MARYLAND AUTHORIZED INSPECTION STATIONS
POST MANUFACTURE WINDOW TINT INSPECTION REPORT
Date of Inspection: __________________________________
INSP CERT # __________________________(if applicable)
Year: ___________________________________ Make: _______________________________________________________
Model: __________________________________ VIN: ________________________________________________________
Vehicle Owner’s Name: __________________________________________________________________________________
Owner’s Address: _______________________________________________________________________________________
City, State, Zip: _________________________________________________________________________________________
Owner’s Phone # Home: _______________________Work: _________________________ Cell: ______________________
The completion of this form is required by an authorized inspection station conducting an inspection of a vehicle or the inspection of a vehicle issued a Safety
Equipment Repair Order for defect #61 TINT and the vehicle is equipped with post manufacture window tint applied to regulated window(s). The vehicle is otherwise
compliant with all other post manufacture window tinting regulations established in the Code of Maryland Regulations.
(Regulated windows are windows required to have at least 35 percent light transmittance after the application of post manufacture window tint.)
Registered inspection mechanics will place a check mark in the appropriate box(s) listed below noting all regulated windows equipped with post
manufacture window tint. Registered inspection mechanics will test with a Division approved window tint meter each regulated window equipped
with post manufacture window tinting and record the light transmittance reading obtained from the window in the appropriate location.
Left Front ________%
Right Front ________%
Left Rear ________%
Right Rear ________%
Rear Glass ________%
(Check appropriate box)
The post manufacture window tinting material applied to the noted regulated windows of the above vehicle meets or exceeds the
minimum requirement of 35% light transmittance established in the Code of Maryland Regulations. The vehicle is also compliant with all other
post manufacture window tinting regulations established in the Code of Maryland Regulations.
Note to vehicle owner - Under Transportation Article, § 23-109(j), Annotated Code of Maryland, it is a violation to materially alter or change any equipment of a
vehicle for which an inspection certificate or a repair order certification has been issued. (Penalty for violation up to $500 or 6 months in jail or both)
The application of post manufacture window tint is not in compliance with requirements in the Code of Maryland Regulations.
I certify that the above information is accurate as of the date of the inspection.
(Only valid when signed and officially stamped by an authorized registered inspection mechanic)
(INSPECTION STATION STAMP)
(Signature of Registered Inspection Mechanic)
(Printed Name of Registered Inspection Mechanic)
Distribution: Original – Station Copy
Copy – Owner Copy
MSP ASED 23-04 (10-11)