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Vehicle Verification

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Your Resource

for Georgia’s Vehicle Emissions Inspection & Maintenance (I/M) Program.

Out-of-Area Vehicle Verification

This document is to verify the vehicle identified below is physically stationed well-outside the Georgia vehicle emissions

testing area (13 counties in metro Atlanta). This verification will be used by the motorist as a supporting document to

apply for an Out-of-Area-extension from emissions testing, which is required by Georgia Law, O.C.G.A. § 12-9-45(a) for

vehicle registration. The vehicle must receive an emissions inspection once it returns to the metro Atlanta area.

THIS FORM MUST BE COMPLETED BY A DULY CONSTITUTED FEDERAL, STATE,

COUNTY OR CITY LAW ENFORCEMENT OFFICER

This statement is to certify that on this _____________ (day) of ______________________ (month), 20_______ (year), I have

made a physical/visual inspection of the vehicle identified below.

Vehicle Identification

VIN

Year

Make

Model

License Plate

Year/State Issued

Location of Inspection

Address

City

State

Zip Code

Zip Code Plus

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06.01.2014

Vehicle Verification

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