Form Tc-810 - Exemption Of Utah Safety And Emission Requirements For Vehicles Not In Utah

Download a blank fillable Form Tc-810 - Exemption Of Utah Safety And Emission Requirements For Vehicles Not In Utah in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Tc-810 - Exemption Of Utah Safety And Emission Requirements For Vehicles Not In Utah with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Clear form
Utah State Tax Commission
TC-810
Exemption of Utah Safety and Emission
Rev. 10/15
Requirements for Vehicles Not In Utah
Get forms online - tax.utah.gov
Division of Motor Vehicles · PO Box 30412, Salt Lake City, UT 84130 · Telephone 801-297-7780 or 1-800-368-8824
WARNING: Providing false or misleading information on this form is a crime, subject to penalty under Utah Criminal Code 76-8-504.
Section 1 - Vehicle Information
Year
Make
Fuel
Utah plate number
Model
Vehicle Identification Number (VIN)
I understand that under Utah Code my vehicle may be required to pass a state safety inspection prior to registration in the State of Utah.
If I am a resident of Cache, Davis, Salt Lake, Utah, or Weber County, my vehicle may be required to pass an emissions inspection prior
to registration. I hereby certify that the above-described vehicle is temporarily out-of-state and is now located at:
___________________________________ ____________________________ _________________
_________
___________
Physical address (not P.O. Box)
City
County
State
ZIP code
as a result of _________________________________ and will return to Utah on month _______ day _______ year ______ .
I am currently unable to meet the Utah safety and/or emissions inspection requirements for registration and understand that I must
check one box in each section that applies to my out-of-state location.
Section 2 - Safety Inspection
This vehicle is temporarily in a state shown in Section 1A on the reverse
side
of this form. If so, you must obtain and enclose a
certificate of safety inspection, or equivalent, from the state where the vehicle is located.
You must keep a copy of the
certificate in the vehicle and present it if requested by an officer.
This vehicle is not located in a state shown in Section 1A on the reverse side of this form. I affirm and agree that the vehicle will
be kept in a safe mechanical condition and that upon returning to the State of Utah, I will have the vehicle safety inspected. I will
keep a copy of the certificate in the vehicle and present it if requested by an officer.
Section 3 - Emissions Inspection
When in Utah, I am not a resident of Cache, Davis, Salt Lake, Utah, or Weber County. No emissions test is required.
When in Utah, I am a resident of Cache, Davis, Salt Lake, Utah, or Weber County and this vehicle is temporarily located in a city,
county, or state area shown in Section 2A on the reverse side of this form. If so, you must include a certificate of emissions,
inspection, or equivalent, from the city, county, or state where the vehicle is located. Keep a copy of the certificate in your vehicle.
When in Utah, I am a resident of Cache, Davis, Salt Lake, Utah, or Weber County and this vehicle is not located in a city, county, or
state area shown in Section 2A on the reverse side of this form. I affirm and agree that I will have the vehicle tested for emissions and
will submit proof of the emissions inspection to the Department of Health in the county in which I reside within 10 days after the
ìreturn to Utah" date shown above.
Section 4 - Owner Information and Signature
Owner's name
Telephone number
Owner's UTAH street address
City
County
State
ZIP code
UT
Owner or authorized representative's signature
Date
X
IMPORTANT INSTRUCTIONS:
At the time of vehicle registration, return this completed form with the renewal documents and
all required fees to the Division of Motor Vehicles (do not send cash in the mail). If you have questions about this form, please
call (801) 297-7780 or 1-800-368-8824.
The vehicle owner is responsible to retain a copy of this completed form in the vehicle
and to submit a copy of this completed form to the appropriate county health department listed
below
.
Davis County
Environmental Health
Salt Lake Valley
Cache County
P.O. Box 618
Health Department
Bear River Health Department
788 E. Woodoak Lane #150
85 East 1800 North
Farmington
, Utah 840
25
801-525-5100
Murray, Utah 84107-6379
North Logan, Utah 84341
385-468-3837
435-792-6500
Weber - Morgan
Utah County Health Department
Health Department
Bureau of Air Quality Program
477 23rd Street
3255 North Main Street
Ogden, Utah 84401
Spanish Fork, Utah 84660
801-399-7140
801-851-7600

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2