Alberta Insurance Inspection Form PDF Details

When purchasing a vehicle in Alberta, the Alberta Insurance Inspection form plays a crucial role in ensuring the vehicle's mechanical fitness. This detailed assessment is mandated by the Vehicle Inspection Regulation (A/R 211/2006) and is a critical step for both buyers and sellers in the vehicle transaction process. The form requires a certified journeyman technician to meticulously evaluate various components of the vehicle, including the powertrain, lamps, instruments, brakes, steering, suspension, and even the frame and body, among others. Each element is marked as compliant, non-compliant, or not applicable, providing a comprehensive overview of the vehicle's condition. It also contains sections for the vehicle’s information like year, make, model, and previous province of registration, ensuring all necessary data are accounted for. Furthermore, the document features a declaration by the technician that the assessment was conducted in compliance with the Traffic Safety Act, Vehicle Equipment Regulation (A/R 122/2009), and includes a space for both the buyer’s and salesperson’s acknowledgment. The assessment remains valid for 120 days after it's issued, offering a window of assurance for the involved parties in the vehicle's mechanical status.

QuestionAnswer
Form NameAlberta Insurance Inspection Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesalberta out of province inspection checklist pdf, out of province inspection, alberta out of province inspection, alberta out of province vehicle inspection form pdf

Form Preview Example

MECHANICAL FITNESS ASSESSMENT

As required by Vehicle Inspection Regulation (A/R 211/2006)

 

Dealer:

 

 

 

 

 

 

 

 

AMVIC Licence Number:

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

Year :

 

Make:

 

 

Model:

 

 

 

Previous Province of Registration:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identiication Number:

 

 

 

 

 

Odometer Reading:

 

 

 

( km / mi )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motorcycle

 

Bus

 

Van

 

Light Truck

 

Auto

 

Motorized RV

 

 

Other

 

 

m

Truck

m

m

m

m

m

m

 

m

 

Please check mark () each item as C=Complies or N=Non-Compliant. If item is Not Applicable indicate as N/A in the C column

Powertrain

C

N

Accelerator

 

 

Fuel System

 

 

Exhaust

 

 

Transmission

 

 

Front/Rear/Spindles Axles

 

 

Clutch

 

 

Fluid Levels (power steering, brake)

 

 

CV Joints

 

 

 

 

 

Lamps

C

N

Head Lamp Hi Beam

 

 

Head Lamp Lo Beam

 

 

Head Lamp Location

 

 

Daytime Running Lamps

 

 

Tail Lamps

 

 

Brake Lamps

 

 

Turn Signal Lamps

 

 

Hazard Warning Lamps

 

 

Licence Plate Lamp

 

 

Back-up Lamps

 

 

 

 

 

Instruments

C

N

Speedometer/Odometer

Indicator Lamps

Horn

Hi Beam Indicator

Technician Comments

Brakes

C

N

Parking/Emergency Brake

 

 

Hydraulic System

 

 

Vacuum System

 

 

Drum Brakes

 

 

Disc Brakes

 

 

Shoes/Pads

 

 

Anti-Lock (if OEM equipped)

 

 

 

 

 

Steering

C

N

Steering Lash

 

 

Steering Linkage

 

 

Rack & Pinion

 

 

Power Steering System

 

 

King Pin

 

 

Ball Joints

 

 

 

 

 

Suspension

C

N

Leaf springs

 

 

Struts and Shocks

 

 

Coil spring

 

 

Torsion Bar

 

 

Independent/Multilink Rear

 

 

Computer Controlled

 

 

 

 

 

Diagnostic

C

N

Diagnostic Trouble Codes

 

 

Frame & Body

C

N

Hood Latch

 

 

Door Latches & Hinges

 

 

Bumpers

 

 

Windshield Wipers & Washer

 

 

Rear Wiper & Washer

 

 

Windshield

 

 

Windows

 

 

Defrost/Heaters

 

 

Mirrors

 

 

Seats

 

 

Seat Belts/Airbags

 

 

Mudguards

 

 

Window Glazing

 

 

Structural Integrity

 

 

 

 

 

Tires & Wheels

C

N

Tread Depth

 

 

Tread Section

 

 

Sidewalls

 

 

Wheels

 

 

 

 

 

Electrical

C

N

Wiring

 

 

Battery

 

 

Switches

 

 

Alternator

 

 

This is to certify that I have assessed the vehicle described above in accordance with the Traic Safety Act, Vehicle Equipment Regulation (A/R 122/2009). By signing this assessment, I verify the contents of this document are true and correct.

Signature of Certiied Journeyman Technician:

Technician Name (Print):

Technician Trade Certiicate Number:

Date:

This assessment expires 120 days after the date it was issued.

I, the buyer of this vehicle, acknowledge receipt of this assessment.

Signature of Buyer

Buyer (Print)

Signature of Salesperson

Salesperson (Print)

Date

revised 9/15/ 4

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Filling out this form demands care for details. Make sure that all necessary areas are filled out accurately.

1. When filling out the alberta out of province inspection form pdf, be sure to incorporate all necessary fields in the associated section. This will help to speed up the work, allowing your information to be processed efficiently and accurately.

Part # 1 in filling out amvic form

2. Right after the last section is done, proceed to enter the relevant information in all these - Powertrain Accelerator Fuel System, Lamps Head Lamp Hi Beam Head Lamp, Instruments SpeedometerOdometer, Technician Comments, Steering Steering Lash Steering, Suspension Leaf springs Struts and, Diagnostic Diagnostic Trouble Codes, Frame Body Hood Latch Door, Tires Wheels Tread Depth Tread, and Electrical Wiring Battery Switches.

Part # 2 for submitting amvic form

3. This next part is going to be hassle-free - fill in every one of the fields in This is to certify that I have, I the buyer of this vehicle, Signature of Certiied Journeyman, Technician Name Print, Technician Trade Certiicate Number, Date, Signature of Buyer, Buyer Print, Signature of Salesperson, Salesperson Print, This assessment expires days, Date, and cid cid cid cid d e s i v e r in order to complete this part.

amvic form writing process described (stage 3)

Always be very mindful while filling in Technician Trade Certiicate Number and Signature of Salesperson, since this is where most users make errors.

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