TC-810, Exemption of Utah Emission and Safety Requirements ...
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Utah State Tax Commission Division of Motor Vehicles ? PO Box 30412 ? Salt Lake City, UT 84130 ? 801-297-7780 or 1-800-368-8824
Exemption of Utah Emission and Safety Requirements for Vehicles Not In Utah
TC-810
Rev. 12/21
Get forms at tax.forms
WARNING: Providing false or misleading information on this form is a crime, subject to penalty under Utah Criminal Code ?76-8-504.
SAFETY INSPECTIONS: You are responsible for the safe operation of your vehicle. Inspect your vehicle's tires, brakes, steering, suspension, lights and other equipment often to make sure your vehicle is in safe operating condition.
Most vehicles do not require a safety inspection for Utah registration. Contact the DMV if this is the first-time registration of a street-legal ATV or salvage vehicle.
Commercial vehicles require an annual safety inspection. An inspection certificate must be kept in the vehicle for review by law enforcement but does not need to be submitted to the DMV for registration.
Section 1 - Vehicle Information
Year
Make
Model
Vehicle Identification Number (VIN)
Fuel Utah plate number
I understand that Utah law may require my vehicle to pass an emission and/or safety inspection. I certify that the above-described vehicle is temporarily out-of-state and is now located at:
Physical address (not P.O. Box)
City
County
State
Zip code
as a result of _________________________________ and will return to Utah on month _______ day _______ year ______ .
I am currently unable to meet the Utah inspection requirements for registration and understand that I must check one box in Section 2 that applies to my out-of-state location.
Section 2 - Emissions Inspection
When in Utah, I am not a resident of Cache, Davis, Salt Lake, Utah or Weber County. No emissions test is required. When in Utah, I am a resident of Cache, Davis, Salt Lake, Utah or Weber County and this vehicle is temporarily located in a city, county,
or state area shown in Section 2A on the reverse side of this form. If so, you must include a certificate of emissions, inspection, or equivalent, from the city, county, or state where the vehicle is located. Keep a copy of the certificate in your vehicle.
When in Utah, I am a resident of Cache, Davis, Salt Lake, Utah or Weber County and this vehicle is not located in a city, county or state
shown in Section 2A on the reverse side of this form. I will have the vehicle tested for emissions and will submit proof of the emissions inspection to the Department of Health in the county in which I reside within 10 days after the return-to-Utah date shown above.
Section 3 - Owner Information and Signature
Owner's name
Telephone number
Owner's UTAH street address
City
Owner or authorized representative's signature
X
County
State
UT
Date
Zip code
IMPORTANT INSTRUCTIONS: At the time of vehicle registration, return this completed form with the renewal documents and all required fees to the Division of Motor Vehicles (do not send cash in the mail). If you have questions about this form, please call (801) 297-7780 or 1-800-368-8824. You must keep a copy of this completed form in the vehicle and submit a copy to the appropriate county health department listed below.
Cache County Bear River Health Department
85 East 1800 North North Logan, Utah 84341
435-792-6500
Davis County Environmental Health P.O. Box 618
Farmington, Utah 84025 801-525-5100
Salt Lake Valley Health Department 788 E. Woodoak Lane #150 Murray, Utah 84107-6379
385-468-3837
Utah County Health Department Bureau of Air Quality Program 3255 North Main Street Spanish Fork, Utah 84660 801-851-7600
Weber - Morgan Health Department
477 23rd Street Ogden, Utah 84401
801-399-7140
Emissions and/or safety inspections may be completed by the jurisdiction where the vehicle is located.
Section 1A - States Requiring Safety Inspection
Delaware
Massachusetts
District of Columbia
Missouri
Hawaii
New Hampshire
Louisiana
New York
Maine
North Carolina
Section 2A - Jurisdictions Requiring
Emission Inspection
AZ (Gas, Heavy Duty Diesel) Phoenix: Apache Junction Gold Canyon Maricopa Pinal Yavapai Tuscon: Pima
CA (Gas) Statewide
Lake McHenry Will East St. Louis: Madison Monroe St. Clair
IN (Gas) Chicago Subs: Lake Porter
CO (Gas, Light & Heavy Duty Diesel) Denver: Adams Arapahoe Boulder Broomfield Denver Douglas Jefferson
CT (Gas, Heavy Duty Diesel) Statewide
DC (Gas) District-wide
DE (Gas) Wilmingon: New Castle Kent Sussex
GA (Gas) Atlanta: Cherokee Clayton Cobb Coweta Dekalb Douglas Fayette Forsyth Fulton Gwinnett Henry Paulding Rockdale
ID (Gas, Light & Heavy Duty Diesel) Boise: Ada
IL (Gas) Chicago: Cook Du Page Kane Kendall
LA (Gas) Baton Rouge: Ascension East Baton Rouge Ibervile Livingston West Baton Rouge
ME (Gas, Light & Heavy Duty Diesel) Statewide
MA (Gas, Light & Heavy Duty Diesel) Statewide
MD (Gas, Light & Heavy Duty Diesel up to 26,000 lbs registered weight) Baltimore: Anne Arundel Baltimore Calvert Carroll Cicel Charles Frederick Hartford Howard D. C. Subs: Montgomery Prince Georges Queen Anne's Washington
MO (Gas) St. Louis: Franklin Jefferson St. Charles St. Louis St. Louis City
NC (Gas) Statewide
NJ (Gas, Heavy Duty Diesel) Statewide Private garages only
Pennsylvania Rhode Island Texas Utah (certain vehicles) Vermont
Virginia West Virginia
The areas listed below must meet EPA standards. The list below does not reflect changes by EPA after this revision.
NH (Gas, Light Duty Diesel) Statewide
NM (Gas) Albuquerque: Bernalillo
NV (Gas, Light Duty Diesel) Las Vegas: Clark Reno: Washoe
NY (Gas, Light & Heavy Duty Diesel) Statewide
OH (Gas, Light Duty Diesel) Cleveland: Akron Cuyahoga Geauga Lake Lorain Medina Portage Summit Warren
OR (Gas, Light Duty Diesel) Portland: Clackamas Multnomah Washington Medford: Jackson (Rouge Valley)
PA (Gas) Northern Region Philadelphia Region Pittsburgh Region South Central Region
RI (Gas, Light & Heavy Duty Diesel) Statewide
TN (Gas, Light Duty Diesel) Nashville: Davidson Hamilton Rutherford Summer Williamson Wilson
TX (Gas) Austin: Travis Williamson Houston: Brazoria
Fort Bend Galveston Harris Montgomery Dallas/Ft. Worth: Collin Dallas Denton Ellis Johnson Kaufman Parker Rockwall Tarrant El Paso: El Paso
UT (Gas, Light & Heavy Duty Diesel) Salt Lake City: Cache Davis Salt Lake Utah Weber
VA (Gas) D. C. Subs: Alexandria Arlington Fairfax Falls Church Loudoun Manassas Manassas Park Prince William Stafford
VT (Gas, Light Duty Diesel) Statewide
WI (Gas) Milwaukee: Kenosha Milwaukee Ozaukee Racine Sheboygan Washington Waukesha
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