To submit this form, gather all the required documentation and bring your vehicle along with the necessary receipts to the License and Theft Bureau office. The designated employee will review your request and inspect your vehicle. If all criteria are met, a written waiver will be issued. Ensure you bring your current vehicle registration and prepare the waiver for submission at the inspection station for reinspection. For any questions or further instructions, contact the Division of Motor Vehicles at their official website or local office.

Check with the NC Division of Motor Vehicles for the latest deadlines.

The purpose of this form is to request a waiver from the emissions test requirements for vehicles in North Carolina. The Division of Motor Vehicles issues waivers if specific criteria are met, including passing the safety inspection, completing qualifying repairs, and meeting the minimum repair expenditure. This waiver ensures that vehicle owners can comply with state regulations even if their vehicle has not met emissions standards.

• 1. Vehicle Inspection Receipt: Proof of passing the safety portion and failing the emissions portion of the vehicle inspection.
• 2. Qualifying Repairs Documentation: Receipts and itemized details of the repairs made within 60 days of the failed emissions inspection.
• 3. Emissions Control Device Verification: Proof that all required emissions control devices are present and functional.
• 4. Minimum Repair Expenditure: Documentation showing that the minimum repair expenditure has been met.
• 5. Warranty Denial: Written denial of warranty coverage from the vehicle manufacturer or authorized dealer.
• 6. Reinspection Receipt: Proof of a second failed emissions inspection after qualifying repairs within 60 days.

Failing to submit this form means the vehicle may not receive a waiver and must meet emissions standards to pass the inspection.

• Non-Compliance: The vehicle may be deemed non-compliant with state emissions regulations.
• Inspection Failure: The vehicle may continue to fail emissions inspections and be unable to be legally driven.
• Penalties: There may be fines or penalties for driving a vehicle that does not meet emissions standards.

• 1. Failed Emissions Inspection: If your vehicle fails the emissions inspection but passes the safety inspection.
• 2. Qualifying Repairs: When qualifying repairs have been completed and documented within the specified period.
• 3. Minimum Repair Expenditure Met: If the minimum repair expenditure has been met with proper documentation.
• 4. Warranty Denial: When you have a written denial of warranty coverage from the manufacturer.
• 5. Reinspection Required: If a vehicle requires reinspection after initial emissions test failure and subsequent repair attempts.