MOTOR VEHICLE COMMISSION
PRIVATE INSPECTION FACILITY
LICENSE NO.
STICKER NO.
DATE:
I understand my right to have inspection repairs, adjustments, and corrections performed elsewhere.
Customer's Signature ________________ Date _________
I choose to have such inspection repairs, adjustments, and corrections performed at this facility.
Customer's Signature ________________ Date _________
N.J. Admin. Code § 13:20-33.2