Form Td 420 808 PDF Details

The process of transforming an off-road only motorcycle for highway or public road use is a meticulous one, requiring careful compliance with specific regulations and standards. At the heart of this transition is the TD 420 808 form, a crucial piece of documentation that certifies and registers a two-wheeled motorcycle originally designed and labeled for off-road use only. This certification process is delineated into two main sections, each with its own set of requirements and declarations. The first part must be completed by a licensed Washington motorcycle dealer or repair shop, validating that the motorcycle has passed an inspection covering various components such as headlights, reflectors, tires, and more. The second part of the form is designated for the motorcycle's owner to complete, acknowledging the vehicle's modification for public road use and agreeing to indemnify the State of Washington from any liabilities arising from its operation on public roads. Additionally, the form stipulates that the motorcycle must be operated by someone with a valid Washington driver license and motorcycle endorsement, ensuring that only qualified individuals can legally take these modified motorcycles onto public highways.

QuestionAnswer
Form NameForm Td 420 808
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names420808 motorcycle highway use declaration form

Form Preview Example

Motorcycle Highway Use Declaration

Use this form to certify and register a two-wheel, off-road only motorcycle for highway/public roadway use. This applies to motorcycles that were originally labeled by the manufacturer as off-road use only and defined as having handlebars and a seat that is straddled by the rider. Any off-road motorcycle having more than two wheels is not eligible for this certification. The operator of the motorcycle must have a valid Washington driver license and motorcycle endorsement. To register your off-road motorcycle for highway/public roadway use, you must:

•have your motorcycle inspected by a licensed Washington motorcycle dealer or repair shop.

•have the dealer or repair shop fill out Part 1 and attach a receipt from the inspection.

•fill out Part 2 and have it certified by the Department of Licensing or one of its authorized agents.

•submit ownership documents with this form to a vehicle licensing office.

Part 1: Washington State licensed motorcycle dealer or repair shop

Complete and sign this section. All items must pass inspection for this motorcycle to be registered. You are entitled to an inspection fee up to $100 and it must be paid directly to you. Attach a copy of the receipt showing amount charged.

PRINT or TYPE Business name

 

 

 

 

 

Unified Business Identification (UBI) number

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

State

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

(Area code) Telephone number

 

 

 

Email address (optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motorcycle make

 

 

 

Model

 

 

 

Year

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspection items

 

 

 

 

 

 

 

 

 

Headlight

Pass

Fail

Reflectors . . .

. . . . . Pass

Fail

Tires . . . .

. . . . . . . .

Pass

Fail

Tail light

Pass

Fail

Horn

. . . . . Pass

Fail

Fenders .

. . . . . . . .

Pass

Fail

Brake light

Pass

Fail

Mirrors (L/R) .

. . . . . Pass

Fail

Windshield

Pass

Fail

Turn signals

Pass

Fail

Brakes

. . . . . Pass

Fail

(if applicable)

 

 

Certification

 

 

Did you verify the Vehicle Identification Number (VIN)?

Yes

No

Is the motorcycle properly equipped with all items required by RCW 46.61.705(2)(a) through (k)?

Yes

No

Does the equipment you inspected comply with state and federal requirements?

Yes

No

I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. If signing for a business, I have full authority to do so.

X

Date and place

Authorized signature

TD-420-808 (R/5/13)WA Page 1 of 2

(continued on other side)

Part 2: Registered owner

This section must be filled out completely and signed.

PRINT or TYPE Name

Washington driver license number

Street address

City

State

ZIP code

(Area code) Telephone number

Email address (optional)

Certification

 

 

Do you understand this motorcycle was not manufactured for on-road use?

Yes

No

Do you understand this motorcycle has been modified for use on public roads?

Yes

No

To the extent permitted by law, do you expressly agree to indemnify, defend, and hold harmless the

 

 

State of Washington and the Department of Licensing from all claims, damages, losses, expenses,

 

 

and costs arising out of the registration and operation of this motorcycle?

Yes

No

I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.

 

 

X

Date and place

 

Signature

If you remove any of this equipment from your motorcycle, it will no longer be eligible for highway and public road use and must be registered for off-road use only.

County auditor / agent/subagent licensing office certification

PRINT or TYPE Name

County/office number

I certify that this application appears to be completed correctly and the applicant has sufficient documentation to proceed with filing this form.

X

Signature

Date

RCW 46.04.363; 46.09.470; 46.16A.435; 46.61.705

TD-420-808 (R/5/13)WA Page 2 of 2

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Step number 1 in submitting Form Td 420 808

2. Once your current task is complete, take the next step – fill out all of these fields - PRINT or TYPE Name, Washington driver license number, Street address, City, State, ZIP code, Area code Telephone number, Email address optional, Certification Do you understand, Yes, Do you understand this motorcycle, Yes, To the extent permitted by law do, Yes, and I certify under penalty of perjury with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage no. 2 of completing Form Td 420 808

Always be extremely careful when filling out Yes and Certification Do you understand, as this is where most people make a few mistakes.

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