SAFETY INSPECTION REQUIREMENTS

  YEAR________________________________ MAKE/MODEL______________________________

LICENSE/VIN # __________________________________________________________________________

HEADLIGHTS__________________TURN SIGNALS______________TAIL LIGHTS___________

HIGH__________ RIGHT______________ LEFT______________

LOW__________ RIGHT_______________ LEFT________________

HAZARD LIGHTS______________ BRAKE LIGHTS_______________

SAFETY BELTS_________________________ HORN___________________

 BRAKES - % LEFT______________

FRONT______________ FRONT____________________

BACK_______________ REAR______________________

WINDSHIELD (NO CRACKS OR STARS) _______________________________________________________

WIPERS____________________________

TIRE CONDITION

FRONT TIRESRIGHT_________________LEFT____________________________

REAR TIRESRIGHT_________________LEFT____________________________

SUSPENSION______________________________

SHOP NAME______________________________________________________________________

ADDRESS/CITY/STATE_____________________________________________________________

PHONE____________________________________________________________________________

****** WE ALSO NEED TO SEE THE SHOPS INVOICE TO VERIFY******