Vehicle Verification Page 2

Download a blank fillable Vehicle Verification in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Vehicle Verification with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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Inspecting Officer
Name
Title
Badge Number
Signature
Agency Name
Agency Address
City
State
Zip Code
Zip Code Plus
Telephone Number (include area code)
All spaces on this form must be completed or this application will not be accepted. Additional information may be
required. Any alterations will automatically void this form. Additional copies of this form may be obtained at
Allow three (3) business days for processing. For assistance, call 1.800.449.2471
| 1.800.449.2471
06.01.2014

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