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Get ME Application for Inspection Technician Exam/Renewal 2018-2021

Maine State Police Traffic Division Motor Vehicle Inspection Unit 20 State House Station Augusta ME 04333-0020 624-8935 or 624-8934 Application for Inspection Technician Exam/Renewal Application must be filled out completely. Incomplete applications photocopied applications will be returned* False answers will be grounds for license refusal* Fees are as follows Application - 1. 00. Inspection Manual - 12. 00. Criminal History/SBI Fee exams only - 21. 00 Make checks payable to Treasurer State of Maine Requesting Exam Name Last Renewing license expiration date First M. I. Date of Birth Jr/Sr Inspection Technician Home Mailing Address City State Zip Code Home Physical Address U*S* Citizen Yes No County Email Address Required Home Phone Number Work Telephone Number Cellphone Number Driver s License Number Are you currently employed at a licensed inspection station Station Name Rev* 02/2018 State/Providence CONTINUED ON NEXT PAGE I want to take the following examination s Administrative Exam Tests the knowledge of the Administrative section and the Law section of the inspection manual* This exam must be passed in order to take any further exams. Class A Motor vehicles not exceeding a gross vehicle weight rating of 26 000 pounds and excluding those equipped with air brakes woods tractors school buses motorcycles mopeds and motor driven cycles. Class B School Buses Must also have a Class A and D. Class C Motorcycles and motor driven cycles. more pounds vehicles designed to transport more than 15 passengers vehicles used to transport hazardous materials in quantities required to be placarded or commercial vehicles with a gross combination weight rating of 10 001 pounds or more except school buses. Must also have Class A. Class E Any motor vehicle required to be registered in Cumberland County which is subject to the enhanced inspection described in 29-A MRSA 1751. Must also have Class A. Have you ever had any criminal convictions Do you have any pending charges If you answered yes to any questions please explain briefly on a separate page. NOTE I understand that false statements made on this form are punishable by law. Knowingly supplying false information on this form is a Class D offense under the Criminal Code punishable by confinement of up to one year or by monetary fine of up to 2 000. 00 or by both. Signature of Applicant OFFICE USE ONLY Payment Payment Type Cash Check Date Money Order PO. Incomplete applications photocopied applications will be returned* False answers will be grounds for license refusal* Fees are as follows Application - 1. 00. Inspection Manual - 12. 00. Criminal History/SBI Fee exams only - 21. 00 Make checks payable to Treasurer State of Maine Requesting Exam Name Last Renewing license expiration date First M. 00. Inspection Manual - 12. 00. Criminal History/SBI Fee exams only - 21. 00 Make checks payable to Treasurer State of Maine Requesting Exam Name Last Renewing license expiration date First M. I. Date of Birth Jr/Sr Inspection Technician Home Mailing Address City State Zip Code Home Physical Address U*S* Citizen Yes No County Email Address Required Home Phone Number Work Telephone Number Cellphone Number Driver s License Number Are you currently employed at a licensed inspection station Station Name Rev* 02/2018 State/Providence CONTINUED ON NEXT PAGE I want to take the following examination s Administrative Exam Tests the knowledge of the Administrative section and the Law section of the inspection manual* This exam must be passed in order to take any further exams. .

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