Pa Inspecrion Sticker PDF Details

If you are a business owner in the state of Pennsylvania, you will need to complete a PA Inspecrion Sticker Form. This form is used to provide information about your business to the Department of Agriculture. The Department of Agriculture uses this information to ensure that your business is in compliance with state regulations. Completing this form is a quick and easy way to let the Department of Agriculture know about your business.

Here is the information about the PDF you were looking for to fill in. It will show you just how long it should take to finish pa inspecrion sticker, what fields you will need to fill in and several other specific details.

QuestionAnswer
Form NamePa Inspecrion Sticker
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesorder pa inspection stickers online, pa inspection sticker order form, order pa inspection stickers on line, order inspection stickers online

Form Preview Example

MV-436A (7-21)

www.dmv.pa.gov

INSPECTION STICKER AND INSERT ORDER FORM

Please make check/money order payable to: Commonwealth of Pennsylvania

For Department Use Only

Bureau of Motor Vehicles • Sticker Processing Unit • P.O. Box 68697 • Harrisburg, PA 17106-8697

 

A

Station Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Station Street Address (P.O. Box number may be used in addition to the actual address, but cannot be used as the only address.)

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

City

 

 

 

 

 

 

 

 

State

Zip Code

 

 

E-Mail Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

INSERTS - NO CHARGE - Inserts should be ordered in conjunction with sticker orders. Quantities may be adjusted at the discretion of PennDOT.

 

 

 

Type

 

 

 

 

 

 

Months Needed

 

 

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

Jan

Feb

Mar

 

Apr

May

June

July

Aug

 

Sept

Oct

 

Nov

Dec

 

 

 

 

 

 

 

 

 

 

 

 

 

Safety

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place number of packs

 

 

 

Inserts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

desired in spaces to left.

 

 

 

Emissions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Each pack contains 50

 

 

 

Inserts

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

inserts.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

SPECIAL INSERTS - NO CHARGE - Please order in conjunction with stickers.

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

Quantity

 

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

 

E/Exempt Inserts

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

W/Waiver Inserts

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T-Dot Inserts (TEMP)

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

D

 

REPLACEMENT OF ILLEGIBLE

REGISTRATION

PLATE CARDS - Please order in conjunction with stickers.

 

 

 

 

Type

 

Quantity

 

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

 

Form MV-46

 

 

 

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E

EMISSIONS STICKERS - NO CHARGE - Shipping and handling charge applies.

 

 

 

 

 

 

Type

 

Quantity

 

 

 

 

 

 

 

Ordering Requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emissions Stickers (IM)

 

 

 

 

Order in multiples of 10.

 

 

 

 

 

 

 

 

 

 

 

Minimum order of 10 stickers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F

SAFETY STICKERS - CHARGE - Shipping and handling charge applies.

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

Quantity

 

 

 

Ordering Requirements

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Annual Inside (AI)

 

 

 

 

Order in multiples of 10 ($9 each).

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Annual Inspection: Passenger vehicles, trucks,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

emergency vehicles, and certain vans.

 

 

 

 

 

 

Annual Outside (AO)

 

 

 

 

Order in multiples of 10 ($9 each).

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Motorcycles and all trailers.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Semi-Annual Inside (SI)

 

 

 

 

Order in multiples of 10 ($7 each).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Semi-Annual: School buses, certain vehicles

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

under contract with schools, mass transit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vehicles, and certain vans and farm vehicles.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G

SIGNATURE - As listed on the current Form MV-500.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized Signature

 

 

 

 

 

 

 

Operator’s #

 

 

 

 

 

State

Total Amount for

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stickers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Name as Above

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

Minus Credit

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTENTION - Sticker orders should be verified against the receipt. Discrepancies

Subtotal

 

$

 

 

 

should be reported immediately by calling PennDOT at 717-705-2182. Please allow

 

 

 

 

 

 

Shipping and

 

 

 

 

14 days for delivery.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$ 5.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Handling Charge

 

 

 

Please make check/money order payable to the Commonwealth of Pennsylvania and

 

 

 

 

 

Total Amount Due -

$

 

 

 

return to: PennDOT, Bureau of Motor Vehicles, Sticker Processing Unit, P.O. Box

Stickers/Postage

 

 

 

 

68697, Harrisburg, PA 17106-8697.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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