Enter Fleet Transmittal Info

 (NOTE: * = Required Entry) [ Instructions ]   [Fleets home page]
BAR File #:* Agency Name:*
Department:* Division/Unit:
RME:* Other Contact:
Phone:* Ext.: Other Phone: Ext.:
E-Mail:* Other EMail:
Address Type: 
Address:*
Addr-2:
City:* State:
County:* Zip:*
 
Reporting Year:*     Test Cycle:* 
   *Total number of agency vehicles subject to Smog Check requirements
   Include:
  • Both odd and even VIN vehicles
  • Gasoline, CNG, LPG and LNG fueled vehicles 1976 and newer
  • Diesel fueled vehicles 1998 and newer
 Exclude:
  • Diesels, CNG, LPG, and LNG fueled vehicles over 14,000 GVWR
  • Hybrid and plug-in hybrid vehicles
  • Vehicles powered exclusively by electricity
  • Motorcycles
   *Vehicles subject to smog this reporting cycle
                   Enter the number of vehicles with VINs that end in an **** number.
   Include:
  • Gasoline, CNG, LPG and LNG fueled vehicles 1976 - ****
  • Diesel fueled vehicles 1998 - ****
 Exclude:
  • Gasoline, CNG, LPG and LNG fueled vehicles 1975 and older or **** and newer
  • Diesel fueled vehicles 1997 and older or **** and newer
  • Diesels, CNG, LPG, and LNG fueled vehicles over 14,000 GVWR
  • Hybrid and plug-in hybrid vehicles
  • Vehicles powered exclusively by electricity
  • Motorcycles
   *Total number of **** vehicles passing Smog Check test for this reporting cycle
Any changes from last report? (RME, Address, etc.)*   If yes, please describe in Comments.
Comments:
I hereby declare by this report that all required vehicles owned by this agency have been tested and passed the required inspection and are in compliance for this reporting year and agree to retain the vehicle emissions inspection records for a period of not less than three (3) years and to make such records available to the Bureau of Automotive Repair or its representative(s) upon request.
Reporting RME:*     Date Signed: