OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES OUT OF STATE INSPECTION STATION REQUEST FORMS TO BE: MAILED PICKED UP LOCATION FOR PICK UP: 1970 W. BROAD ST. COLUMBUS, OH 43223 PLEASE TYPE OR PRINT LEGIBLY NAME INSPECTION STATION NUMBER BUSINESS ADDRESS DEALER PERMIT NUMBER CITY STATE ZIP CODE QUANTITY  REQUESTS ARE TO BE MADE IN INTERVALS OF TWENTY FIVE (25 PER PACK)  INVENTORIES KEPT ON HAND SHOULD BE AT LEAST THREE MONTHS SUPPLY  FAX REQUESTS ARE FOR NEXT DAY PICK-UP. (Upon arrival dial 2-7636 from the courtesy phone in the lobby) REQUEST FOR FORMS TO BE MAILED MAY BE MADE VIA FAX OR MAIL. MAIL REQUEST: Ohio Bureau of Motor Vehicles Attn: Dealer Licensing P.O. Box 16521 Columbus OH 43216-6521 AUTHORIZED DEALER SIGNATURE FAX REQUEST: Shipley Building: 1970 W. Broad St. Fax: 614-752-7220 DATE X BMV 4305 2/10 American LegalNet, Inc. www.FormsWorkFlow.com