MICHIGAN DEPARTMENT OF STATE VEHICLE NUMBER AND EQUIPMENT INSPECTION

Owner’s or Applicant’s Name Telephone Number

( ) Plate Number

Street Address City State ZIP Code

Year Make Body Style Vehicle Number (VIN)

Please note, completion of this form by a police officer does not constitute authorization for a title or registration. The Michigan Department Vehicle Number Inspection Only (Part 1) Of State requires: Equipment Inspection Only (Part 2) (check one) Vehicle Number and Equipment Inspection (Parts 1 and 2)

PART 1 – VEHICLE NUMBER INSPECTION

I have inspected the vehicle identification number (VIN) on the vehicle described above. The number is:

Vehicle Identification Number (if none, enter “none”) (Law Enforcement Only) VIN from Federal Motor Vehicle Safety Sticker

I certify the information provided is true to the best of my knowledge.

Signature of Person Completing Inspection

X Printed Name of Person Completing Inspection Title of Inspector Date

Agency/Department Address Telephone Number ( )

PART 2 – EQUIPMENT INSPECTION BY A POLICE OFFICER

UNIT A – FOUR-WHEEL MOTOR VEHICLES (EXCLUDES: Vehicles originally manufactured for off-road use only.)

LIGHTS

Headlights (one each side, high and low beams) Turn signals (front and rear) Taillight (at least one, if equipped with two both must work) License plate light Brake lights

INTERIOR

Horn Bright light indicator Windshield wipers Windshield washers Brakes (adequate to stop and hold the vehicle) Parking brake Safety belts (1965 and newer models)

WINDSHIELD AND MIRRORS

Safety Glass (no plexiglass, sufficient size to protect driver and passengers, no cracks, no obstructions, non-transparent material prohibited) Outside rearview mirror on driver’s side (adjustable) Half-ton or more capacity trucks outside rearview mirrors on both sides

EXTERIOR

Bumpers (required on passenger vehicles, 14 to 22 inches above the ground except 4-wheel drive) Tires (2/32 inch tread, no exposed cord or tread separation, approved for highway use by D.O.T.) Exhaust (good working order, no excessive noise. Must include a tailpipe and resonator where the original design included a tailpipe and resonator) Differential gear

Signature and title of police officer completing equipment inspection for four-wheel motor vehicle: This vehicle has all the necessary equipment as required by the Michigan Vehicle Code.

This vehicle was not originally manufactured for off-road use only.

Signature of Person Completing Inspection

X Printed Name of Person Completing Inspection Title of Inspector Date

Agency/Department Address Telephone Number ( )

TR-54 (6/17) Over for Motorcycle and Trailer Equipment Inspection

UNIT B – MOTORCYCLE (Two or Three-Wheel Motor Vehicles)

Headlight (high and low beams) Taillight Brake light License plate light Horn Brakes, front and rear (adequate to stop and hold the vehicle) Handlebars (not higher than 15 inches from seat)

Tires (1/32 inch tread, no exposed cord or tread separation, approved for highway use by D.O.T.) Exhaust system (good working order, no excessive noise or annoying smoke) Seat (permanently attached) Rearview mirror on left side (adjustable). Not required on vehicle if helmet has a mirror. Differential gear (three-wheel vehicle only)

A scrap titled trailer must be dismantled, removing the body from the frame, before using the frame to build another trailer.

UNIT C – TRAILERS 3,000 POUNDS GROSS WEIGHT OR LESS (Gross Weight = trailer weight plus load)

NOTE: A Michigan title must be applied for if the trailer weighs 2,500 pounds or more empty

Taillight (at least one) Reflectors (two on the rear, at each side)

Brake light (required only when trailer or load obscures the brake lights of the towing vehicle)

License plate light Tires (2/32 inch tread, no exposed cord or tread separation, approved for highway use by D.O.T.)

UNIT D – TRAILERS MORE THAN 3,000 POUND GROSS WEIGHT (Gross Weight = trailer weight plus load)

Taillight (at least one) Brake light (at least one) License plate light Clearance lamps: two on the front (one each side) and two on the rear (one each side) Side marker lamps (two on each side, one at or near the front and one at or near the rear)

Reflectors: two on each side (one at or near the front and one at or near the rear) and two on the rear (one at each side) Tires (2/32 inch tread, no exposed cord or tread separation, approved for highway use by D.O.T.) Brakes on all wheels

UNIT E – POLE-TRAILER

Taillight (at least one) Side marker lights (one on each side) Clearance lights (one on each side) (Side marker and clearance lights may be in combination, to show to the front, side, or rear)

License plate light Reflectors (one at each side on the rear of the pole- trailer or load) Tires (2/32 inch tread, no exposed cord or tread separation, approved for highway use by D.O.T.)

Signature and title of police officer completing equipment inspection for motorcycle, trailer, or pole trailer: This vehicle has all the necessary equipment as required by the Michigan Vehicle Code.

Signature of Person Completing Inspection

X Printed Name of Person Completing Inspection Title of Inspector Date

Agency/Department Address Telephone Number ( )

For more specific information, consult the Michigan Vehicle Code (MCL. 257.685-686, 257.688-691, 257.697-697b, 257.705-711).

Authority granted under Public Act 300 of 1949 as amended