Free Mv 402 Form in PDF

Free Mv 402 Form in PDF

The MV-402 form is an official document from the Commonwealth of Pennsylvania's Department of Transportation Vehicle Inspection Division, designed for individuals seeking a sun screening certificate of exemption. This form is required for those who need to install sun screening that is not typically allowed under state regulations, including for medical reasons. If you are in need of this exemption, make sure to fill out the MV-402 form carefully, providing all the necessary information about your vehicle and the sun screening installed.

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In the Commonwealth of Pennsylvania, the MV-402 form emerges as a critical document for drivers seeking a sun screening certificate of exemption, regulated by the Department of Transportation's Vehicle Inspection Division. This intricate application process caters to individuals and businesses desiring to legally equip their vehicles with after-market sun screening, diverging from standard regulations. Fascinatingly, this form encompasses a broad array of sections, starting from basic applicant information, vehicle specifics, to intricate details about the sun screening applied, including when and which windows were treated. Notably, the form holds a particular provision for applications predicated on medical grounds, requiring a licensed physician or optometrist to vouch for the necessity of the exemption due to a physical condition, emphasizing the need for colorless sun screening products that predominantly filter ultraviolet rays. This comprehensive approach ensures that exceptions to the standard vehicle window tinting rules are meticulously vetted, marrying public safety concerns with individual health needs and preferences.

Preview - Mv 402 Form

MV-402 (2-08)

Commonwealth of Pennsylvania

Department of Transportation

Vehicle Inspection Division

P.O. Box 68697

Harrisburg, PA 17106-8697

APPLICATION FOR SUN SCREENING CERTIFICATE OF EXEMPTION

FOR DEPARTMENT USE ONLY

THE FOLLOWING QUESTIONS ARE TO BE ANSWERED BY THE APPLICANT

1. Full Name

PA DL/Photo ID # or Bus. ID#

Date of Birth

Daytime Telephone #

NOTE: Individuals should list their PA Driver’s License (PA DL) or Photo ID # in the space provided. Businesses should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N).

2.

Street Address __________________________________________________________________________

 

City

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Vehicle for which application is being made. Make

 

 

 

 

 

 

Year

 

VIN

 

 

 

 

Registration Plate

 

 

 

Title Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Windows with after market sun screening for which a certificate of exemption is requested:

“PLACE X WHERE NEEDED”

Windshield

 

 

 

Driver Side: Left Front ______________

Left Rear ______________

Passenger Side: Right Front _____________

Right Rear _____________

On vans, station wagons and buses list the number of additional rear side windows:

 

Number of additional passenger side right-rear windows: __________________

 

 

 

Number of additional driver side left-rear windows: _______________________

 

 

5.

When did you purchase this vehicle?

Date _______________/________/____________

 

 

Month

Day

Year

6.

When was the sun screening installed?

Date _______________/________/____________

 

NOTE: To be approved for window darkening

Month

Day

Year

 

products, installation must have been prior to

 

 

 

 

September 8, 1984.

 

 

 

6a.If unknown, was sun screening installed prior to

 

 

 

 

your ownership of the vehicle?

Yes _____________

No _______________

7. When was this vehicle first registered by you

 

 

 

 

in Pennsylvania?

Date _______________/________/____________

 

 

Month

Day

Year

8. What is the serial number of the current inspection

 

 

 

 

sticker displayed on this vehicle?

Number __________________________________

I certify under penalty of law that the above facts are true and correct to the best of my knowledge and that the vehicle is equipped with the after market sun screening as indicated.

Vehicle Owner’s Signature ________________________________________________ Date _______________

(When vehicle is registered in more than one name, all signatures must appear above.)

REQUEST FOR MEDICAL EXEMPTION

This portion must be completed by a licensed physician or optometrist when a certificate of exemption is requested due to a physical condition. NOTE: The exemption is valid only for colorless sun screening products that filter ultraviolet rays.

