Form 735-11 - Vehicle Identification Number (Vin) Inspection Form

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L.E.V.
DMV
VEHICLE IDENTIFICATION NUMBER
Compliant
(VIN) INSPECTION FORM
YES
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
NO
CUSTOMER INFORMATION
VEHICLE INFORMATION
YES
NO
YES
NO
VIN INSPECTION
The vehicle identification number is:
Check ALL boxes that apply – At least one box MUST be checked in each column
VIN LOCATION
VIN TYPE
VIN ATTACHED BY
CONDITION OF VIN
FED STANDARDS STICKER
(DRIVER SIDE)
I certify that I have physically inspected the vehicle described above to verify the VIN and found the VIN in the condition indicated.
And / Or
I certify by checking one of the LEV boxes above that I am an Oregon licensed dealer with this vehicle in my stock and have
checked its under hood emission label to verify compliance with LEV standards.
X
LAW ENFORCEMENT REFERRAL
SHADED AREA FOR DMV USE ONLY
I have assigned the following number to the vehicle described above:
ASSIGNED VIN
CONTROL NUMBER
OR
V
VIN PLACEMENT: (TO WHAT PART OF THE VEHICLE WAS THE VIN DECAL ATTACHED?)
SIGNATURE OF OREGON DMV REPRESENTATIVE
COUNTER NUMBER AND DATE
X
Remarks:
735-11 (4-17)
STK # 300006

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