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Emission Repair Form. This is a New Jersey form and can be use in Motor Vehicle Commission Statewide.
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Tags: Emission Repair Form, New Jersey Statewide, Motor Vehicle Commission
YOUR VEHICLE HAS FAILED
THE EMISSION INSPECTION
This letter is designed to help New Jersey motorists obtain proper emission-related repairs. In
accordance with the State’s current inspection program regulations, a motorist whose vehicle fails
the emission inspection is required to either: 1) have repairs performed at a New Jersey registered
Emission Repair Facility (ERF), or 2) complete the repairs themselves. After the necessary repairs
are made, the motorist has the choice of having the vehicle re-inspected at either a Centralized
Inspection Facility (CIF) or a Private Inspection Facility (PIF).
To locate an ERF near your home or place of business, motorists may check in their phone directory
for local ERFs or search for a registered ERF by using the Clean Air website:
www.njinspection.com (Select "Find an Emission Repair Facility" in the “Online Services” box).
Motorists may also contact the toll-free Help Desk at 1-(888)-NJ-MOTOR (888-656-6867).
Motorists returning to either a CIF or a PIF for re-inspection must have the following documents: 1)
the Vehicle Inspection Report (VIR) for the failed emission inspection(s), 2) an Emission Repair
Form completed by the ERF or the vehicle owner, and 3) the receipt(s) for any emission-related
repairs or parts. Re-inspecting vehicles is prohibited unless the proper forms and receipts are
presented along with the vehicle in question and the proper credentials (valid/original driver’s
license, insurance and registration cards).
If repairs are completed by you:
1)
2)
A receipt is not required if the repairs
did not require the installation of
additional parts.
The Emission Repair Form* must
clearly state what was done to repair
the vehicle.
If repairs are completed at an ERF:
1)
2)
3)
The Emission Repair Form* must
clearly indicate the correct ERF
Identification Number.
The Emission Repair Form* must list
all repairs, including any repair(s)
suggested by the technician, but
rejected by the vehicle owner.
All receipts and invoices are
necessary.
* Emission Repair Form is on reverse side
If the vehicle's failure was not emission-related (i.e.: broken headlight, cracked windshield, etc.), a motorist may
have the vehicle repaired by any repair facility, or they may do it themselves. Receipts are not required for non
emission-related items or gas cap failures.
Emission failures related to the vehicle in a “Not Ready” status, in some cases, may be resolved by completing a
“Drive Cycle”. Refer to the vehicle owner’s manual for more information.
Ask your dealer or repair shop if they are an ERF BEFORE you authorize them to work on your vehicle.
Emission-related repairs performed by a dealer or repair shop that is NOT an ERF will NOT be accepted as valid
repairs and the vehicle will NOT be reinspected.
Thank You!
Clean Air Program
New Jersey Motor Vehicle Commission
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Motor Vehicle
Commission
VEHICLE INSPECTION REPORT
EMISSION REPAIR FORM
STATE OF NEW JERSEY
IF YOUR VEHICLE FAILED EMISSION INSPECTION
When you have your vehicle repaired, the REPAIR INFORMATION section below
must be completed and presented when the vehicle is re-inspected.
**THIS COMPLETED REPORT MUST BE PRESENTED FOR RE-INSPECTION**
FACILITY or PERSON
PERFORMING REPAIRS:
CERTIFIED REPAIR
TECHNICIAN ID NUMBER:
STREET:
CITY:
STATE:
ZIP:
REPAIR FACILITY ID NUMBER:
DATE OF
REPAIR:
REPAIR CATEGORY
1.
FACILITY PHONE NUMBER:
WARRANTY
REPAIR
EMISSION
REPAIR
TAMPER
REPAIR
EST. NOT
REPAIRED
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14.
Spark Plugs/Ign Wires
15.
Timing
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16.
Fuel Filter
17.
Carburetor Adjustment
18.
Carb Rebuild/Replace
Fuel Injection System –
other
Fuel Injection System other
REPAIR CATEGORY
WARRANTY
REPAIR
EMISSION
REPAIR
TAMPER
REPAIR
EST. NOT
REPAIRED
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3.
PCV System
Thermostatic Air
Cleaner
Air Injection System
4.
Air Pump
5.
Air Filter
6.
EGR System – other
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7.
EGR Valve
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20.
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21.
Engine Mechanical – other
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22.
Vacuum Hoses/Fittings
23.
Computer System or ECM
24.
Oxygen Sensor
25.
Other Electronic Sensor
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26.
Other Repairs/Unknown
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2.
9.
Evap Em Controls –
Other
Fuel Cap
10.
Vapor Lines
11.
Charcoal Canister
Catalytic Converter or
Thermal Reactor
8.
12.
13.
Ignition System - Other
TOTAL COST OF PARTS:
$
19.
TOTAL COST OF LABOR:
$
Revised 10/13/09
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