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.) Phone Email Mail Waiver Requirements Illinois law provides that a vehicle that has failed a vehicle emissions retest qualifies for a Waiver of the emissions inspection standards if the following requirements are met: 1.
Nov 28, 2017 · Application Instructions 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 276.401. Please type or print legibly, and complete all fields on the application.
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