either conduct safety inspections, emissions inspections, or both. However, you must complete separate MV-427 forms for each type of inspection you intend to conduct.
You need to have a minimum of $10,000 in liability insurance or a bond. The insurance must cover any damages that may occur during inspections and must specifically list your station as well as PennDOT as the certificate holder.
Any change in ownership requires you to submit a new MV-427 application. This applies whether ownership is being transferred to another individual or a corporation. Clearly indicate the change type on the application form.
Yes. You must include photos of both the interior and exterior of your inspection area, along with the office space and any designated sticker security areas to verify compliance with safety regulations.
Once your application is processed, and if everything is in order, you will receive an appointment certificate. This certificate serves as proof that your station is authorized to conduct inspections.
Providing false, incomplete, or inaccurate information will invalidate your application and the appointment certificate. It is crucial to review all details carefully before submission to avoid delays or penalties.
When completing the MV-427 form from PennDOT, individuals often overlook crucial details, leading to delays or outright rejection of their application. One common mistake involves improperly coordinating applications for safety and emissions inspections. Applicants must submit two separate MV-427 forms, one for safety and another for emissions. Checking both categories on a single form will result in automatic disqualification.
Another frequent error is neglecting to include all necessary documentation in the submission packet. The checklist specifies numerous items that must be included, such as proof of insurance or bond, a list of certified safety inspectors, and utility bills. Failing to attach even one required document can lead to the packet being returned, as incomplete submissions are not processed.
Additionally, inaccuracies in the business information section can derail an otherwise strong application. Common issues include misspellings of the business name or incorrect addresses. Such errors can cause confusion and may prevent PennDOT from reaching out if clarification is needed. It is essential to double-check all details, ensuring that everything is accurate and matches supporting documents.
Lastly, applicants often underestimate the importance of the signature requirement. The form must be signed by the owner or a corporate officer. If section E is completed, the designated person also needs to sign. An unsigned form will be considered incomplete, leading to immediate rejection. Signing the application should not be overlooked, as it is a fundamental step in the process.
When applying for an inspection station with the MV-427 PennDOT form, it is important to include additional documents that support your application. These documents provide vital information that helps the application process move smoothly. Each document plays a key role in fulfilling the requirements set by the Pennsylvania Department of Transportation.
In summary, along with the MV-427 PennDOT form, including these additional documents is essential for a complete application. Each document ensures that the application meets the necessary guidelines, facilitating approval and helping you start your inspection station on the right foot.
Form MV-427A: This form serves as a supplemental application for those applying for both safety and emission inspections. Similar to MV-427, it requires separate submission for each type of inspection, reinforcing the need for clarity in application processes.
Form MV-443: This document lists certified safety inspectors and includes essential details like the inspector's number. It complements MV-427 by ensuring that applicant stations comply with staffing regulations for safety inspections.
Form MV-500: This form is often correlated with inspection station applications, as it addresses other requirements like authority and ownership details. Like MV-427, it provides necessary information which can validate license processes.
Certificate of Liability Insurance: Similar to the MV-427, this document provides proof of financial security, which is crucial for station operations and is required to avoid cancellation of inspection credentials.
Lease or Deed: Including a lease or deed establishes proof of the business’s physical presence. Much like the MV-427 form, this document supports the legitimacy and operational readiness of the inspection station.
Utility Bills: Providing recent utility bills serves to confirm the business address and operation status, similarly to how MV-427 verifies a station's location and compliance with inspection regulations.
Employer Identification Number (EIN) or Social Security Number (SSN): These identifiers are mandatory for processing the application. They function like MV-427 in that they are essential for legal accountability and verification within the vehicle inspection process.
When dealing with the MV-427 PennDOT form, there are several misconceptions that can lead to confusion for applicants. Understanding these common misunderstandings is crucial to ensure that the application process runs smoothly.
This is incorrect. Applicants must fill out separate MV-427 forms for safety and emissions inspections. Checking both types on one form will result in rejection of the application.
Some might believe they can submit an incomplete packet and provide missing documents later. However, if any required documentation is missing, the application will be rejected, and the applicant will be notified about the deficiencies.
This is misleading. If someone other than the owner or a corporate officer is managing the inspection station, a letter of authority must be included with the application. If an applicant omits this letter, the application may not be processed.
Utility bills are not optional. Current copies of utility bills must be included as part of the application packet. Failure to include them will lead to rejection, thus delaying the appointment process.
The MV-427 form is essential for applying for a new inspection station or making changes to an existing one.
Two separate forms are required if applying for both safety and emissions inspections. One should be for safety, while the other should specify emissions.
Ensure that all required documents are included in your application packet to avoid rejection.
Proof of insurance or a bond of at least $10,000 is necessary and must explicitly state the station name and coverage details.
Accurately fill out your owner’s information, including driver's license details. This information is critical when submitting your application.
Remember to submit a completed MV-443 form that lists all certified safety inspectors associated with the station.
It is mandatory to include your Employer Identification Number (EIN) or Social Security Number (SSN) in your application.
Your application must be signed by the owner or a corporate officer to be valid. This includes a person authorized on behalf of the owner if applicable.
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