Vehicle Inspection Request Form printable pdf download

City of Kansas City, Mo.

Neighborhood and Community Services Department

Regulated Industries Division

635 Woodland Ave., Suite 2101

Kansas City, MO 64106

(816) 784-9000

Vehicle inspection request form

Please print or type the following information

Please check all that apply

⁫

New vehicle inspection

Replacement inspection

Already permitted vehicle inspection

Meter seal only

⁫

Taxicab vehicle

Pedicab vehicle

Livery vehicle

Sightseeing vehicle

This form, along with the inspection fee and all other required documents, must be submitted before an inspection will be

scheduled. After the completed inspection form, inspection fee and all other required documents have been submitted, a

minimum of two business days is required before an inspection can be scheduled.

Please fill out all that apply. Do not leave any blank spaces. Write "N/A" in any space that is not applicable

Company name __________________________________________________________ Date _______________________

Applicant's name __________________________________________ Phone __________________________

Last six VIN

Vehicle type

Fleet

Permit

License plate

digits or

(i.e., van, car,

number

Year

Make

number

serial number

carriage)

Original

vehicle

Replacement

vehicle

Taximeter make _____________________________ Taximeter serial number ________________________________

In addition to this form, the following items must be submitted before an inspection will be made

[ ] $22 vehicle inspection fee

[ ] Legible copy of state vehicle registration form

[ ] Certificate of insurance with a list of all insured vehicles

[ ] Legible copy of most recent Regulated Industries Division inspection report

[ ] Waiver vehicles only – State vehicle inspection form (completed within the past six months)

[ ] Replacement inspections only – Vehicle permit(s) (If permit(s) are stolen, submit a police report, or if permit(s) are

lost, submit a notarized statement)

[ ] $8 replacement decal fee

No vehicle will be inspected without complete paperwork and paid fees

Office use only – Do not write in space below

Date items submitted _________________ Date of scheduled inspection _________________________

Fee submitted $_________ Processed by

Vehicle Inspection Request Form

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