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Reschedule a Renewal Inspection Appointment Request Form


FOR HIRE VEHICLE RENEWALS ONLY

RESCHEDULE INSPECTION
APPOINTMENT REQUEST FORM


 This FORM CAN ONLY BE SUBMITTED BY A BASE OWNER, PARTNER OR OFFICER to request an appointment at our Woodside Facility for their affiliated vehicles.  Please Note:   Actual mileage will be inspected by TLC Officers at the inspection site.

       All fields must be filled in order to complete your request.
BASE INFORMATION
Base/Authority Name: (This is not me. )

Base Lic #:  

Submitted by:

Contact #:
Note: Appointment Confirmations will be sent to the email on file with the TLC.
 
APPLICANT INFORMATION
Vehicle Owner’s Name:  
Last Name                                                     First Name

Vehicle Lic #:

Vin #:

Plate #:
 
DMV INSPECTION LOCATION . You MUST make your selection below to be scheduled for an appointment:
Woodside
 
 
Your inspection appointment confirmation will be sent within 5-7 business days.
       

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