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Fillable Printable Form VS-1075.3 - Requisition for Miscellaneous Forms - New York

Fillable Printable Form VS-1075.3 - Requisition for Miscellaneous Forms - New York

Form VS-1075.3 - Requisition for Miscellaneous Forms - New York

Form VS-1075.3 - Requisition for Miscellaneous Forms - New York

REQUISITION FOR MISCELLANEOUS FORMS
Bureau of Consumer and Facility Services
PO Box 2700
Albany NY 12220-0700
FORM NO.
VS-18
Statement That A Historical Registered Vehicle Will Be Used During Daylight Hours Only
Notice of Missing or Mutilated Vehicle Identification No.
Vehicle Inspection Record - Safety
Inspection Rejection/Advisory Notice
Requisition for Miscellaneous Forms
Diesel Emissions Inspection Certification and Waiver Form
Proof of HDDV Repair
VS-110*
VS-1074S
Vehicle Inspection Record - Heavy Vehicle Safety & Diesel EmissionsVS-1074SD
Vehicle Inspection Record - Motorcycle SafetyVS-1074M
VS-1075*
VS-1075.3
VS-1079DE
VS-1080R
NAME OF FORM
QUANTITY
REQUESTED
* These forms are bound in pads of 100 sheets per pad. Order by number of pads needed.
PLEASE TYPE OR PRINT LEGIBLY AND INCLUDE YOUR SEVEN-DIGIT FACILITY NUMBER. WE WILL NOT PROCESS
YOUR ORDER WITHOUT IT.
IMPORTANT:
l Please mail this requisition separately.
l Do not attach it to any other forms before mailing.
l Allow 3-4 weeks for delivery.
VS-1075.3 (9/15)
www.dmv.ny.gov
Date:
Address
Name of Official
Inspection Station
City
State Zip Code
Facility ID
Number
September 11, 2015
reset/clear
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