(Please type or print)

PATIENT INFORMATION

Patient Name ___________________________________________ Daytime Telephone # _________________

Street Address _____________________________________________________________________________

City ___________________________________________________ State __________ Zip Code ___________

Brief Description of patients condition: ___________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Suggested Treatment(s): _____________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

PHYSICIAN/OPTOMETRIST INFORMATION

Physician/Optometrist Name ___________________________________________________

Business Affiliation (if any) _____________________________________________________

Business Address ____________________________________________________________

City ___________________________________________ State _____ Zip Code _________

Physician Telephone Number __________________________________________________

I certify under penalty of law that the above facts are true and correct to the best of my knowledge:

Signature _______________________________________ Date _____________________

THE REVERSE SIDE MUST BE COMPLETED BY THE VEHICLE OWNER

Document Specs

Fact Name Description
Form Identifier MV-402 (2-08)
Issuing Body Commonwealth of Pennsylvania Department of Transportation Vehicle Inspection Division
Contact Address P.O. Box 68697 Harrisburg, PA 17106-8697
Purpose of Form Application for Sun Screening Certificate of Exemption
Applicant Identification Requirement Requires PA DL/Photo ID# or Bus. ID# for identification
Eligibility Date for Sun Screening Installation Installation must have been before September 8, 1984, for approval
Governing Law for Exemption Exemption valid only for colorless sun screening products that filter ultraviolet rays
Medical Exemption Requirement Must be completed by a licensed physician or optometrist for physical condition exemptions

Instructions on Writing Mv 402

Filling out the MV-402 form is an important process that requires attention to detail. This form is intended for residents of Pennsylvania who seek an exemption for sun screening on their vehicle's windows. Whether for medical reasons or due to the pre-existing condition of the vehicle, this document serves as a formal request to the Department of Transportation Vehicle Inspection Division. Completing the form correctly ensures that your application is processed efficiently, so it is crucial to follow each step carefully.

  1. Begin by entering your full name in the space provided. If you're an individual, include your PA Driver's License (PA DL) or Photo ID number. Businesses should enter their Business ID number (E.I.N).
  2. Provide your current street address, including city, state, and zip code.
  3. Detail the vehicle information for which you are applying. This includes the make, year, VIN (Vehicle Identification Number), registration plate, and title number.
  4. Indicate which windows have aftermarket sun screening by placing an "X" in the respective boxes under the "Windows with after market sun screening" section. Don't forget to include the number of additional windows for vans, station wagons, and buses if applicable.
  5. Fill in the date you purchased the vehicle, ensuring accuracy for the month, day, and year.
  6. Specify the installation date of the sun screening. Note that to qualify, the installation must have occurred before September 8, 1984. If you're unsure of the installation date, indicate whether the sun screening was installed before you took ownership of the vehicle by marking "Yes" or "No."
  7. Record the date your vehicle was first registered in Pennsylvania with the month, day, and year.
  8. Enter the serial number of the current inspection sticker displayed on your vehicle.
  9. Sign and date the form at the bottom, certifying that all information provided is true and correct. Remember, if the vehicle is registered under more than one name, all owners must provide their signatures.
  10. For those requesting a medical exemption, the "REQUEST FOR MEDICAL EXEMPTION" section must be completed and signed by a licensed physician or optometrist. This section requires the patient's information, a brief description of the patient's condition, recommended treatments, and the medical professional's contact details and signature.

Once the form is completed, your request will be processed by the Department of Transportation Vehicle Inspection Division. It will be carefully reviewed, and you will be informed of the decision in due course. It's essential to double-check all entered information for accuracy before submission to avoid any delays in the processing of your application.

Understanding Mv 402

What is the MV-402 form used for?

The MV-402 form is an application utilized by residents in Pennsylvania to request a sun screening certificate of exemption from the Pennsylvania Department of Transportation. This certificate allows for legal exemption for vehicles with after-market sun screening (tint) on their windows. The form serves both individuals seeking exemption due to medical needs, as certified by a physician or optometrist, and those with specific sun screening installed prior to September 8, 1984.

