Form ECY020-09 "Emission Check Application: Temporary out-Of-Area Exemption From Emission Test" - Washington

What Is Form ECY020-09?

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 January 1, 2017;
  • 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 fillable version of Form ECY020-09 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

ADVERTISEMENT
ADVERTISEMENT

Download Form ECY020-09 "Emission Check Application: Temporary out-Of-Area Exemption From Emission Test" - Washington

1166 times
Rate (4.5 / 5) 70 votes
Application: Temporary Out-of-Area
Exemption from Emission Test
Western Washington (800) 272-3780
Eastern Washington (509) 329-3491
Fill out this form. Mail the completed form and your check for license renewal to the vehicle licensing office at the address on
your renewal notice.
Get an emission test within 15 days of the date your vehicle is back in the emission test area.
If you don’t know how much your fees are or where to send them, call:
Clark County Licensing (360) 397-2288
Snohomish County Licensing (425) 388-3371
King County Licensing (206) 296-4000
Spokane County Licensing (509) 477-2222
Pierce County Licensing (253) 798-3649
Vehicle Information
Vehicle Identification Number (VIN)
WA License Plate Number
Where is the vehicle currently located?
Street Address:
City:
State:
ZIP:
Owner/Operator Information
Owner First Name:
Owner Last Name:
Operator First Name (if different from owner):
Operator Last Name:
Mailing address for new license tabs:
City:
State:
ZIP:
Phone:
Email:
Owner/Operator’s driver’s license #:
Owner/Operator Statement
I certify that my vehicle is currently outside of the emission test area. I understand that:
I must get an emission test within 15 days of the date my vehicle is back in the emission test area.
Failure to complete an emission test is illegal.
The penalty is a minimum fine of $250.
Signature
Date (mm/dd/yyyy)
Vehicle Licensing Office use only
Tabs issued?
Yes
No
VFS Operator Name and Number
To request ADA accommodation, call (360) 407-6800, 711 (relay service), or (877) 833-6341 (TTY).
ECY 020-09 (Rev. 01/2017)
Application: Temporary Out-of-Area
Exemption from Emission Test
Western Washington (800) 272-3780
Eastern Washington (509) 329-3491
Fill out this form. Mail the completed form and your check for license renewal to the vehicle licensing office at the address on
your renewal notice.
Get an emission test within 15 days of the date your vehicle is back in the emission test area.
If you don’t know how much your fees are or where to send them, call:
Clark County Licensing (360) 397-2288
Snohomish County Licensing (425) 388-3371
King County Licensing (206) 296-4000
Spokane County Licensing (509) 477-2222
Pierce County Licensing (253) 798-3649
Vehicle Information
Vehicle Identification Number (VIN)
WA License Plate Number
Where is the vehicle currently located?
Street Address:
City:
State:
ZIP:
Owner/Operator Information
Owner First Name:
Owner Last Name:
Operator First Name (if different from owner):
Operator Last Name:
Mailing address for new license tabs:
City:
State:
ZIP:
Phone:
Email:
Owner/Operator’s driver’s license #:
Owner/Operator Statement
I certify that my vehicle is currently outside of the emission test area. I understand that:
I must get an emission test within 15 days of the date my vehicle is back in the emission test area.
Failure to complete an emission test is illegal.
The penalty is a minimum fine of $250.
Signature
Date (mm/dd/yyyy)
Vehicle Licensing Office use only
Tabs issued?
Yes
No
VFS Operator Name and Number
To request ADA accommodation, call (360) 407-6800, 711 (relay service), or (877) 833-6341 (TTY).
ECY 020-09 (Rev. 01/2017)