To submit this form, ensure all sections are completed accurately. Email the completed document to dmv@ny.gov or fax it to (518) 402-9001. You may also mail it to 6 Empire State Plaza, Albany, NY 12228. Consider using registered mail for tracking purposes.

Keep an eye on vital submission deadlines for this form in 2024 and 2025. Check for any changes in policy or new requirements for automotive service providers.

The purpose of this form is to ensure that automotive service facilities are operating in compliance with New York State regulations. It serves as a mechanism for the state to monitor and regulate operations effectively. This enhances consumer safety and protects the environment from potential hazards associated with unregistered facilities.

• 1. Facility Name: The registered name of the automotive service facility.
• 2. Location Address: The physical address where the facility operates.
• 3. Contact Information: Phone number and email address of the facility.
• 4. Registered Status: A declaration of whether the facility is registered with the DMV.
• 5. Inspection Date: Date when the facility was last inspected.

Failing to submit this form could result in operating without proper registration, leading to legal repercussions. It also affects public safety as unregistered facilities might operate without oversight.

• Legal Penalties: Operating an unregistered facility can result in fines or legal action.
• Consumer Safety Risks: Consumers may be exposed to unregulated services which could be unsafe.
• Environmental Hazards: Unregistered facilities may pose risks due to improper disposal of hazardous materials.

• 1. New Facility Registration: To register a new automotive service facility with the DMV.
• 2. Facility Compliance Reporting: For reporting compliance issues with existing facilities.
• 3. Consumer Complaints: To lodge complaints against unregistered operations.