Beverly Inspection Waiver


Auto Body Clinic, Inc., 29 River Street, Beverly, MA 01915
Phone: 978-922- 3334 | Fax: 978-922- 7523 | Tax ID: 042694666 RS#163

 

Name: Email:   , Insurance Company: Claim #:   , Vehicle:    

IMPORTANT NOTICE: WAIVER NOT TO REMOVE CERTIFICATION OF INSPECTIONS

  1. Your vehicle has sustained damage such that it may no longer meet the annual safety or emissions inspection standards.
  2. Massachusetts General Laws and 540 CMR 19.00 now require that the Certificate of Inspection be replaced by a Temporary Certificate of Inspection whenever a Licensed Damage Appraiser determines that a vehicle is damaged such that it may no longer meet annual safety or emission inspections standards. 
  3. The appraiser was unable to replace the Certification of Inspection with a Temporary Certificate of Inspection due to the following:

I request that Auto Body Clinic 29 River Street Beverly, MA 01915 does not remove Certificate Inspection.

Leave this empty:

Signature Certificate
Document name: Beverly Inspection Waiver
Unique Document ID: 7db23cb2e5b616cdc394e36eeeec5df601bee69c
Timestamp Audit
August 18, 2017 11:03 am EDTBeverly Inspection Waiver Uploaded by Stephen Arena - lisa@autobodyclinic.com IP 73.218.116.7