Fillable um, - .. II VEHICLE INSPECTION CERTIFICATE (State of Nevada, Department of Information Technology)

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um, - .. II VEHICLE INSPECTION CERTIFICATE (State of Nevada, Department of Information Technology)

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BROWSE STATE OF NEVADA, DEPARTMENT OF INFORMATION TECHNOLOGY (NV) FORMS

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um,
I I I I I I I I I I I I I I I I I I
I I I I I I I
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas area (702) 486-4DMV (4368)
dmv.nv.gov
IMPORTANT NOTICE: NEVADA LAW REQUIRES REGISTERED OWNERS TO MAINTAIN CONTINUOUS INSURANCE
COVERAGE ON REGISTERED VEHICLES, FROM A LICENSED NEVADA INSURANCE COMPANY TO AVOID PENALTIES
NRS 482.220
VEHICLE INSPECTION CERTIFICATE
FOR VEHICLE IDENTIFICATION NUMBER VERIFICATION
(To be completed by an Authorized Nevada DMV Agent or a Peace Officer)
For Moped Inspections use form VP-30
Please Print or Type
I certify that I have examined the following vehicle :
Year
Make
Model
Body Type
Federal Certification Safety Label and Emissions Label (LSVs only)
Yes
No
Vehicle Identification Number
Odometer Reading (as shown on apparatus)
NO TENTHS
If the vehicle’s odometer apparatus only displays five numbers, please put an X in the first box. Not all LSVs will have an
odometer.
1. The mileage stated is in excess of its mechanical limits.
2. The odometer reading is not the actual mileage. WARNING – ODOMETER DISCREPANCY
3. Exempt – Model year over 20 years old.
Cylinders ______________ Rotor _________________
If vehicle being inspected is a trailer, does it include living quarters? Yes No
Other (see
Fuel:
Gas
Diesel
Propane
Electric
remarks)
REMARKS
Badge or
Authorized Officer-Inspector - Printed Name
ID #
Authorized Officer-Inspector - Signature
Date
(If other than DMV Inspection Station)
Address
City
State
Zip Code
Enforcement Agency
Agency
Nevada Authorized Agency
Agency
VP15 (Rev 02/2022)
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um, - .. II VEHICLE INSPECTION CERTIFICATE (State of Nevada, Department of Information Technology)

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Completed 22 June 2022

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