Bld-200 - Application For Immediate Need Mechanic Testing
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BLD-200 (11/2006)
Michigan Dept. of State
1-888-SOS-MICH (1-888-767-6424)
APPLICATION FOR IMMEDIATE NEED MECHANIC TESTING
(Testing available only at the Licensing Unit in Lansing)
APPLICATION REQUIREMENTS:
1. Application must be filled out by the requesting registered repair facility and faxed to the Licensing Unit at:
(517) 335-2810.
2. Applicant must have an offer of employment from a registered repair facility. Applicant must take immediate action to
obtain State of Michigan mechanic certification.
3. Test(s) will not be administered without a scheduled appointment, valid photo ID, and receipt of this application.
ALL INFORMATION BELOW IS REQUIRED AND MAY BE VERIFIED
APPLICANT:
Applicant Name (Please Print): ___________________________________________ SSN: ______________________
Address: __________________________________
City: ___________________
State: ________
Zip: _______
(
)
Telephone:
____________________
_____________________________________________________
Signature
EMPLOYER:
(
)
Repair Facility Name: ____________________________________________
Telephone:
______________
Address: __________________________________
City: ___________________
State: ________
Zip: _______
EMPLOYER VERIFICATION:
F
Michigan Repair Facility Registration Number:
___________________
I verify that an offer of employment, valid until ______/______/_________, has been made to the above named applicant
contingent upon passing the tests indicated below and applying for Michigan mechanic certification.
Employer Name (Please Print): _______________________________________________________________________
Employer Signature: _____________________________________
Title (owner, manager, etc.): _________________
CERTIFICATION REQUIREMENTS:
You may select a maximum of three (3) certification categories for immediate need
testing of this applicant. Additional tests may be taken at designated Secretary of State branch offices, if needed.
Automobile & Light Truck
Heavy Duty Truck
Other
Engine Repair
Engine Repair – Gasoline
Pre-1973 Vehicles
Automatic Transmissions
Engine Repair – Diesel
Unitized Body Structural
Manual Transmissions
Drive Train
Repair
Front End & Steering Systems
Brakes & Braking Systems
Collision-Related
Brakes & Braking Systems
Suspension & Steering
Mechanical Repair
Electrical Systems
Systems
Motorcycle
Heating & Air Conditioning
Electrical Systems
Recreational Trailer
Engine Tuneup/Performance
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Parent category: Business