Who needs to complete the MV-402 form?

Individuals who wish to obtain an exemption for sun screening on their vehicle's windows are required to complete the MV-402 form. This includes individuals with a medical condition that necessitates the use of colorless sun screening products to filter ultraviolet rays, as well as owners of vehicles with window darkening products installed before September 8, 1984. All sections relevant to the applicant's situation must be accurately filled out and submitted for processing.

What information is required to fill out the MV-402 form?

To successfully complete the MV-402 form, applicants need to provide personal information, including their full name, Pennsylvania driver's license or photo ID number (or business ID if applicable), contact information, and address. Additionally, detailed information about the vehicle requiring the exemption must be provided, such as its make, year, VIN, registration plate, title number, and details regarding the sun screening windows. The form also requests the serial number of the current inspection sticker and the dates related to the purchase of the vehicle, installation of sun screening, and first registration in Pennsylvania. For medical exemptions, a licensed physician or optometrist must fill out the required section detailing the patient's condition and the need for sun screening.

How does one submit the completed MV-402 form?

Once filled out, the MV-402 form must be submitted to the Pennsylvania Department of Transportation's Vehicle Inspection Division. The completed form can be mailed to the address provided on the form itself: P.O. Box 68697, Harrisburg, PA 17106-8697. Ensure that all parts of the form are accurately completed, and for medical exemptions, ensure the physician or optometrist's section is filled out entirely and signed. When submitting, all vehicle owners listed for the vehicle in question must sign the form if it is registered under more than one name.

What are the criteria for approval of the sun screening exemption requested via the MV-402 form?

Approval for a sun screening exemption through the MV-402 form depends on several criteria. For general exemptions, the installation of sun screening must have occurred before September 8, 1984. For medical exemptions, a licensed physician or optometrist must certify that the applicant has a condition requiring protection from ultraviolet rays, warranting the need for colorless sun screening. The Pennsylvania Department of Transportation will review submitted applications for completeness and compliance with state regulations before granting any exemptions.

Common mistakes

Completing the MV-402 form, an application for a sun screening certificate of exemption in Pennsylvania, can be intricate. One common mistake is not listing the PA Driver's License (PA DL) or Photo ID number for individuals, or the Business ID number for businesses, in the provided space. This oversight can lead to delays in processing, as this information is crucial for establishing the applicant's identity.

Another error often found is providing an incomplete or incorrect street address. Accurate details are vital for any correspondence related to the application. If the address is not accurately entered, important notifications regarding the certificate could fail to reach the applicant.

Applicants sometimes mistakenly omit vehicle information, including the make, year, VIN, registration plate, and title number. This comprehensive information ensures the vehicle is correctly identified and that the exemption applies to the appropriate vehicle. Leaving any section incomplete could result in the rejection of the application.

Incorrectly marking the windows for which sun screening exemption is requested is another common mistake. It is important to clearly identify all windows with aftermarket sun screening needing exemption by placing an 'X' in the correct spots. Failure to do so can lead to an incomplete application assessment.

Forgetting to specify the purchase date of the vehicle or incorrectly stating the date when the sun screening was installed are errors that can significantly impact the application. Since installations must have occurred before September 8, 1984, for approval, accurate dates are crucial.

Another area often overlooked is the question regarding the installation of sun screening before the vehicle’s current ownership. Answering this question provides essential information, especially when the installation date is unknown. Not addressing this can leave gaps in the vehicle's sun screening history.

Not recording the date the vehicle was first registered by the applicant in Pennsylvania is a mistake that can hinder the application's progress. This date verifies the timeline and legitimacy of the request, especially in correlation with the sun screening installation date.

