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Get K 186 1999-2024

SALVAGE VEHICLE REPAIR REPORT K-186 REV. 8-99 STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES On The Web at http //dmvct. org Please complete both sides of this form* DESCRIPTION OF VEHICLE YEAR MAKE MODEL VEHICLE IDENTIFICATION NUMBER VIN DESCRIBE ANY REPAIR OR REPLACED PARTS BELOW REPAIR REGULATIONS AND DEALER CERTIFICATION This vehicle has been repaired with the equipment required under Section 14-63-4b of the Regulations of State Agencies using the standards established by the Inter-Industry Conference on Auto Collision Repair Tech-Cor Inc* or other similar organizations including vehicle manufacturers. This is defined as 1. Apparatus permitting four 4 point clamping to secure the vehicle while making structural repairs 2. Electrical or hydraulic pulling equipment appropriate to the type of repair 3. Equipment for making three dimensional measurements for both symmetrical and asymmetrical vehicles 4. Reference guides providing dimensions appropriate to the vehicle being repaired 5. Welding equipment meeting vehicle manufacturer s requirement s for the specific structural repair 6. Painting equipment capable of refinishing vehicles to the manufacturer s original specifications and I hereby certify under penalty of false statement that the information furnished above is true and complete to the best of my knowledge and belief* PRINTED NAME OF DEALER DEALER S LICENSE NUMBER SIGNATURE OF DEALER DATE SIGNED X ATTACH PHOTOGRAPH Please place vehicle VIN on back of photograph and initial it. PARTS DESCRIPTION FRAME OR UNITIZED ASSEMBLY CAB OF A TRUCK CARGO BOX OF A PICKUP BODY OF A PASSENGER VEHICLE TRUNK OR FLOOR PAN REAR QUARTER PANEL RIGHT LEFT DECKLID TAILGATE OR HATCHBACK HOOD FRONT DOOR RIGHT FRONT DOOR LEFT REAR DOOR RIGHT REAR DOOR LEFT FRONT FENDER RIGHT FRONT FENDER LEFT BUMPER FRONT BUMPER REAR AIR BAG RIGHT AIR BAG LEFT ENGINE TRANSMISSION SLIDING OR CARGO DOOR. org Please complete both sides of this form* DESCRIPTION OF VEHICLE YEAR MAKE MODEL VEHICLE IDENTIFICATION NUMBER VIN DESCRIBE ANY REPAIR OR REPLACED PARTS BELOW REPAIR REGULATIONS AND DEALER CERTIFICATION This vehicle has been repaired with the equipment required under Section 14-63-4b of the Regulations of State Agencies using the standards established by the Inter-Industry Conference on Auto Collision Repair Tech-Cor Inc* or other similar organizations including vehicle manufacturers. This is defined as 1. Apparatus permitting four 4 point clamping to secure the vehicle while making structural repairs 2. This is defined as 1. Apparatus permitting four 4 point clamping to secure the vehicle while making structural repairs 2. Electrical or hydraulic pulling equipment appropriate to the type of repair 3. Equipment for making three dimensional measurements for both symmetrical and asymmetrical vehicles 4. Electrical or hydraulic pulling equipment appropriate to the type of repair 3. Equipment for making three dimensional measurements for both symmetrical and asymmetrical vehicles 4. Reference guides providing dimensions appropriate to the vehicle being repaired 5. Welding equipment meeting vehicle manufacturer s requirement s for the specific structural repair 6. .

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