military, or (4) a motor vehicle authority of the United States or Canada, or an
agent ... the form is completed by an appropriate inspector, the vehicle passes
the ...
COURTESY VEHICLE INSPECTION
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
R-83 REV. 6-2001
On The Web At http://dmvct.org This form will be accepted by the Connecticut DMV, pursuant to Section 14-12(g) of the Connecticut General Statutes, as proof of an out-of-state inspection made prior to entry to Connecticut provided: 1. vehicle is safety inspected and the VIN is verified by an inspector of (1) the highway patrol, (2) state police, (3) the U.S. military, or (4) a motor vehicle authority of the United States or Canada, or an agent of such jurisdiction officially authorized by the jurisdiction to perform motor vehicle inspections. 2. a telephone number (including area code) of the out-of-state inspection authority is furnished for our verification of the inspection. 3. the form is completed by an appropriate inspector, the vehicle passes the inspection as indicated below, and the inspector signs the form in the designated area.
ADDRESS OF INSPECTION AUTHORITY PHONE NO. (Include Area Code)
BRAKE LIGHT
LIC. NO. (If Authorized Agent)
I certify that the vehicle specified above was inspected and, if PASSED (all inspection items were OK), was found in safe operating condition for use on the highways. The VIN was checked and determined to be as specified above. PRINTED NAME OF INSPECTOR
NOTE TO APPLICANT: Submit this form, together with $25.00, to the Connecticut DMV as a pre-condition to obtain a Connecticut registration and title for the vehicle.
CONNECTICUT DMV USE ONLY SIGNATURE OF CT DMV OFFICIAL
X
DATE SIGNED
HI-BEAM INDICATOR RESTRAINT SYSTEM PARKING BRAKES RESULTS:
