Shp 455M Form PDF Details

Understanding the intricacies of the SHP-455M form is essential for those interacting with vehicle inspections in Missouri. This form, issued by the Missouri State Highway Patrol, serves as a requisition document for Motor Vehicle Inspection (MVI) supplies, crucial for stations authorized to conduct safety assessments on vehicles and motorcycles. Key elements include the ordering of safety inspection stickers and motorcycle/trailer decals—both set in books of 20 units priced at $30.00 each, alongside safety and motorcycle inspection signs, available at $22.00 per sign. The process requires the station's details, such as name, number, and shipping address, alongside an authorized signature. Payments, which must be made via check or money order to the Director of Revenue, signify the form's completion, emphasizing that cash transactions are not accepted. Orders are processed swiftly, with sticker and decal shipments typically sent out on the next working day after receipt. This form not only facilitates the procurement of necessary inspection materials but also underscores the state's commitment to maintaining vehicular safety standards.

QuestionAnswer
Form NameShp 455M Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdecal, Enclosed, form shp 455m, mvi 2 form

Form Preview Example

 

 

 

 

Mail to: Missouri State Highway Patrol

 

MISSOURI STATE HIGHWAY PATROL

 

Motor Vehicle Inspection

 

 

 

 

P.O. Box 568

 

REQUISITION FOR MVI SUPPLIES

 

Jefferson City, MO 65102

 

 

Make checks payable to: Director of Revenue

 

 

 

 

 

 

SHP-455M 12/06

 

Cash will not be accepted.

 

 

 

 

 

 

 

DATE

 

STATION NAME (as appears on permit)

 

 

 

STATION NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPING ADDRESS

 

 

 

 

COUNTY

 

 

 

 

 

 

 

 

 

CITY

 

ZIP

SIGNATURE OF AUTHORIZED PERSON

SAFETY INSPECTION STICKERS

Send _________________ books of safety inspection stickers (20 stickers to a book at $30.00 per book).

MOTORCYCLE DECALS

Send _________________ books of motorcycle/trailer decals (20 decals to a book at $30.00 per book).

SAFETY & MOTORCYCLE INSPECTION SIGNS

Send _________________ safety inspection signs ($22.00 per sign).

Send _________________ motorcycle inspection signs ($22.00 per sign).

Enclosed is check or money order no. ___________________________________________________________________ ,

dated _____________________________________ , for $___________________________________________________ .

Sticker / decal orders are normally processed the day of receipt and shipped the next working day.

MISSOURI STATE HIGHWAY PATROL USE ONLY

________ books of safety stickers, book # __________________ through __________________ issued ______________ .

________ books of decals, book # _____________________ through _____________________ issued ______________ .

ORDER FILLED BY