Form Vs-94 - Public Emissions Inspection Waitlist Application
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1PUBLIC EMISSIONS INSPECTION
WAITLIST APPLICATION
This application only applies to public official emissions inspection stations that inspect
group 1a vehicles for the general public. It does not apply to fleet or dealer-only group 1a stations,
or to any group 2 or group 3 stations.
All applications or written requests received for public emissions inspection stations in counties which
are capped will be placed on the waitlist.
Submit one application for EACH county that you are applying for.
£
Ž
I am already on the waitlist and information is being updated.
Complete the fields below (*denotes a required field):
Business name (if applicable):________________________________________________________
Contact person*:___________________________________________________________________
Contact mailing address*:____________________________________________________________
____________________________________________________________
____________________________________________________________
Contact phone*: (______) _______-__________ Alternate phone: (______) _______-___________
Contact email:_____________________________________________________________________
County in which you want to conduct business*:__________________________________________
Current facility number (if applicable):___________________________________________________
IMPORTANT: It is the applicant’s responsibility to update their contact information when necessary.
If you cannot be reached via the information provided above, you will forfeit your spot
on the waitlist.
To submit this application:
via mail:
Vehicle Safety Services
Application Unit
6 Empire State Plaza, Room 220
Albany, NY 12228-0001
via fax:
(518) 474-4702
reset/clear
VS-94 (3/15)
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