Vehicle Emission Recall - Proof of Correction Form

A Vehicle Emission Recall - Proof of Correction form must be filled out for all cars registered in California, Massachusetts, Vermont, Maine and New York. California, Massachusetts, Vermont, Maine and New York residents who own an affected vehicle will be required to possess a Vehicle Emission Recall - Proof of Correction form as evidence of recall completion when they apply for vehicle registration renewal. Each customer whose vehicle is registered in California, Massachusetts, Vermont, Maine and New York must be given a completed Vehicle Emission Recall - Proof of Correction form after the recall has been completed.

NOTE
This form MUST be completed by the Dealership's Service Manager using a permanent ink pen. A fine point pen is recommended. When filling in the information, copy the information directly from the vehicle, NOT the repair order. ALL INFORMATION MUST BE PRINTED AND NEAT. DO NOT COMPLETE THE FORM UNLESS THE RECALL WORK IS COMPLETED!

INSTRUCTIONS:

1. Enter the vehicle's license number.

2. Enter "Hyundai".

3. Enter the vehicle's Model year "2003".

4. Enter "Tiburon".

5. Enter the Vehicle Identification Number (VIN)

6. Enter "057".

7. Enter your dealership's name.

8. Enter your dealership's physical address. (Not the mailing address.)

9. Enter date of repair.

10. Sign the form.





The copy of the form shown indicates the areas to be filled in. Each area must be filled in.