Form Ep 009 PDF Details

When it comes to ensuring vehicles meet Maryland's emissions standards, the EP-009 form plays a crucial role. Located at 6601 Ritchie Highway, N.E., Glen Burnie, Maryland, this form is an integral part of the Vehicle Emissions Inspection Program. It is designed for vehicle owners who find their vehicles non-compliant with the emissions requirements. The form comprises various sections, including vehicle information and owner’s statement of facts, where the owner must articulate the reason for non-compliance. It also necessitates a repair facility's input if the vehicle has been in repair or storage, potentially affecting its compliance status. Furthermore, for vehicles temporarily located out-of-state, a verification from law enforcement is required. This comprehensive form not only serves as a certified statement for the Maryland Vehicle Administration but also guides the vehicle owner through the process of declaring and rectifying emissions issues. Completing and submitting this form correctly is vital for compliance with Maryland's stringent vehicle emissions standards, ensuring that the necessary processes are followed for vehicle inspection and registration. This detailed approach underscores Maryland's commitment to environmental protection and public health through regulated vehicle emissions.

QuestionAnswer
Form NameForm Ep 009
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmd form emissions, maryland ep 009, mva vehicle emissions, maryland vehicle emissions

Form Preview Example

EP-009 (11-20)

6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062

Vehicle Emissions Inspection Program – Certified Statement

MVA Use Only: CSR ID

 

 

Date Mailed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 1: Vehicle Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tag Number

Title Number

Vehicle Identication Number

 

Year

 

Make

 

 

 

 

 

 

 

Name of Vehicle Owner - First

 

Middle

 

 

 

Last

 

 

 

 

 

 

 

 

 

Street Address

 

 

C ity

C ounty

 

S tate

 

Zip C ode

 

 

 

 

 

 

 

 

 

Temporary Address

 

 

C ity

C ounty

 

S tate

 

Zip C ode

Section 2: Owner’s Statement of Facts - The vehicle listed in Section 1 is not in compliance with the requirements of the Vehicle Emissions Inspection Program due to the reason stated below. Attach additional information if necessary.

I certify, under penalty of law, that the statements made above are true and correct to the best of my knowledge and belief, under Section 12-109(b) of the Maryland Vehicle Law.

SignatureTelephone NumberDate

Section 3: Repair Facility Statement of Facts

The vehicle listed in Section 1 has been under repair/storage at our facility from

 

to

 

 

 

Repair Facility Name

Phone Number

Address

I certify under penalty of law, that the statements made above are true and correct to the best of my knowledge and belief, under Section 12-109(b) of the Maryland Vehicle Law.

Repair Facility Manager

Date

Section 4: Out-of-State Verification - If vehicle listed in Section 1 is temporarily located out-of-state, a law enforcement ocial, from the state where the vehicle is located, must verify the vehicle is located in that state and complete this section.

✔ one of the following: ❒ Local/State/Federal Law Enforcement Officer

❒ School Security Officer ❒ Military Law Enforcement Officer

I certify that the vehicle described in Section 1 is located in this state and was observed in:

City/C ounty

 

 

 

S tate

 

 

 

 

on

 

 

 

 

 

 

 

 

 

Official’s S ignature

 

 

 

 

 

 

B adge/ID #

 

 

 

 

 

 

 

Agency/S chool/Military B ase

 

 

 

 

 

Telephone #

 

 

 

 

 

 

 

For more information, please call: 410-768-7000 (to speak with a customer service representative).

TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov

Instructions

Step 1: Owner/Agent must complete Section 1, Vehicle Information.

Step 2: Owner/Agent must complete Section 2 and explain the reason that the vehicle listed in Section 1 has not been emissions inspected as required by Maryland Law.

Step 3: Have Section 3 or 4 completed

Section 3: Vehicle Under Repair/Storage

If the Vehicle has not been emissions inspected due to being under repair or storage at a repair facility, the vehicle owner must complete Sections 1 and 2 and the manager of the repair facility must complete section 3.

Section 4: Vehicles out of Maryland

If the vehicle has not been inspected due to being out of the Maryland emissions test area, the vehicle owner must complete Sections 1 and 2. Have one of the the law enforcement officials listed in Section 4 complete that Section.

Step 4: Please mail the completed form to the address listed below, or the completed form may be faxed to (410) 424-3193

Motor Vehicle Administration

Vehicle Emissions Inspection Program

6601 Ritchie Highway, N.E.

Glen Burnie, Maryland 21062

Attn: VEIP Office Supervisor

If additional information is needed, call 410-768-7000.

Apply to...

Apply to register to vote with your driver’s license transaction. For details ask your customer service representative.

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maryland vehicle emissions blanks to consider

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maryland vehicle emissions erutangiS, rebmuN enohpeleT, etaD, Section Repair Facility Statement, Repair Facility Name, Address, Phone Number, I certify under penalty of law, Repair Facility Manager, Date, Section OutofState Verification, I certify that the vehicle, ytnuoCytiC, erutangiS slaiciffO, and etatS blanks to complete

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