"Annual Vehicle Safety Inspection Certification" - Georgia (United States)

Annual Vehicle Safety Inspection Certification is a legal document that was released by the Georgia Department of Early Care and Learning - a government authority operating within Georgia (United States).

Form Details:

  • Released on March 14, 2014;
  • The latest edition currently provided by the Georgia Department of Early Care and Learning;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Georgia Department of Early Care and Learning.

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Download "Annual Vehicle Safety Inspection Certification" - Georgia (United States)

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Bright from the Start: Georgia Department of Early Care and Learning
Annual Vehicle Safety Inspection Certification
Items to be
Items
Items
Correction or Adjustment
Comments/Remarks
Inspected
O.K.
Deficient
made
Tires
Headlights
Horn
Taillights
Turn Signals
Brake Lights
Brakes
Suspension
Exhaust System
Steering
Windows
Windshield
Windshield wipers
Heating System
Owner/Operator of Vehicle: _______________________________________________________
Facility Address: _________________________________________________________________
_________________________________________________________________
Make and Model of the Vehicle: ____________________________________________________
Tag Number: ____________________
Odometer Reading: _______________
Mechanic’s Signature: ____________________________________________________________
Date of Inspection: _______________________________________________________________
(Note: Annual Vehicle Safety Inspection Certification is valid for one year from date of inspection.)
Revised 3/14/2014
Bright from the Start: Georgia Department of Early Care and Learning
Annual Vehicle Safety Inspection Certification
Items to be
Items
Items
Correction or Adjustment
Comments/Remarks
Inspected
O.K.
Deficient
made
Tires
Headlights
Horn
Taillights
Turn Signals
Brake Lights
Brakes
Suspension
Exhaust System
Steering
Windows
Windshield
Windshield wipers
Heating System
Owner/Operator of Vehicle: _______________________________________________________
Facility Address: _________________________________________________________________
_________________________________________________________________
Make and Model of the Vehicle: ____________________________________________________
Tag Number: ____________________
Odometer Reading: _______________
Mechanic’s Signature: ____________________________________________________________
Date of Inspection: _______________________________________________________________
(Note: Annual Vehicle Safety Inspection Certification is valid for one year from date of inspection.)
Revised 3/14/2014