The serial number of the current inspection sticker displayed on the vehicle is also a critical piece of information, often missed by applicants. This number helps verify the vehicle's compliance with existing regulations, a factor in the consideration of the exemption request.

Last but not least, inaccuracies or omissions in the portion to be completed by a licensed physician or optometrist can invalidate the request. This section is essential for those seeking an exemption due to a physical condition, and any mistake here can result in the immediate denial of the application.

Documents used along the form

Navigating through the intricacies of vehicle regulation and compliance can seem daunting, especially when it comes to ensuring your vehicle meets specific state requirements. For those in Pennsylvania looking to apply for a sun screening certificate of exemption, the MV-402 form is a crucial document. However, the journey doesn't stop there; several other forms and documents are often needed to ensure full compliance and to address other vehicular matters. Let’s explore some of these documents briefly.

  • Form MV-1: Application for Certificate of Title - This form is used when you are looking to obtain a title for a new vehicle, or for when a vehicle changes ownership.
  • Form MV-4ST: Vehicle Sales and Use Tax Return/Application for Registration - Required for registering a vehicle and reporting the sales tax due on the purchase.
  • Form DL-180: Non-Commercial Learner’s Permit Application - To be filled out by individuals applying for their first driver's permit.
  • Form DL-31: Application to Add/Extend/Replace/Change/Correct Non-Commercial Learner’s Permit - For those looking to make any modifications to their existing learner's permit.
  • Form MV-140: Request for Registration - Used by vehicle owners looking to request vehicle registration or renewal.
  • Form MV-145A: Person with Disability Parking Placard Application - For individuals with disabilities, applying for a parking placard.
  • Form MV-380: Application for Duplicate Title - Needed when the original vehicle title is lost, stolen, or damaged.
  • Form MV-41A: Application for Correction of Vehicle Record or Verification of Vehicle Identification Number - To correct any errors on the vehicle’s records or verify the VIN.
  • Form MV-919: Affidavit of Gift - This form is required if a vehicle is given as a gift and exempts the recipient from tax on the transaction.
  • Form MV-608: Co-owner Consent for Sun Screening - Specifically for vehicles co-owned; this form is an additional requirement alongside the MV-402 to install sun screening.

Completing the MV-402 form is just one step in ensuring your vehicle adheres to Pennsylvania's vehicle regulations, especially concerning sun screening exemptions. Supplementing this form with the necessary additional forms and documents ensures a smoother, more compliant process. Whether you're dealing with sales tax, disability access, or title corrections, each form serves as an important piece of the puzzle in managing your vehicle's legality and ensuring a safe, lawful driving experience.

Similar forms

The MV-402 form is quite similar to the Application for Disabled Person Parking Permit (often varies by state), as both involve vehicles and require information about the owner and specifics about the vehicle or its use. Just as the MV-402 form asks for details on the vehicle for which sun screening exemption is sought, the disabled parking permit application requires information about the vehicle that will use the designated parking spaces. Both forms often require a physician's signature or medical documentation to verify the need for the requested exemption or permit.

Another document akin to the MV-402 form is the Application for Custom or Antique Vehicle Registration. This application, much like the MV-402, gathers detailed information about a vehicle, including make, year, and VIN, to register it under special conditions. Both forms cater to vehicle owners looking to obtain official recognition for their vehicle's unique status or needs, be it for sun screening exemptions or for recognizing a vehicle’s antique or custom value.

The Vehicle Title Application shares similarities with the MV-402 form, particularly in collecting owner and vehicle identification details. Both require the vehicle's make, year, VIN, and owner information to process the request. The key difference lies in their purposes: one is for titling a vehicle, ensuring it is legally recognized under the owner’s name, while the MV-402 focuses on an exemption for sun screening.

The Driver’s License Application is somewhat analogous to the MV-402 form, as both require personal information, including the applicant's full name, date of birth, and address. Though serving different purposes—one for driving privileges and the other for a vehicle modification exemption—they both necessitate identification verification through details like a PA DL or Photo ID number.

