Wheeled All Terrain Vehicle (WATV) Road Use Declaration

Transcript

1 Wheeled All-Terrain Vehicle (WATV) Road Use Declaration Use this form to certify and register a wheeled all-terrain vehicle (WATV) for public roadway use. This applies to WATVs originally labeled by the manufacturer as off-road use only. You can’t ride your WATV on all public roads. Contact the city or county where you want to use your on-road WATV to find out dol.wa.gov. where you can ride. For additional information, visit The operator of the WATV must have a valid Washington driver license. To register your WATV for public roadway use, you must: • Ha ve your WATV inspected by a licensed Washington WATV dealer or motor vehicle repair shop. ve the dealer or repair shop fill out Section 1 and attach the inspection fee receipt. • Ha Complete Section 2 and tak e this form and ownership documents to any vehicle licensing office. • You are entitled to an inspection fee up to $50. It must be Section 1 – Dealer or repair shop – Complete and sign. Attach a copy of the receipt showing amount charged. paid directly to you. PRINT or TYPE Unified Business Identification (UBI) n umber Business name Address (Address, City, State, ZIP code) Email V ehicle Identification Number (VIN) (Area code) Telephone number Mak e Model Model year Inspection items Brakes Fail Pass ... Fail Headlight Pass . Pass Fail ... Turn signals (if applicable) Fail Horn ... Pass Fail Pass ... Tail light Seat belts (if utility type vehicle) Fail Pass ... Pass Fail Mirror (left or right) Fail Pass . Reflectors ... Spark arrester and muffler Fail Pass Fail Windshield (if applicable) . Pass Fail Pass . Brake light NOTE: All items must pass inspection to register this WATV. Certification 1. Did y ou verify the vehicle identification number (VIN) or engine serial number? ... Yes No 2. Is the WATV properly equipped with all items required by RCW 46.09? ... Yes No I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. If signing for a business, I have full authority to do so. X Dealer/Repair shop author ized signature Date and place (city or county) signed Section 2 – Registered owner – If you remove any of the above equipment from your WATV, it is no longer eligible for public road use and must be registered for off-road use only. Name W ashington driver license number PRINT or TYPE (Street address, City, State, ZIP code) Address (Area code) Telephone number Email Certification 1. Do you understand this WATV was not manufactured for on-road use and has been modified f ... or use on public roads? Yes No 2. To the extent permitted by law, do you agree to indemnify, defend, and hold harmless the state of Washington, counties, cities, towns, and the Department of Licensing from all claims, damages, losses , expenses, and costs arising out of the registration and operation of this WATV? ... Yes No I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. X Date and place (city or county) signed Registered o wner signature RCW 46.09 TD-420-003 (R/7/16)WA

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