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Appendix A

13 CA ADC Div. 3 Ch. 13 Art. 1 App. ABarclays Official California Code of Regulations

Barclays California Code of Regulations
Title 13. Motor Vehicles (Refs & Annos)
Division 3. Air Resources Board
Chapter 13. Voluntary Accelerated Vehicle Retirement Enterprises
Article 1. Voluntary Accelerated Light-Duty Vehicle Retirement Enterprises
13 CCR Div. 3 Ch. 13 Art. 1 App. A
Appendix A
VEHICLE FUNCTIONAL AND EQUIPMENT ELIGIBILITY INSPECTION FORM
Legal Owner:
 
Address:
 
City:
 
Zip:
 
VIN:
 
License Number:
 
Make:
 
Model:
 
Model Year:
 
Odometer Reading:
 
VEHICLE QUALIFICATION
Vehicle within 61-90 days of next scheduled Smog Check:
yes
no
2602(c)
If yes, vehicle failed next scheduled Smog Check:
yes*
no
Vehicle registered in District for at least 24 months:
yes
no*
2603(a)(2)
Vehicle on BAR repair cost waiver
yes*
no
2603(a)(4)
Vehicle on BAR economic hardship extension
yes*
no
2603(a)(4)
Vehicle within 60 days of next scheduled Smog Check:
yes
no
2603(a)(5)
If yes, vehicle passed next scheduled Smog Check:
yes
no*
The vehicle has been tampered with:
yes*
no
2603(a)(7)
The vehicle has been driven to the inspection site
yes
no*
2603(b)(1)
* Vehicle is not qualified for the VAVR program.
EQUIPMENT ELIGIBILITY
The following shall be present and in place:
2603(b)(3)
All doors
yes
no*
Hood
yes
no*
Dashboard
yes
no*
Driver's seat
yes
no*
One bumper
yes
no*
All side and/or quarter panels
yes
no*
Exhaust system
yes
no*
One headlight
yes
no*
One taillight
yes
no*
One brake light
yes
no*
One side window
yes
no*
Interior pedals operational
yes
no*
FUNCTIONAL ELIGIBILITY
The following shall be completed:
2603(b)(4)
Vehicle starts using keyed ignition
yes
no*
Vehicle starts without the use of starting fluids or external battery
yes
no*
Vehicle driven forward for a minimum of 25 feet
yes
no*
Vehicle driven in reverse for a minimum of 25 feet
yes
no*
* Vehicle is not eligible for the VAVR program.
INSPECTOR CERTIFICATION: (Check correct boxes.) I certify that this vehicle has ( passed not passed) both the functional and equipment eligibility inspections and ( is is not) eligible for acceptance into the VAVR program pursuant to California Code of Regulations, Title 13, Sections 2602 and 2603.
Printed Name:
 
Date:
 
Signed:
 
The following should be completed if the vehicle is eligible for acceptance into a VAVR program.
OWNER ACCEPTANCE: I accept receipt of this CERTIFICATION of eligibility into a VAVR program. I agree not to alter the vehicle's equipment or functionality from that presented to the inspector. I agree to maintain the vehicle's condition and registration until the vehicle is retired.
Printed Name:
 
Date:
 
Signed:
 

Credits

History
1. New appendix A filed 12-8-99; operative 1-7-2000 (Register 99, No. 50).
2. Repealer and new appendix A filed 7-13-2007; operative 8-12-2007 (Register 2007, No. 28).
This database is current through 4/26/24 Register 2024, No. 17.
Cal. Admin. Code tit. 13, Div. 3 Ch. 13 Art. 1 App. A, 13 CA ADC Div. 3 Ch. 13 Art. 1 App. A
End of Document