The Application for Tinted Window Exemption closely mirrors the MV-402 because it pertains specifically to vehicle modifications that deviate from standard regulations. Just as the MV-402 form seeks permission for sun screening exemptions, the tinted window exemption application process involves obtaining approval to alter a vehicle's windows beyond what is typically allowed, focusing on the reasons for such a request, often including medical necessity.

The Handicap Placard Renewal Form, while utilized for a different kind of vehicle-related permit, also asks for personal and vehicle-related information similar to that required on the MV-402 form. Both forms are designed to facilitate a specific exemption or privilege related to vehicle use, necessitating the verification of the applicant's information and sometimes a physician's certification.

Business Vehicle Registration Forms also share common ground with the MV-402, especially in terms of providing business-related identification information, like a Business ID# (E.I.N). Both forms facilitate a process by which a vehicle is officially recognized for specific purposes—either for business operations or for an exemption like the sun screening certificate.

The Application for Vehicle License Plates is somewhat comparable to the MV-402 form in that it deals with vehicle identification and personal owner information. While one is for the purpose of obtaining license plates, possibly with custom or specialty designs, the MV-402 targets individuals seeking permission for window modifications. Both, however, necessitate the submission of detailed vehicle data and owner identification.

Repair Shop Registration Forms can be juxtaposed with the MV-402 due to their shared context of vehicle modifications. Although the repair shop form is for businesses seeking certification to operate legally, it requires detailed information about the business similar to how the MV-402 requires information about the vehicle and its owner. Both play roles in the legalities surrounding vehicle modifications and use.

Lastly, Personalized License Plate Application forms are akin to the MV-402 in their focus on customizing a vehicle's appearance, albeit in different areas. Where the MV-402 form seeks approval for sun screening exemption, the personalized license plate form allows for custom text on license plates. Both require detailed vehicle and owner information and cater to personalizing the vehicle to the owner’s preferences or needs.

Dos and Don'ts

When filling out the MV-402 form, a crucial document from the Commonwealth of Pennsylvania Department of Transportation for the Application for Sun Screening Certificate of Exemption, it's important to strike a balance between accuracy and adherence to guidelines. This form plays a critical role for those seeking an exemption to apply sun screening to vehicle windows beyond the usual legal limits for medical reasons. Consider the following list of dos and don'ts to ensure the process is completed smoothly:

Do:
  • Read the instructions carefully before you start filling out the form to ensure you understand what information is required and how to provide it correctly.
  • Use a black or blue pen if completing the form by hand, as these colors are universally accepted and ensure legibility.
  • Be precise with your vehicle information, including make, year, VIN, registration plate, and title number, as inaccuracies here could delay the process.
  • Clearly mark the windows with after-market sun screening for which an exemption is requested. Ensure to check the corresponding box accurately.
  • Provide correct contact information, ensuring your daytime telephone number is current, so you're easily reachable for any clarifications.
  • Sign and date the form where required, as an unsigned form is considered incomplete and will not be processed.
Don't:
  • Leave sections blank if they are applicable to you; incomplete forms can lead to processing delays or outright rejection.
  • Guess on dates or other information if you're uncertain. It's better to verify the correct information than make an incorrect entry.
  • Use liquid paper or make scribbles to correct mistakes. If you make an error, it's advisable to fill out a new form to avoid confusion.
  • Forget to check if sun screening was installed before September 8, 1984, as this is a critical requirement for approval.
  • Overlook the requirement for a physician or optometrist's signature and information if applying for a medical exemption. This section is crucial for the exemption to be considered.
  • Ignore the reverse side of the form, which must be completed by the vehicle owner. Every section of the form is important for your application.

By following these guidelines, you will enhance the likelihood of a straightforward process in obtaining a Sun Screening Certificate of Exemption for your vehicle.

