Form ECY020-24 "Application: Automotive Repair Business Inclusion in the Emission Check Program" - Washington

What Is Form ECY020-24?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2016;
  • The latest edition provided by the Washington State Department of Ecology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ECY020-24 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download Form ECY020-24 "Application: Automotive Repair Business Inclusion in the Emission Check Program" - Washington

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Application: Automotive Repair Business
Inclusion in the Emission Check Program
Western Washington (800) 272-3780
Eastern Washington (509) 329-3491
I agree to the following:
My business name, address, and phone number will be on the list given to drivers whose vehicles fail an Emission
Check test.
Only an Ecology-Authorized Emission Specialist will perform appropriate emission-related diagnoses, repairs, and/or
adjustments of vehicles that fail an Emission Check test.
An Ecology-Authorized Emission Specialist must sign and date the customer’s repair receipt. The repair receipt must
list the emission diagnosis or repairs done, and those that may be needed for the vehicle to pass the test or be waived.
No employee will tamper or help tamper with emission control systems, including adjusting a vehicle outside the
manufacturer's specifications; or get or help get a false passing test, waiver, or exemption from the test requirement.
My business must immediately stop listing (print, web, verbal) itself as an authorized repair business if it no longer
meets the requirements.
Notify Ecology when an Authorized Emission Specialist starts or ends working at my business.
Allow Ecology staff access to my business, including diagnostic equipment, personnel, and records, during my
business’s normal business hours.
Manager/Owner Information
Service Manager
Owner
Other
First Name:
Last Name:
Business Name:
Address:
City:
State:
Zip:
Phone:
Alternate Phone:
Email:
Manager/Owner/Other Statement
I understand and agree to meet these requirements.
Signature
Date
For Official Use Only
Ecology Staff
Date
To request ADA accommodation, call (360) 407-6800, 711 (relay service), or (877) 833-6341 (TTY).
ECY 020-24 (Rev. 11/2016)
Application: Automotive Repair Business
Inclusion in the Emission Check Program
Western Washington (800) 272-3780
Eastern Washington (509) 329-3491
I agree to the following:
My business name, address, and phone number will be on the list given to drivers whose vehicles fail an Emission
Check test.
Only an Ecology-Authorized Emission Specialist will perform appropriate emission-related diagnoses, repairs, and/or
adjustments of vehicles that fail an Emission Check test.
An Ecology-Authorized Emission Specialist must sign and date the customer’s repair receipt. The repair receipt must
list the emission diagnosis or repairs done, and those that may be needed for the vehicle to pass the test or be waived.
No employee will tamper or help tamper with emission control systems, including adjusting a vehicle outside the
manufacturer's specifications; or get or help get a false passing test, waiver, or exemption from the test requirement.
My business must immediately stop listing (print, web, verbal) itself as an authorized repair business if it no longer
meets the requirements.
Notify Ecology when an Authorized Emission Specialist starts or ends working at my business.
Allow Ecology staff access to my business, including diagnostic equipment, personnel, and records, during my
business’s normal business hours.
Manager/Owner Information
Service Manager
Owner
Other
First Name:
Last Name:
Business Name:
Address:
City:
State:
Zip:
Phone:
Alternate Phone:
Email:
Manager/Owner/Other Statement
I understand and agree to meet these requirements.
Signature
Date
For Official Use Only
Ecology Staff
Date
To request ADA accommodation, call (360) 407-6800, 711 (relay service), or (877) 833-6341 (TTY).
ECY 020-24 (Rev. 11/2016)