VI-2: Texas Vehicle Inspection Station Application

Mark Original Application, Renewal Application, Reinstatement, Additional Endorsements, Commercial Windshield, Commercial Trailer or Emissions (OBD).

Enter the Station Name (DBA), the Station ID (If Known), the County, the Taxpayer ID# (EIN, ITIN) and the Name of Corporation, Company or Full Name of Sole Proprietor. For a Change Request, mark Name, Location or Add Owner.

Mark the Type of Ownership: Sole Proprietor, General Partnership, Corporation, Limited Liability Company, Limited Partnership, Limited Liability Partnership or Government.

Enter the Station Physical Address and the Station Mailing Address, each with Address, City, State, ZIP and County.

Enter the Phone Number, the Station Email Address, the Station Website and the Inspection Hours for Sun, Mon, Tue, Wed, Thurs, Fri and Sat.

For Corporations, mark one: My corporate franchise taxes owed to the State of Texas under Tax Code Chapter 171, are current, or The corporation is exempt from, or not subject to, the Texas Franchise Tax. If the owner is a corporation, enter the Name of Business Owner, the Phone Number and the Email Address.

Under OWNER, enter Last Name, First Name, Middle Name and Suffix, then Date of Birth, Driver's License/ID #, DL/ID State and DL/ID Expiration.

Enter the Residential/ Physical Address and the Mailing Address, each with Address, City, State, ZIP and County.

Enter the Primary Phone Number and the Alternate Phone Number, marking Cell, Home or Work for each, and the Email.

If you have been previously licensed as an official vehicle inspection station, enter the Station Name, City, State and Dates.

Have you, within the past 10 years, been convicted of a felony-level offense? Mark Yes or No, then enter the Conviction Date, State, County and Description.

Mark Yes or No for a Class A Misdemeanor or equivalent offense and for a Class B Misdemeanor or equivalent offense within the past 10 years, each with the Conviction Date, State, County and Description.

I verify the information provided is true and correct, and I understand any required fee is non-refundable.

I also understand this is an official government record and any missing information and/or false statement made on this document, or any other supplement provided to DPS may result in criminal prosecution.

The OWNER signs under SIGN: Signature, Printed Name and Title, Date.

Under ADDITIONAL OWNER, enter Last Name, First Name, Middle Name and Suffix, then Date of Birth, Driver's License/ID #, DL/ID State and DL/ID Expiration.

For the additional owner, enter the Residential/ Physical Address, the Mailing Address, each with Address, City, State, ZIP and County, the Primary Phone Number and Alternate Phone Number with Cell, Home or Work, and the Email.

For the additional owner, if previously licensed as an official vehicle inspection station, provide the Station Name, City, State and Dates, then mark Yes or No for the felony-level offense and the Class A Misdemeanor or equivalent offense, each with the Conviction Date, State, County and Description.

For the additional owner, mark Yes or No for a Class B Misdemeanor or equivalent offense within the past 10 years, then enter the Conviction Date, State, County and Description.

An ADDITIONAL OWNER signs under a second SIGN: Signature, Printed Name and Title, Date.

This inspection station has a business representative that acts on behalf of the owner(s). Please note that the owner or operator will recognize and acknowledge their responsibility to the public to offer a good, complete and thorough inspection, according to the rules and regulations. Enter Last Name, First Name, Middle Name, Suffix, Phone Number and Email.

TxDPS requires a single point of contact if it has additional questions about your application: enter the Application Contact.

This form and payment can be forwarded by mail to: Texas Department of Public Safety Vehicle Inspection Program PO Box 4087 MSC 0542 Austin, TX 78773-0542.