Vehicle Or Hull Identification Number Inspection Certification

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Vehicle or Hull Identification Number Inspection Certification
ITD 3403 (Rev. 02-13)
Supply # 01-958038-0
Idaho Transportation Department
 Complete all sections related to Vehicle
 Do not use codes from any title 
 Spell out makes and models 
This form must be filled out by a law enforcement officer or an authorized agent of the Idaho Transportation Department (ITD) directly
from the vehicle/vessel without the use of other documentation. Note: This form is not an ownership document.
st
1
Vehicle (VIN) or Hull (HIN) Identification Number – (VINs typically have 17 numbers; HINs typically have 12)
VIN/HIN Discrepancy (Explain)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
nd
2
Vehicle Identification Number (VIN)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
VIN/HIN
Dash
Door
Transom
Headstock
Trailer Tongue L - R
Other
(Describe)
Location
Engine Size
cc
Motorcycle FMVSS Sticker
Yes
No
Auto/PU/Van
Truck
Trailer
Type of
Motorcycle
RV
Mobile Home
Wheel base on ATV or UTV (See back of form)
Number of Wheels on ATV or UTV
Vehicle
Snowmobile
ATV
UTV
Boat
Model Year
Make
Body Type
Model
Color
Length
Width
Weight
Fuel Type
Horsepower
Hull Material
Propulsion
Motorcycle Is:
Comments/Description/Other Pertinent Data
Off-road
On-road
Odometer Reading (no tenths)
Not Actual – Warning – Odometer Discrepancy
Exempt
Exceeds Mechanical Limits
No Odometer
Inspection Officer or Agent's Signature
Applicant's Name
(I certify I have physically inspected the vehicle described above)
X
Agency Name
Badge Number
Applicant's Address
City/Area
Date Inspected
City, State, Zip
Daytime Phone Number
Wheelbase is the 
distance between the 
center of the front axle 
and the center of the 
farthest rear axle

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Parent category: Business
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