Form Vs-1075 - Inspection Rejection/advisory Notice
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1INSPECTION REJECTION/ADVISORY NOTICE
Date:____________________
Facility ID
License Plate Number and State (or VIN)
Vehicle Year Vehicle Make
Odometer Reading
Number
Repairs needed to pass inspection can be done at any location of the motorist’s choice. After the repairs are completed, the vehicle must
be reinspected at any official inspection station. If the vehicle is presented for reinspection to the same station within 30 days, the station
may only perform the portion of the inspection (safety or emission) that the vehicle was failed for, and may only charge the fee for that
portion. If the vehicle is presented to a different station or if it has been over 30 days, then a full inspection must be performed.
A reinspection fee may not be charged unless the vehicle is removed from the station by the motorist, and is later returned for reinspection.
THERE IS NO SALES TAX ON INSPECTION FEES
Failed Inspection Items Are Noted Below
1. Service Brake rejected for:
For Vehicles Over 10,000 Pounds
o
o
o
Pedal Reserve
Calipers
GVW Only
Brake Equalization
o
o
o
Brake Fade
Disc Brake Pads
Wheel Cylinders
o
o
o
o
o
Hoses and Lines
Power Brake Unit
Brake Drum
Gauge
Warning Device
o
o
o
o
o
Master Cylinder
Drum Brake Lining
Brake Rotor
Adjustment
Air Leaks
o
o
o
2. Parking Brake rejected for:
Operation
Missing Components
Not Independent from Service Brakes
o
o
o
3. Tires rejected for:
Tread Wear
Condition
Restricted Use Tires
4. Steering, Suspension, Front End and Chassis/Frame rejected for:
o
o
o
o
Steering Wheel Play
Springs or Torsion Bars
Power Steering Unit
Chassis/Frame
o
o
o
Steering Linkage
Front End Assembly
Shock Absorbers or Mounting (Broken/Missing)
5. Lights/Reflectors rejected for:
o
o
o
o
Headlight Operation
Backup Lights
Hazard Warning Lights
Other Lights
o
o
o
o
Tail Lights
Directional Signals
Brake Lights
Marker/Clearance/Reflectors
o
o
o
o
6. Glass rejected for:
Cracks and/or Stars
Unapproved Glass
Missing Windshield
Window Tint
o
o
o
7. Mirror(s) rejected for:
Mounting/Adjustment
Cracked/Broken/Discolored
Missing
o
o
o
8. Wipers (windshield only) rejected for:
Missing
Operation
Blade Condition
o
9. Horn rejected for:
Operation
o
o
o
o
10. Seat Belts rejected for:
Number of Belts
Buckling
Anchoring
Operation
o
11. Fuel Leaks rejected for:
Fuel System Leaks
o
o
12. Hitch/Coupling rejected for:
Cracks or Broken Welds and/or Bolts
Looseness in Hitch Attachment
o
o
13. Chassis/Frame rejected for:
Bent or Cracked
Deteriorated due to Rust
14. Wheels and Fasteners rejected for:
Heavy Vehicles Only rejected for:
o
o
o
Broken or Missing Wheel Fasteners
Cracked or Bent Wheels
Valve Stems
15. Exhaust System of Heavy Vehicles and Motorcycles ONLY rejected for:
18. Diesel Emissions Test
o
Test Limit
Faulty Exhaust System
1991 & newer 1974-1990 1973 & older
16. Emergency Breakaway System of Trailers Over 10,000 lbs. Only rejected for:
o
o
o
o
o
System Missing
Inoperative
40%
55%
70%
17. Advisory Notification — Vehicle is NOT rejected for these items:
o
o
Test Readings _________________
Air Bag Readiness Light
Tire Pressure
I certify that this vehicle fails the New York State inspection for the items noted above.
X
___________________________________________________________________________________________________
(Certified Inspector Signature and Number)
Motorist: If you have a complaint about the inspection performed on your vehicle,
VS-1075 (12/16)
you may phone the New York State Department of Motor Vehicles at (518) 474-8943.
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