Transcription of Repair Waiver Application
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Repair Waiver Application
Repair Waiver Application This form can be submitted online at IL 532-3027 VIM 170 Rev. 11/2017 This form may be used to apply for a Repair Waiver from the vehicle emissions testing requirement in accordance with the Illinois vehicle Emissions Inspection Law of 2005 (625 ILCS 5/13C-30) and 35 Ill. Adm. Code Section Please type or print legibly, and complete all fields on the Application . vehicle Information Illinois License Plate Number vehicle Identification Number (VIN) Model Year vehicle Make vehicle Owner Information Registered Owner 1 Registered Owner 2 Street Address Street Address City State Zip Code City State Zip Code Daytime Telephone Number ( ) Daytime Telephone Number ( ) Email Address Email Address Preferred Method of Contact: (Please select only one method.)
Nov 28, 2017 · Repairs made must be consistent with the diagnostic trouble codes (DTCs) present at the time of the initial failure. Evidence of the repair(s) performed must be presented and consist of: signed receipts dated not more than 30 days prior to the test eligibility date that identify the vehicle by VIN, describe the diagnostic procedures utilized in
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