Pa Inspecrion Sticker PDF Details

Navigating the intricacies of vehicle inspection in Pennsylvania requires a basic understanding of the necessary documentation, particularly the Pa Inspection Sticker form (MV-436A). This form is a crucial tool for stations authorized to conduct vehicle inspections across the state, serving as an order form for both inspection stickers and various inserts. It's designed to streamline the process of requesting and acquiring these items, thereby ensuring that vehicles meet the state's safety and emissions standards. The form details how to order inspection stickers, emissions stickers, and special inserts, such as exemptions or waivers, along with replacement registration plates. It also specifies the costs associated with some stickers, outlines how to place an order—including the types and quantities of stickers needed—and the proper ways to make payments to the Commonwealth of Pennsylvania. Furthermore, the form mentions that there are no charges for certain items but emphasizes shipping and handling fees for others. With sections dedicated to safety stickers, emissions stickers, and even special and replacement items, the form encapsulates the essential elements of maintaining vehicle compliance in Pennsylvania. Stations must carefully fill out the form, ensuring they request the appropriate items needed for their operation and the vehicles they service, all the while adhering to the guidelines set by the Pennsylvania Department of Transportation (PennDOT).

QuestionAnswer
Form NamePa Inspecrion Sticker
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespenndot sticker processing unit, pa inspection sticker order form, buy inspection sticker online, pa state inspection sticker ordering 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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