Misconceptions

When it comes to the MV-402 form, used in Pennsylvania for applying for a sun screening certificate of exemption, there are several common misconceptions. Understanding these misconceptions is crucial for vehicle owners looking to modify their vehicles legally.

  • Misconception #1: The MV-402 form is only for cars. While many people think the MV-402 form is exclusively for cars, it's actually applicable to a variety of vehicles, including vans, station wagons, and buses. This form accommodates different types of vehicles by allowing applicants to specify additional rear and side windows, making it versatile for various vehicle modifications.

  • Misconception #2: Any type of sun screening is allowed once exempted. A significant misunderstanding is that once an exemption is granted, any sun screening can be applied. However, the form specifies that exemptions are valid only for colorless sun screening products that filter ultraviolet rays. This is crucial for maintaining visibility and adhering to safety standards.

  • Misconception #3: The exemption applies indefinitely. Some vehicle owners believe that once they receive their sun screening exemption, it's valid forever. This is not accurate. Exemptions are subject to review and renewal processes, as regulations and vehicle ownership details may change. Owners should stay informed about the validity of their exemption and reapply if necessary.

  • Misconception #4: Installation date of sun screening doesn’t matter. There's a misconception that the installation date of sun screening is irrelevant when applying for an exemption. Contrary to this belief, the form clearly states that for the sun screening to be eligible, its installation must have occurred before September 8, 1984. This detail underscores the importance of understanding the historical context of vehicle modifications and complying with current regulations.

Clarifying these misconceptions can help vehicle owners navigate the legal aspects of modifying their vehicles with sun screening. Knowing the specific requirements and limitations of the MV-402 form ensures that applications are completed accurately and comply with Pennsylvania's vehicle inspection standards.

Key takeaways

Filling out the MV-402 form is a necessary process for residents in Pennsylvania seeking an exemption for sun screening on vehicle windows. Understanding the key aspects of this application will streamline the process. Here are ten essential takeaways:

  1. The MV-402 form is specific to the Commonwealth of Pennsylvania and is used to apply for a sun screening certificate of exemption, primarily for vehicles with aftermarket tinting that requires approval due to medical conditions or other specified reasons.

  2. Applicants must provide detailed personal information including full name, Pennsylvania Driver’s License (PA DL) or Photo Identification Number, and contact details. For businesses applying, the Business Identification Number (E.I.N) is required.

  3. The form requires comprehensive details about the vehicle for which the exemption is being sought, including the make, year, Vehicle Identification Number (VIN), registration plate, and title number.

  4. Applicants must specify which windows have aftermarket sun screening, marking clearly where the tint is applied, including the windshield, driver side, and passenger side windows, as well as any additional windows in vans, station wagons, and buses.

  5. Information regarding the purchase and installation date of the sun screening is necessary. To be eligible, installation must have occurred before September 8, 1984. If the installation date is unknown, indicate whether it was installed prior to the current ownership.

  6. For the application to be considered, the vehicle must be currently registered in Pennsylvania. Applicants should provide the date the vehicle was first registered in the state along with the serial number of the current inspection sticker.

  7. An important part of the application is the certification by the vehicle owner, under penalty of law, affirming the truthfulness and accuracy of the information provided.

  8. If the application is due to a medical exemption, a licensed physician or optometrist must complete the designated section. This portion requires details about the patient, a brief description of the patient’s condition, suggested treatments, and the medical professional’s information and signature.

  9. The medical exemption specifically allows for colorless sun screening products that filter ultraviolet rays, focusing on health-related needs rather than aesthetic preferences.

  10. Finally, careful attention to detail and completeness is crucial when filling out the form. It ensures the smooth processing of the application. The form also reminds applicants that multiple vehicle owners must all sign, underscoring the importance of collective agreement when seeking an exemption.

Appropriately completing and submitting the MV-402 form is vital for legally obtaining a sun screening exemption in Pennsylvania. This process ensures that individuals with specific needs are accommodated while maintaining safety and regulatory standards.

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