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Form Title Purpose
VS-1074M Vehicle Inspection Record - Safety Motorcycle

Used by a DMV-licensed motor vehicle inspection station to record safety inspections only for motorcycles.

VS-1074S Vehicle Inspection Record - Safety

Vehicle Inspection Record - Safety

VS-1074SD Vehicle Inspection Record - Safety and Diesel Emissions

Used by a DMV-licensed motor vehicle inspection station to record safety and diesel emissions inspections.

VS-1075 Inspection Rejection/Advisory Notice

Notice completed by inspection station and given to a customer when a vehicle fails an inspection.

VS-1075.3 Requisition for Miscellaneous Forms

Used by licensed NYS inspection stations to order miscellaneous DMV forms.

VS-1079DE Diesel Emissions Inspection Certification & Waiver Form

Must be completed when a diesel emissions inspection waiver is granted after diagnostics and repairs have been done and a vehicle cannot pass the inspection.

VS-1080R Proof of HDDV Repair

Diesel emissions repair and re-test certification form for signature by inspector and customer.

VS-110 Notice of Missing or Mutilated Vehicle Identification Number

Used by a licensed motor vehicle inspection station to report to DMV a missing or mutilated vehicle identification number (VIN) on an inspected vehicle.

VS-113I Inspection Certificate Order Form

Used by licensed inspection stations to order vehicle inspection certificate stickers.  Stickers may also be ordered online.

VS-114I MV-50 Retail / MV-50W Wholesale Order Form

To provide VERIFI exempt dealers with the ability to order secure paper certificates of sale.

VS-117 Application for a Motor Vehicle Body Damage Estimator License

Application for license required for those who write auto body damage estimates on behalf of auto repair shops under Section 398-d. of the Vehicle and Traffic Law.

VS-118 Request for Replacement Inspection Sticker

Used to request a replacement Inspection Sticker

VS-120 Application for Certification as a Motor Vehicle Inspector

Use to apply for certification as an inspector to conduct vehicle safety and emissions inspections.

VS-121W Application for Renewal of Certification as a Motor Vehicle Inspector

Used to renew your certification as a motor vehicle safety and emissions inspector if you did not receive a renewal form by mail.

VS-124W Renewal Application of a Body Damage Estimator License

Used to renew your license as a motor vehicle body damage estimator if you did not receive a renewal form by mail.

VS-142 Facility Requirements - Dealers and Transporters

Facility Requirements - Dealers and Transporters

VS-142M Facility Requirements – Manufacturer Plates

Facility Requirements – Manufacturer Plates

VS-143 Facility Requirements - Inspection Stations

Facility Requirements - Inspection Stations 

VS-144 Facility Requirements - Junk and Salvage

Facility Requirements - Junk and Salvage

VS-145 Facility Requirements - Repair and Body Shops

Facility Requirements - Repair and Body Shops

VS-146 Repair Shop Zoning Requirements Letter

Repair Shop Zoning Requirements Letter

VS-147 ATV Dealer Requirements

ATV Dealer Requirements

VS-18 Statement that a Historical Registered Vehicle Will Be Used During Daylight Hours Only

Used by inspection stations when inspecting historical vehicles that will not be driven at night.

VS-19 Statement of Ownership and/or Permission to Use Place of Business

To be completed in addition to the Request for Business Amendment / Duplicate Certificate (MV-253G) when a facility reports a change in location.

VS-1AB Automobile Broker Business Application

NOTE:  Please see important information regarding recent legislation pertaining to automobile brokers

This form is used to apply for an Automobile Broker Business Certificate and to certify information about your business, property, ownership or lease.  The instructions are integrated into this form.  You can also download the regulations that explain requirements for automobile broker businesses.  

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